Examining the Impact of Restrictive Federal Immigration Policies on Healthcare Access: Perspectives from Immigrant Patients across an Urban Safety-Net Hospital
| Autor: | Maria Campos Rojo, Sondra S. Crosby, Serena Rajabiun, Rita Y. Wang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Epidemiology media_common.quotation_subject Safety net Immigration Emigrants and Immigrants Health Services Accessibility 03 medical and health sciences Deportation Immigrant health 0302 clinical medicine Nursing Immigration policy Political science Health care medicine Humans 030212 general & internal medicine media_common Original Paper 030505 public health business.industry Public health Public Health Environmental and Occupational Health Law enforcement Healthcare access Emigration and Immigration Public charge Policy Healthcare policy Thematic analysis 0305 other medical science business Safety-net Providers |
| Zdroj: | Journal of Immigrant and Minority Health |
| ISSN: | 1557-1920 1557-1912 |
| Popis: | The Trump Administration instituted a series of restrictive policies including the expansion of the public charge ruling, which created barriers to healthcare access for immigrant communities. This study examined immigrants’ knowledge, attitudes, and health-seeking practices as a result of the public charge proposal. Thirty semi-structured interviews were conducted in English or Spanish with foreign-born adults at an urban safety-net hospital in Boston from May 2019 to August 2019. Thematic content analysis identified barriers and facilitators of healthcare access and usage. Approximately half of participants were aware of the public charge proposal. Six participants expressed concern about its implications, but only two discontinued benefits. Barriers to care included fear of deportation, interaction with law enforcement, and competing socioeconomic needs. Facilitators of care included supportive communities, immigrant-friendly environment, and personal beliefs. Hospitals can develop community-centered services for immigrant patients that offset the barriers to healthcare access resulting from adverse federal immigration policies. |
| Databáze: | OpenAIRE |
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