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Health care utilization of later-stage immigrants in British Columbia

TitleHealth care utilization of later-stage immigrants in British Columbia
Year of Publication2005
AuthorsWu, Z., and Schimmele C. M.
JournalVancouver Centre of Excellence Research on Immigration and Integration in the Metropolis (RIIM) Working Paper Series

Using the 2000-01 Canadian Community Health Survey (Cycle 1.1), British Columbia component, this study compares later-stage immigrants (individuals aged => 45 year upon immigration) to non-immigrants in terms of health care utilization. The findings indicate that later-stage immigrants utilize fewer health care resources than non-immigrants; in specific, later-stage immigrants have a lower hospitalization rate, fewer medical doctor visits, and fewer non-medical doctor visits. Health care utilization among later-stage immigrants is also lower compared to immigrants whose age at immigration was under 45 years. Except for non-medical doctor usage, this study observes that these health care utilization differences disappear after introducing controls for medical needs, and a comparatively low prevalence of chronic conditions among later-stage immigrants appears to account for their lower health resources consumption. The difference in non-medical doctor visits between later-stage immigrants and non-immigrants attenuates after introducing controls based on the Andersen-Newman model of health care utilization. These results suggest that socio-demographic and behavioral characteristics account for an under-utilization of non-MD care among later-stage immigrants.

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