Impact of United States 2017 Immigration Policy changes on missed appointments at two Massachusetts Safety-Net Hospitals
Introduction Studies have shown mixed findings regarding the impact of immigration policy changes on immigrants’ utilization of primary care. Methods We used a difference-in-differences analysis to compare changes in missed primary care appointments over time across two groups: patients who received...
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| Published in | Journal of immigrant and minority health Vol. 24; no. 4; pp. 807 - 818 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Springer US
01.08.2022
Springer Nature B.V |
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| Online Access | Get full text |
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| Abstract | Introduction
Studies have shown mixed findings regarding the impact of immigration policy changes on immigrants’ utilization of primary care.
Methods
We used a difference-in-differences analysis to compare changes in missed primary care appointments over time across two groups: patients who received care in Spanish, Portuguese, or Haitian Creole, and non-Hispanic, white patients who received care in English.
Results
After adjustment for age, sex, race, insurance, hospital system, and presence of chronic conditions, immigration policy changes were associated with an absolute increase in the missed appointment prevalence of 0.74 percentage points (95% confidence interval: 0.34, 1.15) among Spanish, Portuguese and Haitian-Creole speakers. We estimated that missed appointments due to immigration policy changes resulted in lost revenue of over $185,000.
Conclusions
We conclude that immigration policy changes were associated with a significant increase in missed appointments among patients who receive medical care in languages other than English. |
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| AbstractList | Studies have shown mixed findings regarding the impact of immigration policy changes on immigrants' utilization of primary care.
We used a difference-in-differences analysis to compare changes in missed primary care appointments over time across two groups: patients who received care in Spanish, Portuguese, or Haitian Creole, and non-Hispanic, white patients who received care in English.
After adjustment for age, sex, race, insurance, hospital system, and presence of chronic conditions, immigration policy changes were associated with an absolute increase in the missed appointment prevalence of 0.74 percentage points (95% confidence interval: 0.34, 1.15) among Spanish, Portuguese and Haitian-Creole speakers. We estimated that missed appointments due to immigration policy changes resulted in lost revenue of over $185,000.
We conclude that immigration policy changes were associated with a significant increase in missed appointments among patients who receive medical care in languages other than English. Introduction Studies have shown mixed findings regarding the impact of immigration policy changes on immigrants’ utilization of primary care. Methods We used a difference-in-differences analysis to compare changes in missed primary care appointments over time across two groups: patients who received care in Spanish, Portuguese, or Haitian Creole, and non-Hispanic, white patients who received care in English. Results After adjustment for age, sex, race, insurance, hospital system, and presence of chronic conditions, immigration policy changes were associated with an absolute increase in the missed appointment prevalence of 0.74 percentage points (95% confidence interval: 0.34, 1.15) among Spanish, Portuguese and Haitian-Creole speakers. We estimated that missed appointments due to immigration policy changes resulted in lost revenue of over $185,000. Conclusions We conclude that immigration policy changes were associated with a significant increase in missed appointments among patients who receive medical care in languages other than English. IntroductionStudies have shown mixed findings regarding the impact of immigration policy changes on immigrants’ utilization of primary care.MethodsWe used a difference-in-differences analysis to compare changes in missed primary care appointments over time across two groups: patients who received care in Spanish, Portuguese, or Haitian Creole, and non-Hispanic, white patients who received care in English.ResultsAfter adjustment for age, sex, race, insurance, hospital system, and presence of chronic conditions, immigration policy changes were associated with an absolute increase in the missed appointment prevalence of 0.74 percentage points (95% confidence interval: 0.34, 1.15) among Spanish, Portuguese and Haitian-Creole speakers. We estimated that missed appointments due to immigration policy changes resulted in lost revenue of over $185,000.ConclusionsWe conclude that immigration policy changes were associated with a significant increase in missed appointments among patients who receive medical care in languages other than English. |
| Author | Kimball, Sarah L. Lasser, Karen E. Mahmood, Rumel Hanchate, Amresh Jirmanus, Lara Z. Ranker, Lynsie Touw, Sharon |
| Author_xml | – sequence: 1 givenname: Lara Z. orcidid: 0000-0002-5245-8254 surname: Jirmanus fullname: Jirmanus, Lara Z. email: ljirmanus@challiance.org organization: Department of Family Medicine, Cambridge Health Alliance, Harvard Medical School – sequence: 2 givenname: Lynsie surname: Ranker fullname: Ranker, Lynsie organization: Boston University School of Public Health – sequence: 3 givenname: Sharon surname: Touw fullname: Touw, Sharon organization: Institute for Community Health – sequence: 4 givenname: Rumel surname: Mahmood fullname: Mahmood, Rumel organization: Cambridge Health Alliance – sequence: 5 givenname: Sarah L. surname: Kimball fullname: Kimball, Sarah L. organization: Boston Medical Center – sequence: 6 givenname: Amresh surname: Hanchate fullname: Hanchate, Amresh organization: Department of Social Sciences and Health Policy, Wake Forest School of Medicine – sequence: 7 givenname: Karen E. surname: Lasser fullname: Lasser, Karen E. organization: Boston Medical Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35624394$$D View this record in MEDLINE/PubMed |
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| Copyright | The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. |
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| Keywords | Fear Massachusetts Limited English proficiency Immigration Policy Missed appointments Immigrants Healthcare Access Primary care |
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Studies have shown mixed findings regarding the impact of immigration policy changes on immigrants’ utilization of primary care.
Methods
We used a... Studies have shown mixed findings regarding the impact of immigration policy changes on immigrants' utilization of primary care. We used a... IntroductionStudies have shown mixed findings regarding the impact of immigration policy changes on immigrants’ utilization of primary care.MethodsWe used a... INTRODUCTIONStudies have shown mixed findings regarding the impact of immigration policy changes on immigrants' utilization of primary care. METHODSWe used a... |
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| SubjectTerms | Changes Chronic conditions Chronic illnesses Comparative Law Confidence intervals Diabetes Electronic health records Enforcement Health care Health services Hospitals Immigrants Immigration Immigration policy Insurance International & Foreign Law Languages Medicine Medicine & Public Health Non-English languages Original Paper Patients Policy making Primary care Private International Law Public Health Race Safety Sociology |
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| Title | Impact of United States 2017 Immigration Policy changes on missed appointments at two Massachusetts Safety-Net Hospitals |
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