Health outcomes, health services utilization, and costs consequences of medicare uninsurance among migrants in Canada: a systematic review

BMC Health Services Research

Research Article

Genevieve Pinnington¹  Stephanie Clayton¹  Ezza Jalil¹  Valerie Bishop¹  Sophiya Garasia²  Chika Arinze³ 

[1] Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street West, L8S 4K1, Hamilton, ON, Canada;Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street West, L8S 4K1, Hamilton, ON, Canada;Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada;Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street West, L8S 4K1, Hamilton, ON, Canada;Department of Oncology, McMaster University, Hamilton, ON, Canada;

关键词: Migrant;    Health;    Medically uninsured;    Health services;    Canada;   

DOI  :  10.1186/s12913-023-09417-4

 received in 2022-01-25, accepted in 2023-04-18,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundMedically uninsured groups, many of them migrants, reportedly delay using healthcare services due to costs and often face preventable health consequences. This systematic review sought to assess quantitative evidence on health outcomes, health services use, and health care costs among uninsured migrant populations in Canada.MethodsOVID MEDLINE, Embase, Global Health, EconLit, and grey literature were searched to identify relevant literature published up until March 2021. The Cochrane Risk of Bias in Non-randomized Studies – of Interventions (ROBINS-I) tool was used to assess the quality of studies.ResultsTen studies were included. Data showed that there are differences among insured and uninsured groups in reported health outcomes and health services use. No quantitative studies on economic costs were captured.ConclusionsOur findings indicate a need to review policies regarding accessible and affordable health care for migrants. Increasing funding to community health centers may improve service utilization and health outcomes among this population.

【 授权许可】

CC BY   
© The Author(s) 2023

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