Angie Nguyen - Academia.edu (original) (raw)
Related Authors
National Institute of Technology, Tiruchirappalli
Uploads
Papers by Angie Nguyen
ABSTRACT This study investigates the impact that country of origin has on immigrants’ utilization... more ABSTRACT This study investigates the impact that country of origin has on immigrants’ utilization of health care services, operation- alized by physician visits. Country of origin captures how cultural factors and different health care systems may shape immigrants’ health care behaviors that are carried over to the United States. I use data from the New Immigrant Survey, focusing on immigrants from China, India, Mexico, El Salvador, and the Philippines. The odds of visiting a physician are highest among immigrants from the Philippines and China. The odds of visiting a physician in the U.S. are higher for immigrants from countries with higher total population, physician density, and health expenditures as expected, but slightly lower for those from countries with higher gross domestic products (GDP). Language barriers, fear of discrimi- nation, and lack of information may deter certain immigrant groups from seeking care in the U.S. even when they need it. My findings show that efforts to increase full participation in the American health care system should be targeted at immigrants from India, Mexico, and El Salvador.
Patients seek care in the emergency department (ED) for many reasons, including non-urgent condit... more Patients seek care in the emergency department (ED) for many reasons, including non-urgent conditions that could be treated in a primary care physician’s (PCP) office or alternative health facility. Convenience, need-blindness, and resourcefulness draw patients towards the ED, and lead to ED overuse. In this article, we outline a comprehensive and integrated approach that includes specific solutions and quality improvements to overcome the excessive use of EDs for non-urgent conditions. We target three critical components of the healthcare system: 1) hospitals and other physician groups, 2) insurance companies, and 3) patients. Our recommendations include expanding access to primary care, offering financial incentives for both patients and physicians to reduce unnecessary ED visits, and fostering patient awareness of alternative health care options through community health workers (CHWs) and mobile worksite programs.
ABSTRACT This study investigates the impact that country of origin has on immigrants’ utilization... more ABSTRACT This study investigates the impact that country of origin has on immigrants’ utilization of health care services, operation- alized by physician visits. Country of origin captures how cultural factors and different health care systems may shape immigrants’ health care behaviors that are carried over to the United States. I use data from the New Immigrant Survey, focusing on immigrants from China, India, Mexico, El Salvador, and the Philippines. The odds of visiting a physician are highest among immigrants from the Philippines and China. The odds of visiting a physician in the U.S. are higher for immigrants from countries with higher total population, physician density, and health expenditures as expected, but slightly lower for those from countries with higher gross domestic products (GDP). Language barriers, fear of discrimi- nation, and lack of information may deter certain immigrant groups from seeking care in the U.S. even when they need it. My findings show that efforts to increase full participation in the American health care system should be targeted at immigrants from India, Mexico, and El Salvador.
Patients seek care in the emergency department (ED) for many reasons, including non-urgent condit... more Patients seek care in the emergency department (ED) for many reasons, including non-urgent conditions that could be treated in a primary care physician’s (PCP) office or alternative health facility. Convenience, need-blindness, and resourcefulness draw patients towards the ED, and lead to ED overuse. In this article, we outline a comprehensive and integrated approach that includes specific solutions and quality improvements to overcome the excessive use of EDs for non-urgent conditions. We target three critical components of the healthcare system: 1) hospitals and other physician groups, 2) insurance companies, and 3) patients. Our recommendations include expanding access to primary care, offering financial incentives for both patients and physicians to reduce unnecessary ED visits, and fostering patient awareness of alternative health care options through community health workers (CHWs) and mobile worksite programs.