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. 1996 Mar;164(3):212–216.

Survey of illegal immigrants seen in an emergency department.

T C Chan 1, S J Krishel 1, K J Bramwell 1, R F Clark 1
PMCID: PMC1303412  PMID: 8775931

Abstract

There is growing controversy regarding illegal immigrants and their use of social services, including health care, in this country. We surveyed undocumented persons presenting at our emergency department to investigate the reasons why they sought care in the United States. Overall, 227 visits (8.6%) were made in the emergency department by illegal immigrants, mostly Hispanics. Of 104 patients surveyed, all sought care in this country because they were here at the time, and 86 (83%) intended to remain permanently. Of the 104 persons, 83 (80%) cited lack of funding as a reason for seeking emergency department care. Undocumented Hispanics had a higher uninsured rate (64%) than both Hispanics (32%) and non-Hispanics (30%). Of the 104 patients, 38 (36%) had difficulty obtaining care elsewhere because of their status, 53 (51%) knew of no other sources of care, and 46 (44%) said that even if available, only the emergency department was acceptable. Many undocumented persons seek care in the United States because they reside here permanently, often using this emergency department as their source of care. These findings may be important in light of recent efforts to restrict services for this group.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andersen R. M., Giachello A. L., Aday L. A. Access of Hispanics to health care and cuts in services: a state-of-the-art overview. Public Health Rep. 1986 May-Jun;101(3):238–252. [PMC free article] [PubMed] [Google Scholar]
  2. Asch S., Leake B., Gelberg L. Does fear of immigration authorities deter tuberculosis patients from seeking care? West J Med. 1994 Oct;161(4):373–376. [PMC free article] [PubMed] [Google Scholar]
  3. Bergner L., Yerby A. S. Low income and barriers to use of health services. N Engl J Med. 1968 Mar 7;278(10):541–546. doi: 10.1056/NEJM196803072781006. [DOI] [PubMed] [Google Scholar]
  4. Chavez L. R., Cornelius W. A., Jones O. W. Mexican immigrants and the utilization of U.S. health services: the case of San Diego. Soc Sci Med. 1985;21(1):93–102. doi: 10.1016/0277-9536(85)90291-6. [DOI] [PubMed] [Google Scholar]
  5. Guendelman S. Health care users residing on the Mexican border. What factors determine choice of the U.S. or Mexican health system? Med Care. 1991 May;29(5):419–429. doi: 10.1097/00005650-199105000-00003. [DOI] [PubMed] [Google Scholar]
  6. Guendelman S., Jasis M. Giving birth across the border: the San Diego-Tijuana connection. Soc Sci Med. 1992 Feb;34(4):419–425. doi: 10.1016/0277-9536(92)90302-7. [DOI] [PubMed] [Google Scholar]
  7. Guendelman S., Jasis M. Measuring Tijuana residents' choice of Mexican or U.S. health care services. Public Health Rep. 1990 Nov-Dec;105(6):575–583. [PMC free article] [PubMed] [Google Scholar]
  8. Hubbell F. A., Waitzkin H., Mishra S. I., Dombrink J., Chavez L. R. Access to medical care for documented and undocumented Latinos in a southern California county. West J Med. 1991 Apr;154(4):414–417. [PMC free article] [PubMed] [Google Scholar]
  9. Loue S. Access to health care and the undocumented alien. J Leg Med. 1992 Sep;13(3):271–332. doi: 10.1080/01947649209510886. [DOI] [PubMed] [Google Scholar]
  10. McKenna M. T., McCray E., Onorato I. The epidemiology of tuberculosis among foreign-born persons in the United States, 1986 to 1993. N Engl J Med. 1995 Apr 20;332(16):1071–1076. doi: 10.1056/NEJM199504203321606. [DOI] [PubMed] [Google Scholar]
  11. Moore P., Hepworth J. T. Use of perinatal and infant health services by Mexican-American Medicaid enrollees. JAMA. 1994 Jul 27;272(4):297–304. [PubMed] [Google Scholar]
  12. Muñoz E. Care for the Hispanic poor: a growing segment of American society. JAMA. 1988 Nov 11;260(18):2711–2712. doi: 10.1001/jama.1988.03410180119042. [DOI] [PubMed] [Google Scholar]
  13. Nickel J. W. Should undocumented aliens be entitled to health care? Hastings Cent Rep. 1986 Dec;16(6):19–23. [PubMed] [Google Scholar]
  14. Pallarito K., Kertesz L., Lutz S., Greene J. Bridging the gap: healthcare reform and illegal aliens. Mod Healthc. 1994 Jul 4;24(27):24-6, 28-32. [PubMed] [Google Scholar]
  15. Poma P. A. The Hispanic health challenge. J Natl Med Assoc. 1988 Dec;80(12):1275–1277. [PMC free article] [PubMed] [Google Scholar]
  16. Siddharthan K., Alalasundaram S. Undocumented aliens and uncompensated care: whose responsibility? Am J Public Health. 1993 Mar;83(3):410–412. doi: 10.2105/ajph.83.3.410. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Walker G. M., Jr Utilization of health care: the Laredo migrant experience. Am J Public Health. 1979 Jul;69(7):667–672. doi: 10.2105/ajph.69.7.667. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. White-Means S. I., Thornton M. C., Yeo J. S. Sociodemographic and health factors influencing black and Hispanic use of the hospital emergency room. J Natl Med Assoc. 1989 Jan;81(1):72–80. [PMC free article] [PubMed] [Google Scholar]
  19. Woloshin S., Bickell N. A., Schwartz L. M., Gany F., Welch H. G. Language barriers in medicine in the United States. JAMA. 1995 Mar 1;273(9):724–728. [PubMed] [Google Scholar]
  20. Ziv T. A., Lo B. Denial of care to illegal immigrants. Proposition 187 in California. N Engl J Med. 1995 Apr 20;332(16):1095–1098. doi: 10.1056/NEJM199504203321612. [DOI] [PubMed] [Google Scholar]

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