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dc.contributor.authorTzogiou, Christina-
dc.contributor.authorBoes, Stefan-
dc.contributor.authorBrunner, Beatrice-
dc.date.accessioned2020-04-30T08:56:18Z-
dc.date.available2020-04-30T08:56:18Z-
dc.date.issued2019-07-15-
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/19974-
dc.description.abstractBackground: Even in a high income country, such as Switzerland, immigrants tend to suffer higher rates of mortality and morbidity compared to natives. Foreign nationals are an indispensable component of the Swiss demography and labor force. They comprise 25% of the permanent population, with the majority coming from EU/EFTA states. At the same time, the immigrant population in Switzerland is very heterogeneous. Unequal access to prevention, care and support can have considerable health and cost implications for the whole society. A better understanding of the inequalities in healthcare use is key for the design of cost-effective interventions towards the improvement of national health and a sustainable solidarity-based healthcare system. Objective: The aim of this study is to explain the inequalities in healthcare use between different immigrant groups and natives in Switzerland. The inequality measures examined are the probability of visiting a doctor or an emergency department, as well as the number of doctor and emergency department visits in the past 12 months. Data and methods: The data are drawn from the Swiss Health Survey 2012 and the Health Monitoring Survey on the immigrant population 2010 in Switzerland. The data contain information on the health status, healthcare utilization, and socioeconomic characteristics. We differentiate immigrants between first- and second generation and culturally similar and different to natives. To retrieve the relative contribution of each inequality factor we apply a non-linear decomposition method based on the Oaxaca-Blinder approach. We further extend the model by categorizing the factors into different groups, such as circumstances and effort. Results: Swiss are more likely to visit the doctor compared to overall, to first generation and to culturally different immigrants. These differences could be reduced by 87%, 63% and 40%, respectively, if the corresponding immigrant groups had the same endowments as the Swiss. The contribution of effort accounts for most of the explained inequalities. Swiss also go more often to the doctor compared to the aforementioned immigrant groups. While these differences could be decreased significantly if overall and first generation immigrants had the same endowments as Swiss, the inequality between Swiss and culturally different is mainly attributed to the differences in their coefficients. Culturally similar immigrants are more likely to visit the emergency department and also exhibit a higher number of visits. Since they are fairly similar in their characteristics to the Swiss, these inequalities are mainly attributed to the differences in the coefficients. On the other hand, culturally different immigrants are less likely to visit the emergency department. The main contributing factor is the amount of the annual health insurance deductible chosen. Conclusions: Healthcare utilization is lower in the immigrants most divergent from the Swiss and higher in the culturally similar. The contributions of these inequalities are heterogeneous across the four inequality measures and comparison groups. It is, therefore, important to develop customized strategies to reduce differences in endowments, but also further investigate the drivers of the differences in the coefficients.de_CH
dc.language.isoende_CH
dc.rightsLicence according to publishing contractde_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.titleWhat explains the inequalities in healthcare use between immigrants and natives in Switzerland?de_CH
dc.typeKonferenz: Sonstigesde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
zhaw.conference.detailsiHEA 2019 World Congress on Health Economics, Basel, Switzerland, 13-17 July 2019de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.publication.reviewKeine Begutachtungde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen School of Management and Law

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Tzogiou, C., Boes, S., & Brunner, B. (2019, July 15). What explains the inequalities in healthcare use between immigrants and natives in Switzerland? iHEA 2019 World Congress on Health Economics, Basel, Switzerland, 13-17 July 2019.
Tzogiou, C., Boes, S. and Brunner, B. (2019) ‘What explains the inequalities in healthcare use between immigrants and natives in Switzerland?’, in iHEA 2019 World Congress on Health Economics, Basel, Switzerland, 13-17 July 2019.
C. Tzogiou, S. Boes, and B. Brunner, “What explains the inequalities in healthcare use between immigrants and natives in Switzerland?,” in iHEA 2019 World Congress on Health Economics, Basel, Switzerland, 13-17 July 2019, Jul. 2019.
TZOGIOU, Christina, Stefan BOES und Beatrice BRUNNER, 2019. What explains the inequalities in healthcare use between immigrants and natives in Switzerland? In: iHEA 2019 World Congress on Health Economics, Basel, Switzerland, 13-17 July 2019. Conference presentation. 15 Juli 2019
Tzogiou, Christina, Stefan Boes, and Beatrice Brunner. 2019. “What Explains the Inequalities in Healthcare Use between Immigrants and Natives in Switzerland?” Conference presentation. In iHEA 2019 World Congress on Health Economics, Basel, Switzerland, 13-17 July 2019.
Tzogiou, Christina, et al. “What Explains the Inequalities in Healthcare Use between Immigrants and Natives in Switzerland?” iHEA 2019 World Congress on Health Economics, Basel, Switzerland, 13-17 July 2019, 2019.


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