Next Article in Journal
Genotypes and Antibiotic Resistances of Campylobacter jejuni Isolates from Cattle and Pigeons in Dairy Farms
Next Article in Special Issue
The Longer You Stay, the Worse Your Health? A Critical Review of the Negative Acculturation Theory among Asian Immigrants
Previous Article in Journal
Using Benthic Macroinvertebrate and Fish Communities as Bioindicators of the Tanshui River Basin Around the Greater Taipei Area — Multivariate Analysis of Spatial Variation Related to Levels of Water Pollution
Previous Article in Special Issue
Socio-Demographic and Dietary Factors Associated with Excess Body Weight and Abdominal Obesity among Resettled Bhutanese Refugee Women in Northeast Ohio, United States
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2014, 11(7), 7144-7153; doi:10.3390/ijerph110707144

Immigrants’ Access to Health Insurance: No Equality without Awareness

1
Department of Social Geography and Regional Development, Faculty of Science, Charles University in Prague, Albertov 6, Prague 128 43, Czech Republic
2
Prague Psychiatric Centre, Department of Social Psychiatry, National Institute of Mental Health, Ustavni 91, Prague 181 03, Czech Republic
*
Author to whom correspondence should be addressed.
Received: 29 April 2014 / Revised: 10 June 2014 / Accepted: 25 June 2014 / Published: 14 July 2014
(This article belongs to the Special Issue Migrant Health)
View Full-Text   |   Download PDF [206 KB, uploaded 14 July 2014]

Abstract

The Czech government has identified commercial health insurance as one of the major problems for migrants’ access to health care. Non-EU immigrants are eligible for public health insurance only if they have employee status or permanent residency. The present study examined migrants’ access to the public health insurance system in Czechia. A cross-sectional survey of 909 immigrants from Ukraine and Vietnam was conducted in March and May 2013, and binary logistic regression was applied in data analysis. Among immigrants entitled to Czech public health insurance due to permanent residency/asylum, 30% were out of the public health insurance system, and of those entitled by their employment status, 50% were out of the system. Migrants with a poor knowledge of the Czech language are more likely to remain excluded from the system of public health insurance. Instead, they either remain in the commercial health insurance system or they simultaneously pay for both commercial and public health insurance, which is highly disadvantageous. Since there are no reasonable grounds to stay outside the public health insurance, it is concluded that it is lack of awareness that keeps eligible immigrants from entering the system. It is suggested that no equal access to health care exists without sufficient awareness about health care system. View Full-Text
Keywords: migration; access to health care; health insurance; health policy evaluation; cross-sectional survey; health care awareness migration; access to health care; health insurance; health policy evaluation; cross-sectional survey; health care awareness
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Dzúrová, D.; Winkler, P.; Drbohlav, D. Immigrants’ Access to Health Insurance: No Equality without Awareness. Int. J. Environ. Res. Public Health 2014, 11, 7144-7153.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top