Immigrants are ineligible for federally-funded Medicaid in the U.S. until at least 5 years after arrival. There is little information on where they receive care in light of this restriction. Using Blinder–Oaxaca decomposition, this study examines whether the setting in which older recent immigrants receive care (i.e., health clinic, emergency room or doctor’s office) explains delays in care. Among older adults with a usual source of care, 13.5% of recent immigrants had not seen a health professional in the past year compared to 8.6% of non-recent immigrants and 6.3% of native-born. Approximately 23% of these differences is attributable to recent immigrants’ tendency to receive care in clinics and community health centers. Even when older recent immigrants manage to find a usual source of care, it is of lower quality than that received by their non-recent immigrant and native-born counterparts. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

clinics Migration health policy aging

Community Health Services community care human middle aged statistics and numerical data health service Aged United States income Humans migrant male Emigrants and Immigrants female Socioeconomic Factors socioeconomics health services age sex factor Sex Factors Age Factors patient attitude Patient Acceptance of Health Care