Health access to immigrants: identifying gaps for social protection in health

Cabieses, Báltica; Oyarte, Marcela

doi:10.11606/s1518-8787.2020054001501

Cited by 12 publications

References 10 publications

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When Migrant Pain Does Not Deserve Attention: Institutional Racism in Chile’s Public Health System

Tijoux

Cortés

2022

IMISCOE Research Series

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This chapter describes the institutional racism that affects immigrants in Chile in the public health sector, in addition to the ways in which they endure and resist it. The concept of institutional racism gestures towards a hidden racism, consolidated in the very functioning of institutions, which also becomes expressed in everyday interactions between public health professionals and immigrant patients. These interactions reflect how administrative difficulties, pitfalls in resource allocation, and the power of “expertise” in healthcare push immigrants out of the system or compel them to invent new ways of confronting a system that racializes them. Through a qualitative approach, we present some findings with respect to expressions of institutional racism against immigrants in Chile today.

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When Migrant Pain Does Not Deserve Attention: Institutional Racism in Chile’s Public Health System

Tijoux

Cortés

2022

IMISCOE Research Series

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Barriers to Healthcare Access for Immigrants in Costa Rica and Uruguay

Voorend

Alvarado

2022

Int. Migration & Integration

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Access to public health has been, is, and will be a necessary right for any person in the world, motivating the proposal of universalist approaches as the best way to provide this service. However, we know that universalism is limited, at best, when it concerns immigrants. In this article, we focus on Costa Rica’s and Uruguay’s health systems, generally acknowledged as Latin America’s most universal, to argue that there are important barriers that limit immigrants’ access to public health insurance and health care. Applying a model based on the work by Niedzwiecki and Voorend (2019) that allows us to disaggregate the barriers to access into legal, institutional, de facto, and agency barriers, our analysis shows that migration and social policy interact to create barriers of different magnitudes, often conditioning healthcare access on migratory status, formal employment, and/or purchasing power. These limitations to universal social protection create important vulnerabilities, not only for the immigrants involved, but also for the health systems, and therefore for public health, highlighting the limitations of universalism.

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Healthcare and social needs of international migrants during the COVID-19 pandemic in Latin America: analysis of the Chilean case

et al. 2022

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International migrants are a particularly vulnerable group in the context of the coronavirus disease 2019 (COVID-19) pandemic. Immigrants in Chile tend to experience multidimensional poverty and layers of social vulnerability. Our analysis aims to describe the perceived social and health-related needs of international migrants during the COVID-19 pandemic in Chile in terms of migration as a social determinant of health and layered social vulnerability. We carried out a qualitative analysis of responses to an open-ended question focused on the social and health-related needs linked to the pandemic included in an online questionnaire disseminated during April 2020 aimed at international migrants residing in Chile. The information gathered was thematically analysed. We included 1690 participants. They expressed needs related to health and others linked to the overall socio-economic and political response, employment, material conditions and psychosocial aspects. They also reported needs related to ‘being a migrant’. Additionally, some participants described situations of vulnerability. We analysed their needs and situations of vulnerability identified around the following emerging frames: (a) work and living conditions, (b) regularisation traps and perceived lack of support and (c) and physical and mental health needs. International migrants in Chile report experiencing interrelated layers of social vulnerability during the COVID-19 pandemic, where ‘being a migrant’ exacerbates physical and mental health risks. The issues revealed are immediate and direct public health challenges, as well as different aspects of social vulnerability linked to migratory status, employment and barriers to accessing healthcare that should be addressed through comprehensive policies and measures.

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Health access to immigrants: identifying gaps for social protection in health

Cited by 12 publications

References 10 publications

When Migrant Pain Does Not Deserve Attention: Institutional Racism in Chile’s Public Health System

When Migrant Pain Does Not Deserve Attention: Institutional Racism in Chile’s Public Health System

Barriers to Healthcare Access for Immigrants in Costa Rica and Uruguay

Healthcare and social needs of international migrants during the COVID-19 pandemic in Latin America: analysis of the Chilean case

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