The Intersection of National Immigration and Healthcare Policy

Douaiher, Jeffrey; Inciarte, Douglas J.; Silva, Edibaldo

doi:10.3122/jabfm.2018.01.170204

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…International medical graduates (IMGs) play a critical role in the health‐care systems of many western countries including the United Kingdom (Esmail, 2007; Monnais & Wright, 2016) and the United States (Irigoyen & Sambrana, 1979; Jenkins, 2018). In the United States, IMGs have long filled physician shortages by working in medical specialities and in geographic locations that US medical graduates (USMGs) often eschew (American Immigration Council, 2018; Douaiher et al, 2018; Heiser, 2019). Specifically, IMGs disproportionately practise in less popular, lower paying medical specialities and in low‐income rural and urban communities (Dussault & Franceschini, 2006; Jenkins, 2018).…”

Section: Introductionmentioning

confidence: 99%

Disaggregating inequalities in the career outcomes of international medical graduates in the United States

Schut

2022

Sociology Health & Illness

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Although research finds that international medical graduates (IMGs) fill gaps in US health care left by US medical graduates (USMGs), the extent to which IMGs' career outcomes are stratified along the lines of their country of medical education remains understudied. Using data from the 2019 American Medical Association Physician Masterfile (n = 19,985), I find IMGs from developed countries chart less marginalised paths in their US careers relative to IMGs from developing countries; they are more likely to practise in more competitive and popular medical specialities; to attend prestigious residency programmes; and to practise in less disadvantaged counties that employ more USMGs relative to IMGs. These findings suggest IMGs experience divergent outcomes in the United States based on their place of medical education, with IMGs from developing countries experiencing more constraints in their careers relative to IMGs from developed countries. This understudied axis of stratification in medicine has important implications for our understanding of how nativism and racism may intersect to generate inequalities in the medical profession and in US health care more broadly.

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Section: Introductionmentioning

confidence: 99%

Disaggregating inequalities in the career outcomes of international medical graduates in the United States

Schut

2022

Sociology Health & Illness

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“…Douaiher et al 14 explore current data and the discomforting implications of proposed changes. Immigrant physicians provide approximately one-quarter of the care to the underserved in the U.S, and in some rural counties, comprise as many as half of practicing primary care physicians.…”

Section: Beyond Unrealistic Even Frighteningmentioning

confidence: 99%

Interventions Must Be Realistic to Be Useful and Completed in Family Medicine

Bowman¹,

Seehusen

Neale³

2018

J Am Board Fam Med

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Being realistic while helping our patients is this issue's theme. Given the volume of tasks required in family medicine, recommendations for improvements in direct care or care measurement cannot just be evidence-based but must also be realistic. On the list of realistic: ordering antipsychotics for symptoms of dementia in the elderly, despite recommendations to not do so; ordering antidepressants without fear that the patient could develop hypertension; mental health care providers in primary care offices; forced choice for opioid management; plus agenda setting for visit efficiency. In this issue we group articles into general categories based on our assessment of how realistic the implied actions are, related to current provider training, finances, and organizational factors.

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