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Children Use of Emergency Care: Differences Between Natives and Migrants in Italy

Author

Listed:
  • Elena Cottini

    (Università Cattolica del Sacro Cuore
    Dipartimento di Economia e Finanza, Università Cattolica del Sacro Cuore)

  • Claudio Lucifora

    (Università Cattolica del Sacro Cuore
    Dipartimento di Economia e Finanza, Università Cattolica del Sacro Cuore)

  • Gilberto Turati
  • Daria Vigani
Abstract
In this paper we study the differences between natives and migrants in the appropriate use of emergency care. We focus on children under one year of age using a sample of more than 45,000 children living in the Metropolitan area of Milan. Consistently with the literature, our findings show that migrants’ children are characterized both by a higher probability to use emergency care and by a higher likelihood of an inappropriate use of this service. These findings are robust to the inclusion of additional controls, family doctor’s characteristics, as well as potential selection bias. We also explore potential mechanisms driving these results. We find that linguistic and cultural distance between natives and migrants explain the higher use of emergency services and the inappropriate use of these services. Conversely supply side factors do not seem to play any relevant role. These findings suggest that integration policies aimed at increasing language proficiency of immigrants would be helpful in improving the appropriate use of emergency care.

Suggested Citation

  • Elena Cottini & Claudio Lucifora & Gilberto Turati & Daria Vigani, 2020. "Children Use of Emergency Care: Differences Between Natives and Migrants in Italy," DISCE - Working Papers del Dipartimento di Economia e Finanza def093, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    • Handle: RePEc:ctc:serie1:def093
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    File URL: http://dipartimenti.unicatt.it/economia-finanza-def093.pdf
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    References listed on IDEAS

    as
    1. Carlo Devillanova & Tommaso Frattini, 2016. "Inequities in immigrants’ access to health care services: disentangling potential barriers," International Journal of Manpower, Emerald Group Publishing Limited, vol. 37(7), pages 1191-1208, October.
    2. William Greene, 2004. "Distinguishing between heterogeneity and inefficiency: stochastic frontier analysis of the World Health Organization's panel data on national health care systems," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 959-980, October.
    3. Sørensen, Torben H. & Olsen, Kim R. & Gyrd-Hansen, Dorte, 2009. "Differences in general practice initiated expenditures across Danish local health authorities--A multilevel analysis," Health Policy, Elsevier, vol. 92(1), pages 35-42, September.
    4. Mauricio Reis, 2014. "Public primary health care and children’s health in Brazil: evidence from siblings," Journal of Population Economics, Springer;European Society for Population Economics, vol. 27(2), pages 421-445, April.
    Full references (including those not matched with items on IDEAS)

    Citations

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    Cited by:

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    2. Boitani, Andrea & Dragomirescu-Gaina, Catalin, 2023. "News and narratives: A cointegration analysis of Russian economic policy uncertainty," Economics Letters, Elsevier, vol. 226(C).
    3. Valentina Colombo & Alessia Paccagnini, 2024. "Uncertainty and the Federal Reserve’s Balance Sheet Monetary Policy," DISCE - Working Papers del Dipartimento di Economia e Finanza def131, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    4. Pieroni, Luca & Roig, Melcior Rosselló & Salmasi, Luca, 2023. "Italy: Immigration and the evolution of populism," European Journal of Political Economy, Elsevier, vol. 76(C).
    5. Basiglio, Stefania & Foresta, Alessandra & Turati, Gilberto, 2024. "Impatience and crime. Evidence from the NLSY97," Journal of Economic Psychology, Elsevier, vol. 101(C).
    6. Daniele Checchi & Alessandra Fenizia & Claudio Lucifora, 2021. "PUBLIC SECTOR JOBS: Working in the public sector in Europe and the US," DISCE - Working Papers del Dipartimento di Economia e Finanza def107, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    7. Fanfani, Bernardo, 2022. "Tastes for discrimination in monopsonistic labour markets," Labour Economics, Elsevier, vol. 75(C).
    8. Russell Davidson & Andrea Monticini, 2023. "Bootstrap Performance with Heteroskedasticity," DISCE - Working Papers del Dipartimento di Economia e Finanza def130, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    9. Irene Torrini & Claudio Lucifora & Antonio Russo, 2022. "The Long-Term Effects of Hospitalization on Health Care Expenditures: An Empirical Analysis for the Young-Old Population," DISCE - Working Papers del Dipartimento di Economia e Finanza def117, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).

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    More about this item

    Keywords

    emergency care; children; migrants; inappropriate care.;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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