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Health care service utilization of documented and undocumented hired farmworkers in the U.S

Tianyuan Luo and Cesar L. Escalante ()
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Tianyuan Luo: University of Georgia
Cesar L. Escalante: University of Georgia

The European Journal of Health Economics, 2018, vol. 19, issue 7, 923-934

Abstract: Abstract This article analyzes issues related to U.S. hired farmworkers’ utilization of health care services and their specific choices among health care provider and health bill payment method options. Using data from the National Agricultural Workers Surveys for the years 2000–2012, this article employs propensity score matching and probit estimation techniques to examine the health care utilization of hired farmworkers. This study’s results indicate that undocumented hired farmworkers are 10.7 and 3% less likely to use U.S. and foreign health care, respectively, compared to documented farmworkers. Health insurance is found to significantly increase hired farmworkers’ use of U.S. health care by 22.3%. Notably, compared to their documented working peers, undocumented workers are much less likely to patronize private clinics. They are even less likely to rely on migrant health centers even when these providers are their most viable sources of health care service.

Keywords: Health care utilization; Hired farmworkers; Undocumented immigrants; Foreign health care (search for similar items in EconPapers)
JEL-codes: I10 J43 I14 (search for similar items in EconPapers)
Date: 2018
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Handle: RePEc:spr:eujhec:v:19:y:2018:i:7:d:10.1007_s10198-017-0939-x