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Does facilitated access to the health system improve asylum-seekers' health outcomes?: Evidence from a quasi-experiment

Philipp Jaschke () and Yuliya Kosyakova ()
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Philipp Jaschke: Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany]
Yuliya Kosyakova: Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany]

No 201907, IAB Discussion Paper from Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany]

Abstract: "As long as their asylum application is not approved or their duration of stay does not exceed 15 months, asylum-seekers who require doctor visit have to claim it either by the local authority for foreigners or the responsible social assistance office in Germany. Since 2016 several Federal states and municipalities in Germany have launched the procedure to hand out electronic health cards (eHC) which allow immediate direct access to the health system for asylum-seekers. In this paper, we examine whether being eligible to the eHC as a result of the policy change has had an effect on the health outcomes of asylum-seekers in Germany. For empirical identification, we take advantage of the variation of the policy change across regions and over time. Relying on data from the IAB-BAMF-SOEP Survey of Refugees, we find that the introduction of the reforms allowing asylum-seekers' faster and more direct access to the healthcare system indeed reduced the risk of emotional disorder. We conclude by discussing the potential pros and contras of a comprehensive nationwide introduction of the eHC for asylum-seekers." (Author's abstract, IAB-Doku) ((en))

Keywords: Asylbewerber; medizinische Versorgung; Gesundheitszustand; Entbürokratisierung - Auswirkungen; Leistungsanspruch; Flüchtlinge; IAB-BAMF-SOEP-Befragung von Geflüchteten; psychische Faktoren; Gesundheitsgefährdung; Depression; Stress (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-eur and nep-hea
Date: 2019-04-10
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Persistent link: https://EconPapers.repec.org/RePEc:iab:iabdpa:201907

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