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

Author

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  • Jaschke, Philipp

    (Institute for Employment Research (IAB), Nuremberg, Germany)

  • Kosyakova, Yuliya

    (Institute for Employment Research (IAB), 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))

Suggested Citation

  • Jaschke, Philipp & Kosyakova, Yuliya, 2020. "Does facilitated access to the health system improve asylum-seekers' health outcomes? : Evidence from a quasi-experiment," IAB-Discussion Paper 201907, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    • Handle: RePEc:iab:iabdpa:201907
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    1. Sarah Baird & Joan Hamory Hicks & Michael Kremer & Edward Miguel, 2016. "Worms at Work: Long-run Impacts of a Child Health Investment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1637-1680.
    2. Herbert Brücker & Nina Rother & Jürgen Schupp (Hrsg.), 2017. "IAB-BAMF-SOEP-Befragung von Geflüchteten 2016: Studiendesign, Feldergebnisse sowie Analysen zu schulischer wie beruflicher Qualifikation, Sprachkenntnissen sowie kognitiven Potenzialen," DIW Berlin: Politikberatung kompakt, DIW Berlin, German Institute for Economic Research, edition 0, volume 123, number pbk123, September.
    3. Matthias Nübling & Hanfried H. Andersen & Axel Mühlbacher & Jürgen Schupp & Gert G. Wagner, 2007. "Computation of Standard Values for Physical and Mental Health Scale Scores Using the SOEP Version of SF12v2," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 127(1), pages 171-182.
    4. Hanna, Rema & Oliva, Paulina, 2015. "The effect of pollution on labor supply: Evidence from a natural experiment in Mexico City," Journal of Public Economics, Elsevier, vol. 122(C), pages 68-79.
    5. Herbert Brücker & Nina Rother & Jürgen Schupp & Christian Babka von Gostomski & Axel Böhm & Tanja Fendel & Martin Friedrich & Marco Giesselmann & Yuliya Kosyakova & Martin Kroh & Simon Kühne & Elisabe, 2016. "Forced Migration, Arrival in Germany, and First Steps toward Integration," DIW Economic Bulletin, DIW Berlin, German Institute for Economic Research, vol. 6(48), pages 541-556.
    6. Coffey, Guy J. & Kaplan, Ida & Sampson, Robyn C. & Tucci, Maria Montagna, 2010. "The meaning and mental health consequences of long-term immigration detention for people seeking asylum," Social Science & Medicine, Elsevier, vol. 70(12), pages 2070-2079, June.
    7. Chatterji, Pinka & Alegria, Margarita & Takeuchi, David, 2011. "Psychiatric disorders and labor market outcomes: Evidence from the National Comorbidity Survey-Replication," Journal of Health Economics, Elsevier, vol. 30(5), pages 858-868.
    8. Lena Walther & Lukas M. Fuchs & Jürgen Schupp & Christian von Scheve, 2019. "Living Conditions and the Mental Health and Well-being of Refugees: Evidence from a Representative German Panel Study," SOEPpapers on Multidisciplinary Panel Data Research 1029, DIW Berlin, The German Socio-Economic Panel (SOEP).
    9. Chase, Liana E. & Cleveland, Janet & Beatson, Jesse & Rousseau, Cécile, 2017. "The gap between entitlement and access to healthcare: An analysis of “candidacy” in the help-seeking trajectories of asylum seekers in Montreal," Social Science & Medicine, Elsevier, vol. 182(C), pages 52-59.
    10. Bischoff, Alexander & Bovier, Patrick A. & Isah, Rrustemi & Francoise, Gariazzo & Ariel, Eytan & Louis, Loutan, 2003. "Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral," Social Science & Medicine, Elsevier, vol. 57(3), pages 503-512, August.
    11. Silove, D. & Steel, Z. & McGorry, P. & Drobny, J., 1999. "Problems Tamil asylum seekers encounter in accessing health and welfare services in Australia," Social Science & Medicine, Elsevier, vol. 49(7), pages 951-956, October.
    12. Kayvan Bozorgmehr & Oliver Razum, 2015. "Effect of Restricting Access to Health Care on Health Expenditures among Asylum-Seekers and Refugees: A Quasi-Experimental Study in Germany, 1994–2013," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-22, July.
    13. Herbert Brücker & Johannes Croisier & Yuliya Kosyakova & Hannes Kröger & Giuseppe Pietrantuono & Nina Rother & Jürgen Schupp, 2019. "Language Skills and Employment Rate of Refugees in Germany Improving with Time," DIW Weekly Report, DIW Berlin, German Institute for Economic Research, vol. 9(4/5/6), pages 49-61.
    14. Kullgren, J.T., 2003. "Restrictions on Undocumented Immigrants' Access to Health Services: The Public Health Implications of Welfare Reform," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1630-1633.
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    Cited by:

    1. Kosyakova, Yuliya & Gundacker, Lidwina & Salikutluk, Zerrin & Trübswetter, Parvati, 2021. "Arbeitsmarktintegration in Deutschland: Geflüchtete Frauen müssen viele Hindernisse überwinden (Labor market integration in Germany: Refugee women have to overcome many obstacles)," IAB-Kurzbericht 202108, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].

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