IDEAS home Printed from https://ideas.repec.org/p/iab/iabdpa/201907.html
   My bibliography  Save this paper

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://doku.iab.de/discussionpapers/2019/dp0719.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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, October.
    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. 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.
    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. 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.
    12. 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.
    13. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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].

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Damelang, Andreas & Kosyakova, Yuliya, 2020. "To work or to study? Postmigration educational investments of adult refugees in Germany - evidence from a choice experiment," IAB-Discussion Paper 202031, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    2. Kohlenberger, Judith & Buber-Ennser, Isabella & Rengs, Bernhard & Leitner, Sebastian & Landesmann, Michael, 2019. "Barriers to health care access and service utilization of refugees in Austria: Evidence from a cross-sectional survey," Health Policy, Elsevier, vol. 123(9), pages 833-839.
    3. Ferdinand Garoff & Natalia Skogberg & Antti Klemettilä & Eero Lilja & Awa Ahmed Haji Omar & Olli Snellman & Anu E. Castaneda, 2021. "Mental Health and Traumatization of Newly Arrived Asylum Seeker Adults in Finland: A Population-Based Study," IJERPH, MDPI, vol. 18(13), pages 1-12, July.
    4. Stabridis, Omar & van Gameren, Edwin, 2018. "Exposure to firewood: Consequences for health and labor force participation in Mexico," World Development, Elsevier, vol. 107(C), pages 382-395.
    5. Michael Greenstone & Rema Hanna, 2014. "Environmental Regulations, Air and Water Pollution, and Infant Mortality in India," American Economic Review, American Economic Association, vol. 104(10), pages 3038-3072, October.
    6. Trine Myhrvold & Milada C. Småstuen, 2019. "Undocumented migrants’ life situations: An exploratory analysis of quality of life and living conditions in a sample of undocumented migrants living in Norway," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2073-2087, June.
    7. Dimitrios Varvarigos, 2020. "Cultural Transmission, Education-Promoting Attitudes, and Economic Development," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 37, pages 173-194, July.
    8. Luis Guillermo Becerra-Valbuena & Jorge A. Bonilla, 2021. "Climatic shocks, air quality, and health at birth in Bogotá," Working Papers halshs-03429482, HAL.
    9. Patrick Richard & Regine Walker & Pierre Alexandre, 2018. "The burden of out of pocket costs and medical debt faced by households with chronic health conditions in the United States," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-13, June.
    10. Daniel Agness & Travis Baseler & Sylvain Chassang & Pascaline Dupas & Erik Snowberg, 2022. "Valuing the Time of the Self-Employed," Working Papers 2022-2, Princeton University. Economics Department..
    11. Thomas Barnay & Éric Defebvre, 2019. "Gender Differences in the Influence of Mental Health on Job Retention," LABOUR, CEIS, vol. 33(4), pages 507-532, December.
    12. Hoffmann, Bridget, 2018. "Do non-monetary prices target the poor? Evidence from a field experiment in India," Journal of Development Economics, Elsevier, vol. 133(C), pages 15-32.
    13. Zhang, Ming-ang & Lu, Shuling & Zhang, Sihan & Bai, Yanfeng, 2023. "The unintended consequence of minimum wage hikes: Evidence based on firms' pollution emission," Energy Economics, Elsevier, vol. 125(C).
    14. Wang, Chao & Zhang, Yue-Jun, 2022. "The effect of environmental regulation and skill premium on the inflow of FDI:Evidence from Chinese industrial sectors," International Review of Economics & Finance, Elsevier, vol. 81(C), pages 227-242.
    15. Koichiro Ito & Shuang Zhang, 2020. "Willingness to Pay for Clean Air: Evidence from Air Purifier Markets in China," Journal of Political Economy, University of Chicago Press, vol. 128(5), pages 1627-1672.
    16. Luis Sarmiento, 2020. "I Am Innocent: Hourly Variations in Air Pollution and Crime Behavior," Discussion Papers of DIW Berlin 1879, DIW Berlin, German Institute for Economic Research.
    17. Keita, Sekou & Trübswetter, Parvati, 2021. "IAB-BAMF-SOEP Survey of Refugees linked to administrative data of the IAB," FDZ Datenreport. Documentation on Labour Market Data 202015_en, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    18. Sonia Bhalotra & Martin Karlsson & Therese Nilsson & Nina Schwarz, 2022. "Infant Health, Cognitive Performance, and Earnings: Evidence from Inception of the Welfare State in Sweden," The Review of Economics and Statistics, MIT Press, vol. 104(6), pages 1138-1156, November.
    19. Mousteri, Victoria & Daly, Michael & Delaney, Liam & Tynelius, Per & Rasmussen, Finn, 2019. "Adolescent mental health and unemployment over the lifespan: Population evidence from Sweden," Social Science & Medicine, Elsevier, vol. 222(C), pages 305-314.
    20. Guorong Chen & Changyan Liu, 2023. "Can Low–Carbon City Development Stimulate Population Growth? Insights from China’s Low–Carbon Pilot Program," Sustainability, MDPI, vol. 15(20), pages 1-22, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:iab:iabdpa:201907. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: IAB, Geschäftsbereich Wissenschaftliche Fachinformation und Bibliothek (email available below). General contact details of provider: https://edirc.repec.org/data/iabbbde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.