Berlinger, N., Guidry-Grimes, L., & Hulkower, A. (2017). Knowledge is key for safety-net providers. Health Progress: Journal of the Catholic Health Association of the United States. Retrieved from https://www.chausa.org/publications/health-progress/article/july-august-2017/knowledge-is-key-for-safety-net-providers
Hacker, K., Anies, M., Folb, B., & Zallman, L. (2015). Barriers to health care for undocumented immigrants: A literature review. Risk Management and Healthcare Policy, 8. Available in the Trident Online Library. PLEASE SEE ATTACHMENT REGARDING THIS REFERENCE
The Hastings Center. (2017). Undocumented immigrants and health care access in the United States. Retrieved from http://undocumentedpatients.org/
HHS Office of Minority Health. (2016). National CLAS Standards, health literacy, and communication [Video file]. Retrieved from https://www.youtube.com/watch?v=VkpRx1lHCu8&feature=youtu.be
National CLAS Standards: National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care. Retrieved from https://www.thinkculturalhealth.hhs.gov/clas
Shi, L. (2014). Health policy for diverse populations. In Introduction to health policy, pp. 118-149. Chicago: Health Administration Press. Available in the Trident Online Library. PLEASE SEE ATTACHMENT REGARDING THIS REFERENCE
HOMEWORK ASSIGNMENT
The debate over immigration reform continues to be a hot button in American policy and unlikely to be solved in the foreseeable future. Regardless of the current policy and where one stands on dealing with illegal immigration, the reality is that there will be undocumented immigrants that come into the country and as with all human beings, they will get sick or injured and need medical care. There are a host of legal, ethical, financial, and public health considerations for policies focused on care for this vulnerable population, and arguably no easy answers.
Review the background reading for this module and conduct your own research. After you have done so, write a position paper on whether the provision of health care for undocumented immigrants should be provided without consideration of immigration status, addressing each of the issues italicized above. Keep in mind that this paper is not meant to be a debate of immigration policy, but a statement regarding healthcare services.
Be sure cite reliable sources and utilize the reference below for setting up your paper. You must use the outline in the reference below.
Reference: Xavier University Library. (2014). How to write a position paper. Retrieved from http://www.xavier.edu/library/students/documents/position_paper.pdf
SLP Assignment Expectations
- Limit your response to no more than 2 pages, single-spaced.
- Conduct additional research to gather sufficient information to justify/support your analysis.
- Support your paper with a minimum of 3 reliable sources; at least 2 of these should be peer-reviewed articles. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php
- Please use the following resource for evaluating information found on the internet: https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
- You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.
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permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php
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open access to scientific and medical research
Open Access Full Text Article
http://dx.doi.org/10.2147/RMHP.S70173
Barriers to health care for undocumented immigrants: a literature review
Karen Hacker1,2
Maria Anies2
Barbara L Folb2,3
Leah Zallman4–6
1Allegheny County Health Department, Pittsburgh, PA, USA; 2Graduate School of Public Health, 3Health Sciences Library System, University of Pittsburgh, Pittsburgh, PA, USA; 4institute for Community Health, Cambridge, MA, USA; 5Cambridge Health Alliance, Cambridge, MA, USA; 6Harvard School of Medicine, Boston, MA, USA
Correspondence: Karen Hacker Allegheny County Health Department, 542 4th Street, Pittsburgh, PA 15219, USA Tel +1 412 578 8008 Fax +1 412 578 8325 email khacker@achd.net
Abstract: With the unprecedented international migration seen in recent years, policies that limit health care access have become prevalent. Barriers to health care for undocumented
immigrants go beyond policy and range from financial limitations, to discrimination and fear
of deportation. This paper is aimed at reviewing the literature on barriers to health care for
undocumented immigrants and identifying strategies that have or could be used to address these
barriers. To address study questions, we conducted a literature review of published articles from
the last 10 years in PubMed using three main concepts: immigrants, undocumented, and access
to health care. The search yielded 341 articles of which 66 met study criteria. With regard to
barriers, we identified barriers in the policy arena focused on issues related to law and policy
including limitations to access and type of health care. These varied widely across countries but
ultimately impacted the type and amount of health care any undocumented immigrant could
receive. Within the health system, barriers included bureaucratic obstacles including paperwork
and registration systems. The alternative care available (safety net) was generally limited and
overwhelmed. Finally, there was evidence of widespread discriminatory practices within the
health care system itself. The individual level focused on the immigrant’s fear of deportation,
stigma, and lack of capital (both social and financial) to obtain services. Recommendations
identified in the papers reviewed included advocating for policy change to increase access
to health care for undocumented immigrants, providing novel insurance options, expanding
safety net services, training providers to better care for immigrant populations, and educating
undocumented immigrants on navigating the system. There are numerous barriers to health care
for undocumented immigrants. These vary by country and frequently change. Despite concerns
that access to health care attracts immigrants, data demonstrates that people generally do not
migrate to obtain health care. Solutions are needed that provide for noncitizens’ health care.
Keywords: undocumented immigrants, health care, access, deportation, immigration and migration
Background Over the last decade, international migration has continued to rise despite the efforts
of many countries to tighten their borders.1 Factors such as conflict, discrimination,
and the lack of employment opportunities in countries of origin contribute to migration
patterns. Today, countries have used a variety of strategies to dissuade immigrants from
crossing their borders ranging from border patrol to identity checks, detention, and
deportation.2,3 With the unprecedented rates of migration, policies that disincentivize
migration have spread to health care. Internationally, many countries, including the US,
European nations, Scandinavia, Canada, and Costa Rica, have promulgated a range of
policies that limit access to health services.4–8 In the US for example, the Affordable
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