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Three Essays on Health, Health Systems, and Migration
Three Essays on Health, Health Systems, and Migration
Three Essays on Health, Health Systems, and Migration

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자료유형  
 학위논문 서양
최종처리일시  
20250211152825
ISBN  
9798384096016
DDC  
614
저자명  
Nwadiuko, Joseph Chidinma.
서명/저자  
Three Essays on Health, Health Systems, and Migration
발행사항  
[Sl] : University of California, Los Angeles, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
125 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-03, Section: B.
주기사항  
Advisor: Vargas Bustamante, Arturo.
학위논문주기  
Thesis (Ph.D.)--University of California, Los Angeles, 2024.
초록/해제  
요약Immigration is a debated topic in the US and the high-income world. One consequence of widespread negative perceptions of immigrants are legal crackdowns on immigrants themselves, which can lead to incarceration and occupational exclusion, and can affect already excluded racial groups (such as Black individuals). This dissertation is a collection of three essays that attempts to disentangle the assumptions behind these interventions as well as their consequences on marginalized persons. The first paper posits immigration enforcement within the larger context of mass incarceration in the United States, which has provided employment to rural distressed communities, leading them to compete for immigration and criminal justice prisons. The paper looks at the beginning of the COVID pandemic (2020-2022) to determine whether there were negative externalities to rural hospitals adjacent to carceral facilities, in the form of strained hospital units or worsened operating margins. It finds that rural hospitals geographically adjacent to carceral institutions in minority-majority communities have an 31% increased probability of having completely full ICUs, with no impact in majority-majority communities and no operating margins difference with controls. The second paper examines the relationship between GDP and physician emigration, using the framework of the mobility transition, which would predict a monotonous decline in emigration with origin country GDP for highly educated professionals like physicians. Using OECD physician entry data from 2000-2019 it is found that the relationship between GDP per capita is heterogenous by geographic region, with a negative relationship in most regions except for sub-Saharan Africa (where there is no relationship), the Middle East and North Africa (where the relationship might be quadratic) & European countries outside the European Union (where the relationship is positive).The third paper looks at the intersection of racism and legal exclusion through the lens of Black undocumented immigrants. Using 1999-2018 National Health Interview Survey data, the paper examines how 1) among Black individuals, immigrant status correlate and 2) among undocumented immigrants, race and ethnicity correlate to 5 measures: health insurance coverage, physician utilization, hospitalizations, mental distress, and sleep. Results show that legal status, race, and ethnicity are all important measures of healthcare access and mental health.
일반주제명  
Public health
일반주제명  
Mental health
일반주제명  
Medical personnel
키워드  
Global health
키워드  
Health systems
키워드  
Immigration
키워드  
Prisons
키워드  
COVID pandemic
기타저자  
University of California, Los Angeles Health Policy and Management 007I
기본자료저록  
Dissertations Abstracts International. 86-03B.
전자적 위치 및 접속  
로그인 후 원문을 볼 수 있습니다.

MARC

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■1001  ▼aNwadiuko,  Joseph  Chidinma.
■24510▼aThree  Essays  on  Health,  Health  Systems,  and  Migration
■260    ▼a[Sl]▼bUniversity  of  California,  Los  Angeles▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a125  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-03,  Section:  B.
■500    ▼aAdvisor:  Vargas  Bustamante,  Arturo.
■5021  ▼aThesis  (Ph.D.)--University  of  California,  Los  Angeles,  2024.
■520    ▼aImmigration  is  a  debated  topic  in  the  US  and  the  high-income  world.    One  consequence  of  widespread  negative  perceptions  of  immigrants  are  legal  crackdowns  on  immigrants  themselves,  which  can  lead  to  incarceration  and  occupational  exclusion,  and  can  affect  already  excluded  racial  groups  (such  as  Black  individuals).    This  dissertation  is  a  collection  of  three  essays  that  attempts  to  disentangle  the  assumptions  behind  these  interventions  as  well  as  their  consequences  on  marginalized  persons.  The  first  paper  posits  immigration  enforcement  within  the  larger  context  of  mass  incarceration  in  the  United  States,  which  has  provided  employment  to  rural  distressed  communities,  leading  them  to  compete  for  immigration  and  criminal  justice  prisons.  The  paper  looks  at  the  beginning  of  the  COVID  pandemic  (2020-2022)  to  determine  whether  there  were  negative  externalities  to  rural  hospitals  adjacent  to  carceral  facilities,  in  the  form  of  strained  hospital  units  or  worsened  operating  margins.  It  finds  that  rural  hospitals  geographically  adjacent  to  carceral  institutions  in  minority-majority  communities  have  an  31%  increased  probability  of  having  completely  full  ICUs,  with  no  impact  in  majority-majority  communities  and  no  operating  margins  difference  with  controls.  The  second  paper  examines  the  relationship  between  GDP  and  physician  emigration,  using  the  framework  of  the  mobility  transition,  which  would  predict  a  monotonous  decline  in  emigration  with  origin  country  GDP  for  highly  educated  professionals  like  physicians.  Using  OECD  physician  entry  data  from  2000-2019  it  is  found  that  the  relationship  between  GDP  per  capita  is  heterogenous  by  geographic  region,  with  a  negative  relationship  in  most  regions  except  for  sub-Saharan  Africa  (where  there  is  no  relationship),  the  Middle  East  and  North  Africa  (where  the  relationship  might  be  quadratic)  &  European  countries  outside  the  European  Union  (where  the  relationship  is  positive).The  third  paper  looks  at  the  intersection  of  racism  and  legal  exclusion  through  the  lens  of  Black  undocumented  immigrants.  Using  1999-2018  National  Health  Interview  Survey  data,  the  paper  examines  how  1)  among  Black  individuals,  immigrant  status  correlate  and  2)  among  undocumented  immigrants,  race  and  ethnicity  correlate  to  5  measures:  health  insurance  coverage,  physician  utilization,  hospitalizations,  mental  distress,  and  sleep.    Results  show  that  legal  status,  race,  and  ethnicity  are  all  important  measures  of  healthcare  access  and  mental  health.
■590    ▼aSchool  code:  0031.
■650  4▼aPublic  health
■650  4▼aMental  health
■650  4▼aMedical  personnel
■653    ▼aGlobal  health
■653    ▼aHealth  systems
■653    ▼aImmigration
■653    ▼aPrisons
■653    ▼aCOVID  pandemic
■690    ▼a0501
■690    ▼a0769
■690    ▼a0207
■690    ▼a0347
■690    ▼a0573
■71020▼aUniversity  of  California,  Los  Angeles▼bHealth  Policy  and  Management  007I.
■7730  ▼tDissertations  Abstracts  International▼g86-03B.
■790    ▼a0031
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17164042▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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