Business Commons^™

Citizenship As A Social Determinant Of Health: Healthcare Access And Utilization In The Wake Of The Public Charge Policy Change, Errol Pierre

Student Theses and Dissertations

Research shows that many non-medical factors, called social determinants of health, impact health outcomes. These social determinants include both socioeconomic factors, such as income and education, and public policies, such as laws and regulations affecting access to healthcare. This study proposes that citizenship status is also a social determinant of health and supports this proposition by examining the impact of citizenship status on healthcare access and utilization in New York. The study data consist of enrollments, disenrollments, and paid medical expenses incurred by patients enrolled in Medicaid or the Essential plan, both of which are government-sponsored health plans. In addition …