Policy implications of a literature review of cardiovascular disease in uninsured immigrant older adults

Research output: Contribution to journalArticle

Abstract

The number of older adults emigrating to the United States is expected to quadruple by 2050. The health of immigrant older adults is complicated by the limited options for low-cost health insurance available to this population. Welfare reform has limited new immigrants' access to public assistance programs, such as Medicaid; and low-cost private insurance options rarely exist for individuals older than 65, even with the passage of the Patient Protection and Aff ordable Care Act (PPACA). Uninsured immigrant older adults have been found to forgo preventive care due to cost and are among the leading users of emergency departments for preventable complications of chronic disease, primarily cardiovascular disease (CVD). A review of the literature found that insurance coverage has a signifi cant impact on CVD risk among immigrant older adults. The current article discusses the implications of welfare reform initiatives and the shortcomings of the PPACA in addressing the health care needs of immigrant older adults.

Original languageEnglish (US)
Pages (from-to)14-20
Number of pages7
JournalJournal of Gerontological Nursing
Volume41
Issue number6
DOIs
StatePublished - 2015

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Cardiovascular Diseases
Costs and Cost Analysis
Public Assistance
Preventive Medicine
Insurance Coverage
Medicaid
Health Insurance
Insurance
Hospital Emergency Service
Chronic Disease
Delivery of Health Care
Health
Population

ASJC Scopus subject areas

  • Gerontology
  • Medicine(all)

Cite this

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title = "Policy implications of a literature review of cardiovascular disease in uninsured immigrant older adults",
abstract = "The number of older adults emigrating to the United States is expected to quadruple by 2050. The health of immigrant older adults is complicated by the limited options for low-cost health insurance available to this population. Welfare reform has limited new immigrants' access to public assistance programs, such as Medicaid; and low-cost private insurance options rarely exist for individuals older than 65, even with the passage of the Patient Protection and Aff ordable Care Act (PPACA). Uninsured immigrant older adults have been found to forgo preventive care due to cost and are among the leading users of emergency departments for preventable complications of chronic disease, primarily cardiovascular disease (CVD). A review of the literature found that insurance coverage has a signifi cant impact on CVD risk among immigrant older adults. The current article discusses the implications of welfare reform initiatives and the shortcomings of the PPACA in addressing the health care needs of immigrant older adults.",
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