Large-scale international migration continues apace. From a health-care services perspective, it is important to understand the influence of migrant heritage on utilization, to allocate resources appropriately and facilitate equity. However, the differences in utilization across different migrant groups remain poorly understood, particularly so for paediatric populations. This paper contributes to filling this gap in knowledge, examining the health-care contact of children for whom their primary caregiver is foreign-born, using longitudinal data from two nationally representative surveys. The study setting is Ireland, which provides an interesting case as a small, open European country, which for the first-time experienced net inward migration in the past two decades. For both cohorts, panel regression models, adjusting for socioeconomic and health indicators, demonstrated lower utilization of general practitioner (GP) services for children of caregivers from ‘less-advanced, non-Anglosphere, non-European Union (EU)’ nations, relative to native-born counterparts. Relatively lower attendances at Emergency Departments and hospital nights were also observed for this group, as well as for children born to EU (non-UK) caregivers. The insights provided are instructive for policymakers for which immigration is a substantial phenomenon in current and future population demographics.

中文翻译：

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看护人移民身份对儿童使用医疗保健服务的影响：来自爱尔兰的证据

大规模的国际移民继续快速发展。从卫生保健服务的角度来看，了解移民遗产对利用的影响、适当分配资源和促进公平非常重要。然而，对不同移民群体的利用差异仍知之甚少，尤其是对儿科人群而言。本文使用两项全国代表性调查的纵向数据，对主要照顾者为外国出生的儿童的医疗保健接触情况进行了研究，有助于填补这一知识空白。研究环境是爱尔兰，它提供了一个有趣的案例，作为一个开放的欧洲小国，它在过去二十年中首次经历了净向内移民。对于两个队列，面板回归模型，对社会经济和健康指标进行调整后，与本土出生的同行相比，来自“欠发达、非盎格鲁圈、非欧盟 (EU)”国家的看护人的孩子对全科医生 (GP) 服务的利用率较低。还观察到该组以及欧盟（非英国）护理人员所生儿童的急诊科和住院夜出勤率相对较低。所提供的见解对政策制定者具有指导意义，因为移民是当前和未来人口统计数据中的一个重要现象。还观察到该组以及欧盟（非英国）护理人员所生儿童的急诊科和住院夜出勤率相对较低。所提供的见解对政策制定者具有指导意义，因为移民是当前和未来人口统计数据中的一个重要现象。还观察到该组以及欧盟（非英国）护理人员所生儿童的急诊科和住院夜出勤率相对较低。所提供的见解对政策制定者具有指导意义，因为移民是当前和未来人口统计数据中的一个重要现象。