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Immigrant Child Health SIG

Immigrant Child Health SIG. Ricky Y. Choi, MD, MPH, FAAP. CME Disclosure. I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in this CME activity

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Immigrant Child Health SIG

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  1. Immigrant Child Health SIG Ricky Y. Choi, MD, MPH, FAAP

  2. CME Disclosure • I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in this CME activity • I do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation.

  3. Name that group • Family oriented culture • 49% do not speak English well • 34% report having communication problems with their doctor • 27% do not have a usual source of care • 31% do not have health insurance • 14% are undocumented

  4. Latinos vs Koreans • 76%49% do not speak English well • 33%34% report having communication problems with their doctor • 34%27% do not have a usual source of care • 33%31% do not have health insurance • 19%14% are undocumented

  5. New Society Isolation Racism Transportation Language Barriers Health Health education/literacy Mental health Oral health Cultural Health practices Medicines from home country Understanding US Health Care System Transient Housing Family dynamics Multiple care providers for children Intergenerational conflict Domestic violence Role Reversal Traditional parenting practices Insurance 5 year bar undocumented Challenges for Immigrants

  6. Challenges to Providing Care • Cultural Differences • Time required for interpretation in clinic • Reimbursement for translation • Routine communication • Transient

  7. AAP and Immigrant Health • Policy Statement: Providing Care for Immigrant, Homeless, and Migrant Children, 1997, 2010, under revision for 2013 • Summary of other policy statements and technical reports • Support for outreach efforts to reach families whose children are potentially eligible for Medicaid no enrolled, including legal immigrants • Support for states to cover legal immigrant children who enter the US who are ineligible for Medicaid and SCHIP

  8. AAP Positions • Opposition to discrimination in the care of any patient on the basis of immigration status • Support for efforts at local/state/federal levels to improve prompt and appropriate access to pediatric emergency medical care for all children regardless of immigration status • Support for research on childhood disparities within immigrant populations • Guidance for pediatricians to recognize potential pre-immigration trauma for immigrant children • ID screening and Lead screening for new immigrants

  9. AAP Activities • Federal Affairs, SGA • Utah, lifting 5 year bar • MA: instate tuition for undocumented residents • AZ: commented on impact of children separated from parents • Chapter conferences

  10. Challenges • Challenges your patients from immigrant families are facing • Challenges to providing care for these communities • What work have you done in immigrant health in your practice or in group? • How can the SIG help?

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