This chapter describes how immigration status affects patients and influences care in the emergency department (ED). There are 11.3 million undocumented immigrants within the US, and many more with limited legal status, who are vulnerable to political, legal, and structural factors predisposing them to poor health outcomes. Many of these factors are beyond the control of the emergency provider, but there are ways to mitigate the structural vulnerability of this population by optimizing their care in the ED. Important steps include educating providers regarding health risks, care gaps, and patient experience; creating a system of immigration-informed care that employs sensitive and stabilizing care while in the ED; and integration of the clinical encounter with community resources (legal, case management, accompaniment) to support patients outside the ED.
- Undocumented immigrant
- Barriers to care
- Structural competency
- Immigration informed care
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Schneberk, T., Samra, S. (2021). Immigration as a Social and Structural Determinant of Health. In: Alter, H.J., Dalawari, P., Doran, K.M., Raven, M.C. (eds) Social Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-65672-0_3
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-65671-3
Online ISBN: 978-3-030-65672-0