dc.contributor |
Universitat de Vic. Facultat d'Empresa i Comunicació |
|
dc.contributor.author |
Muñoz, Miguel-Angel
|
|
dc.contributor.author |
Pastor, Esther
|
|
dc.contributor.author |
Pujol, Joan
|
|
dc.contributor.author |
Del Val, José Luis
|
|
dc.contributor.author |
Cordomí, Sílvia
|
|
dc.contributor.author |
Hermosilla, Eduardo
|
|
dc.date.accessioned |
2014-02-18T08:52:54Z |
|
dc.date.available |
2014-02-18T08:52:54Z |
|
dc.date.created |
2012 |
|
dc.date.issued |
2012 |
|
dc.identifier.citation |
Munoz, M., Pastor, E., Pujol, J., Luis Del Val, J., Cordomi, S., & Hermosilla, E. (2012). Primary health care utilization by immigrants as compared to the native population: a multilevel analysis of a large clinical database in Catalonia. European Journal of General Practice, 18(2), 100-106. |
ca_ES |
dc.identifier.issn |
1381-4788 |
|
dc.identifier.uri |
http://hdl.handle.net/10854/2724 |
|
dc.description.abstract |
Background: Immigration is a relevant public health issue and there is a great deal of controversy surrounding its impact on health
services utilization.
Objective: To determine diff erences between immigrants and non-immigrants in the utilization of primary health care services in
Catalonia, Spain.
Methods: Population based, cross-sectional, multicentre study. We used the information from 16 primary health care centres in an
area near Barcelona, Spain. We conducted a multilevel analysis for the year 2008 to compare primary health care services utilization
between all immigrants aged 15 or more and a sample of non-immigrants, paired by age and sex.
Results: Overall, immigrants living in Spain used health services more than non-immigrants (Incidence Risk Ratio (IRR) 1.16 (95%
Confi dence Interval (CI): 1.15 – 1.16) and (IRR 1, 26, 95% CI: 1.25 – 1.28) for consultations with GPs and referrals to specialized care,
respectively. People coming from the Maghreb and the rest of Africa requested the most consultations involving a GP and nurses
(IRR 1.34, 95% CI: 1.33 – 1.36 and IRR 1.06, 95% CI: 1.03 – 1.44, respectively). They were more frequently referred to specialized care
(IRR 1.44, 95% CI: 1.41 – 1.46) when compared to Spaniards. Immigrants from Asia had the lowest numbers of consultations with a
GP and referrals (IRR 0.76, 95% CI: 0.66 – 0.88 and IRR 0.76, 95% CI: 0.61 – 0.95, respectively.
Conclusion: On average , immigrants living in Catalonia used the health services more than non-immigrants. Immigrants from the
Maghreb and other African countries showed the highest and those from Asia the lowest, number of consultations and referrals to
specialized care. |
ca_ES |
dc.format |
application/pdf |
|
dc.format.extent |
7 p. |
ca_ES |
dc.language.iso |
eng |
ca_ES |
dc.publisher |
Informa Healthcare |
ca_ES |
dc.rights |
(c) Informa healthcare, 2012 |
|
dc.rights |
Tots els drets reservats |
ca_ES |
dc.subject.other |
Atenció primària |
ca_ES |
dc.subject.other |
Assistència mèdica -- Utilització |
ca_ES |
dc.subject.other |
Immigrants |
ca_ES |
dc.title |
Primary health care utilization by immigrants as compared to the native population: a multilevel analysis of a large clinical database in Catalonia |
ca_ES |
dc.type |
info:eu-repo/semantics/article |
ca_ES |
dc.identifier.doi |
https://doi.org/10.3109/13814788.2012.656085 |
|
dc.rights.accessRights |
info:eu-repo/semantics/closedAccess |
ca_ES |
dc.type.version |
info:eu-repo/acceptedVersion |
ca_ES |
dc.indexacio |
Indexat a SCOPUS |
|
dc.indexacio |
Indexat a WOS/JCR |
ca_ES |