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Primary health care utilization by immigrants as compared to the native population: a multilevel analysis of a large clinical database in Catalonia

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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.accesRights 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

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