Comparative study of paediatric prescription drug utilization between the spanish and immigrant population

Gimeno-Feliu, Luis Andrés; Armesto-Gómez, Javier; Macipe-Costa, Rosa; Magallón-Botaya, Rosa

doi:10.1186/1472-6963-9-225

Cited by 16 publications

(13 citation statements)

References 36 publications

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“…The results of this study agree with the results of similar studies on the use of hospital services [31][32][33] , consumption of pharmaceuticals 18,20 and the use of PC services 34 in Spain published before. The literature review done by Uiters 24 found a lower rate of visits in the immigrant population, but showed wide variability between studies.…”

Section: Discussionsupporting

confidence: 92%

Diferencias en la utilización de los servicios de Atención Primaria entre niños autóctonos e inmigrantes

Costa¹,

Feliu²,

Linares³

et al. 2013

Rev Pediatr Aten Primaria

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Diferencias en la utilización de los servicios de Atención Primaria entre niños autóctonos e inmigrantes Introduction: the current study pretends: to analyze the use of Primary Health Care Services by the immigrant population under 15 years of age in comparison to the Spanish population of the same age group; and to analyze differences in the frequentation according to different origins of the immigrant population. Material and methods: this is an observational retrospective study including all consultations of children under 15 years of age to 26 health centers in Zaragoza, Spain, during the year 2007. The main variable, frequentation, was defined as total number of visits/year. Secondary variables were the type of attention that was requested and region of origin of the. The information about the number and type of visits was obtained from the agenda in the electronic data base ("OMI©: oficina médica informatizada") of the health centers. The frequentation was adjusted according to age and sex. Results: A total of 547,524 pediatric appointments in a population of 71,114 children (of which 10.87% were immigrants) were analyzed. The adjusted annual frequency of visits in autochthonous children was 8.05 while this frequency was 5.66 in immigrant children. Among immigrant children, the highest annual frequentation (6.15) was seen among children from Sub-Saharan Africa and the lowest frequentation (4.02) was seen in children from Asia. This lower frequentation among immigrant children was seen in all types of attention (visits on request, programmed visits, emergency visits and home visits) and was independent of the opening hours of the different health centers (only morning or morning and afternoon). Conclusions: the immigrant children's population shows a lower use of the public primary health care than the autochthonous population of the same age group, independent of the region of origin. Introducción: el presente estudio pretende: 1) analizar el uso de los servicios de Atención Primaria de la población infantil inmigrante en relación con la española, y 2) analizar las diferencias existentes en esta frecuentación según la distinta procedencia. Material y métodos: se trata de un estudio observacional retrospectivo de todas las consultas a menores de 15 años llevadas a cabo el año 2007, en 26 centros de salud de Zaragoza. La variable principal, la frecuentación, se definió como el número total de visitas/año. La variable secundaria fue el tipo de atención solicitada. La información sobre los datos de las visitas se obtuvieron a partir de la agenda de la historia clínica electrónica (OMI©: oficina médica informatizada) de los centros de salud. Las tasas de frecuentación se ajustaron por edad y sexo. Resultados: se analizaron un total de 547 524 citas pediátricas sobre una población de 71 114 niños (el 10,87% eran inmigrantes). La frecuencia anual ajustada de visitas en los niños autóctonos fue de 8,05 frente a la de inmigrantes, que fue de 5,66. Dentro de los niños inmigrantes, la mayor frecuentación (6,15) se da ...

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Section: Discussionsupporting

confidence: 92%

Diferencias en la utilización de los servicios de Atención Primaria entre niños autóctonos e inmigrantes

Costa¹,

Feliu²,

Linares³

et al. 2013

Rev Pediatr Aten Primaria

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show abstract

“… 29 Our results are in accordance with studies among children in Sweden, the Netherlands and Spain that have shown lower usage of prescribed medications among first generation immigrant children compared to non-immigrants. 5 30–34 …”

Section: Discussionmentioning

confidence: 99%

Primary healthcare usage and use of medications among immigrant children according to age of arrival to Norway: a population-based study

Díaz

2017

BMJ Open

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BackgroundMorbidity, use of healthcare and medication use have been reported to vary across groups of migrants and according to the different phases of migration, but little is known about children with immigrant background. In this study, we investigate whether the immigrant children's age of arrival predicts differences in usage of primary healthcare (PHC) and in use of prescribed medication.MethodsThis nationwide, population-based study used information for children under 18 years of age in 2008 from three linked registers in Norway. Use of medication was assessed with logistic regression analyses presented with ORs with 95% CIs.ResultsOf 1 168 365 children, 119 251 had immigrant background. The mean number of PHC visits among children aged 10–18 years, was 1.19 for non-immigrants, 1.17 among second generation immigrants, 1.12, 1.05 and 0.83 among first immigrant children who were <5, 5–9 and ≥10 years at arrival in Norway, respectively. Patterns were similar for younger immigrants, and were confirmed with regression models adjusting for age and sex. First generation immigrant children used less of nearly all groups of prescribed medication compared to non-immigrants when adjusting for age and sex (overall OR 0.48 (0.47 to 0.49)), and medication was also generally less used among second generation immigrant children (overall OR 0.92 (0.91 to 0.94)).ConclusionsAge of arrival predicted PHC usage among children among first-generation children. First-generation immigrant children, particularly those arriving later in adolescence, used PHC less than age corresponding non-immigrant children. Immigrant children used less prescribed medication compared to non-immigrants after adjustment for age and sex.

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“…Priority visits were identified based on the triage level established by the Aragon Health Service; out of the five categories listed, levels 1–3 are assigned to priority visits. Prescription drug use was measured as the total annual expense using recommended retail drug prices [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

Global healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay

et al. 2016

Self Cite

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BackgroundThe healthcare of immigrants is an important aspect of equity of care provision. Understanding how immigrants use the healthcare services based on their needs is crucial to establish effective health policy.MethodsThis retrospective, observational study included the total population of Aragon, Spain (1,251,540 individuals, of whom 11.9 % were immigrants). Patient-level data on the use of primary, specialised, hospital, and emergency care as well as prescription drug use in 2011 were extracted from the EpiChron Cohort and compared between immigrants and nationals. Multivariable standard or zero-inflated negative binomial regression models were generated, adjusting for age, sex, length of stay, and morbidity burden.ResultsThe annual visit rates of immigrants were lower than those of nationals for primary care (3.3 vs 6.4), specialised care (1.3 vs 2.7), planned hospital admissions/100 individuals (1.6 vs 3.8), unplanned hospital admissions/100 individuals (2.7 vs 4.7), and emergency room visits/10 individuals (2.3 vs 2.8). Annual prescription drug costs were also lower for immigrants (€47 vs €318). These differences were only partially attenuated after adjusting for age, sex and morbidity burden.ConclusionIn a universal coverage health system offering broad legal access to immigrants, the global use of healthcare services was lower for immigrants than for nationals. These differences may be explained in part by the healthy migration effect, but also reveal possible inequalities in healthcare provision that warrant further investigation.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3127-5) contains supplementary material, which is available to authorized users.

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Comparative study of paediatric prescription drug utilization between the spanish and immigrant population

Cited by 16 publications

References 36 publications

Diferencias en la utilización de los servicios de Atención Primaria entre niños autóctonos e inmigrantes

Diferencias en la utilización de los servicios de Atención Primaria entre niños autóctonos e inmigrantes

Primary healthcare usage and use of medications among immigrant children according to age of arrival to Norway: a population-based study

Global healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay

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