Different Patterns in Health Care Use Among Immigrants in Spain

Villarroel, Nazmy; Artazcoz, Lucı́a

doi:10.1007/s10903-015-0202-4

Cited by 10 publications

(16 citation statements)

References 37 publications

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“…Distribution of studies regarding publication year was as follows: 8 studies published in 2013 [ 17 , 22 – 24 , 27 , 28 , 41 , 42 ], 15 in 2014 [ 14 – 16 , 19 , 21 , 30 , 32 , 33 , 35 , 36 , 38 , 40 , 43 , 44 , 47 ], 10 in 2015 [ 13 , 18 , 25 , 26 , 29 , 31 , 34 , 45 , 46 , 48 ] and 3 in 2016 [ 20 , 37 , 39 ]. The majority of the publications analysed data from European countries (28; 78%), both North and Central (12) (Norway [ 13 – 15 , 19 , 20 ], Denmark [ 45 ], Sweden [ 35 ], the Netherlands [ 17 , 32 , 34 , 40 ] and Austria [ 41 ]) and South Europe (15) (France [ 22 , 36 ], Italy [ 18 , 24 , 29 , 37 , 43 ], Spain [ 23 , 27 , 28 , 31 , 38 , 39 , 46 ] and Portugal [ 33 ]) and 1 from the UK [ 26 ]. Seven papers (19%) explored this issue in North America (2 from USA [ 30 , 34 ] and 5 from Canada [ ...…”

Section: Resultsmentioning

confidence: 99%

“…The largest number of papers (18) used information from administrative [ 13 – 16 , 18 – 20 , 23 , 25 , 29 , 33 , 35 , 37 , 39 , 43 ] or insurance system databases [ 32 , 34 ] and specific hospital registries [ 28 ] as source of information. Among the 16 papers (44.4%) that analysed healthcare surveys, where people report their individual healthcare use, 14 studies used population-based surveys which were elaborated for other purposes [ 17 , 21 , 22 , 24 , 26 , 30 , 36 , 38 , 40 , 44 , 46 – 48 ] while 3 of the surveys were specifically designed to explore immigrants healthcare use [ 31 , 41 , 42 ]. Only 2 studies [ 33 , 45 ] (5.6%) combined health survey and administrative information and 1 study also used a national survey for general practitioners (GPs) [ 17 ].…”

Section: Resultsmentioning

confidence: 99%

“…Some studies reported on more than one outcome. In total, 8 papers analysed the use of primary care (including GP visits, dental care and physiotherapy) [ 13 – 15 , 21 , 27 , 36 , 44 , 48 ], 6 evaluated the use of specialist services (including hospitalizations or emergency care) [ 23 , 28 , 30 , 33 , 35 , 42 ], 5 assessed mental health services [ 17 , 18 , 20 , 29 , 45 ], 10 evaluated the use of both primary care and specialists [ 22 , 24 , 31 , 32 , 34 , 37 , 38 , 43 , 46 , 47 ], 2 evaluated primary care and mental health [ 19 , 40 ], 4 evaluated both primary care, mental health and hospitalizations [ 16 , 25 , 26 , 41 ] and 1 studied pharmaceutical use and prescriptions [ 39 ]. In addition, 6 studies also reported medication consumption [ 20 , 31 , 32 , 37 , 42 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of the use of health services by immigrants and native populations

et al. 2016

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BackgroundChanges in migration patterns that have occurred in recent decades, both quantitative, with an increase in the number of immigrants, and qualitative, due to different causes of migration (work, family reunification, asylum seekers and refugees) require constant u pdating of the analysis of how immigrants access health services. Understanding of the existence of changes in use patterns is necessary to adapt health services to the new socio-demographic reality. The aim of this study is to describe the scientific evidence that assess the differences in the use of health services between immigrant and native populations.MethodsA systematic review of the electronic database MEDLINE (PubMed) was conducted with a search of studies published between June 2013 and February 2016 that addressed the use of health services and compared immigrants with native populations. MeSH terms and key words comprised Health Services Needs and Demands/Accessibility/Disparities/Emigrants and Immigrants/Native/Ethnic Groups. The electronic search was supplemented by a manual search of grey literature. The following information was extracted from each publication: context of the study (place and year), characteristics of the included population (definition of immigrants and their sub-groups), methodological domains (design of the study, source of information, statistical analysis, variables of health care use assessed, measures of need, socio-economic indicators) and main results.ResultsThirty-six publications were included, 28 from Europe and 8 from other countries. Twenty-four papers analysed the use of primary care, 17 the use of specialist services (including hospitalizations or emergency care), 18 considered several levels of care and 11 assessed mental health services. The characteristics of immigrants included country of origin, legal status, reasons for migration, length of stay, different generations and socio-demographic variables and need. In general, use of health services by the immigrants was less than or equal to the native population, although some differences between immigrants were also identified.ConclusionsThis review has identified that immigrants show a general tendency towards a lower use of health services than native populations and that there are significant differences within immigrant sub-groups in terms of their patterns of utilization. Further studies should include information categorizing and evaluating the diversity within the immigrant population.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of the use of health services by immigrants and native populations

et al. 2016

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“…A review of European studies, published in 2010, found “contrasting results” [ 3 ]. Later analyses from Italy, Netherlands, Germany, Denmark, Spain, and United Kingdom have reported both comparatively high and relatively low use of hospital services among migrants [ 4 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

Register study of migrants’ hospitalization in Norway: world region origin, reason for migration, and length of stay

Elstad

2016

BMC Health Serv Res

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BackgroundThe proportion of migrants and refugees increase in many populations. Health planners have to consider how migration will influence demand for health care. This study explores how migrants’ geographical origin, reason for migration, and duration of residence are associated with admission rates to somatic hospitals in Norway.MethodsSociodemographic information on all individuals residing in Norway at the start of 2008 was linked to data on all admissions to somatic hospitals during 2008–2011. Migrants, age 30–69, who had come to Norway during 1970–2007 (N = 217,907), were classified into seven world region origins and compared with native Norwegians of the same age (N = 2,181,948). Any somatic hospital stay 2008–2011 and number of hospital admissions 2008–2011 per 1000 personyears for a set of somatic diagnoses were analyzed by age and gender standardized rates, linear probability models, and Poisson regression.ResultsIn the native Norwegian sample, 28.7 % had at least one admission 2008–2011, and there were 116 admissions per 1000 personyears. Corresponding age and gender adjusted figures for the migrant sample were 27.0 % and 103 admissions. Admission rates varied with migrants’ geographical origin, with relatively many admissions among migrants from West and South Asia and relatively few admissions among migrants from Western, East European, and Other Asian countries. Hospitalization varied strongly with reason for migration, with low admission rates for recent work migrants and high admission rates for recent refugees. Admission rates tended to move towards the level among native Norwegians with increasing length of stay. Among longstanding migrants (arrival period 1970–1989), admission rates were close to the levels of native Norwegians for most analyzed migrant categories.ConclusionBoth world region origin, reason for migration, and duration of residence are important sources for variations in migrants’ utilization of somatic hospitals. Forecasts about migrants’ use of hospital services have to take into account how the migrant population is composed as to these three determinants. High admission rates among recently arrived refugees should be a health policy concern.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1561-9) contains supplementary material, which is available to authorized users.

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“…The literature generally indicates a lower use of healthcare services by the immigrant population, at both national (Gimeno‐Feliu et al, ; Villarroel & Artracoz, ) and international level (Berchet, ; Franchi et al, ), and a lower rate of drug prescription and consumption. This might be explained by the “healthy immigrant effect” already mentioned, but another possible factor that cannot be ruled out is greater difficulty in obtaining access to these services (Gimeno‐Feliu et al, ; Vazquez et al, ).…”

Section: Introductionmentioning

confidence: 99%

Health inequalities between male and female immigrants in Spain after the beginning of the economic crisis

Henares-Montiel

Ruíz-Pérez

Mendoza-Garcia

2018

Health Soc Care Community

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The aim of this study was to analyse health inequalities in the immigrant population in Spain in 2014, while differentiating between immigrant and native-born men and women. We have designed a cross-sectional study on the population aged over 15 years resident in Spain and the data were obtained from the 2014 European Health Survey in Spain (n = 22,842). Among immigrant men and women, we observed a lower risk of having a Chronic Physical Problem (CPP) or a Mental Health Problem (MHP) and a lower consumption of psychiatric drugs. We also observed a higher risk of lack of medical care in immigrant men compared to native-born. The country of origin was not significantly related to self-perception of health or use of Primary Care (PC) and Emergency Care services. In conclusion, we observed that now that the peak of the crisis has passed it seems that the "healthy immigrant" effect is being recovered, although the gender inequalities observed in the general population are transferred to the immigrant population. We need to approach the feminisation of migration from a new perspective and understand how inequalities affect immigrant women.

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Different Patterns in Health Care Use Among Immigrants in Spain

Cited by 10 publications

References 37 publications

A systematic review of the use of health services by immigrants and native populations

A systematic review of the use of health services by immigrants and native populations

Register study of migrants’ hospitalization in Norway: world region origin, reason for migration, and length of stay

Health inequalities between male and female immigrants in Spain after the beginning of the economic crisis

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