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Instituto Nacional de Salud Pública

2010, Number 4

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salud publica mex 2010; 52 (4)

Use of public health services by Latin American immigrants in Spain

Muñoz-de Bustillo R, José-Ignacio Antón

Language: Spanish
References: 21
Page: 357-363
PDF size: 127.17 Kb.


ABSTRACT

Objective. To identify patterns of public health care utilization by Latin American immigrants in Spain as compared to the local population. Material and Methods. This analysis is based on information provided by the 2006 National Health Survey on the frequency of visits to general practitioners, specialists and emergency rooms, as well as hospital stays. The study uses a descriptive analysis involving tests of equality of distributions, medians and proportions, and a multivariate analysis with binomial negative and probit models. Results. The distribution of Latin American immigrants show lower utilization rates of public health care services than the nativeborn population, with the exception of hospital stays. The pattern of health care use by Latin Americans and Spaniards is different, with the exception of hospital stays. The results of the multivariate analysis indicate statistically significant differences only in the case of hospital stays (the probability of staying in a hospital in the last year is 2.8% higher for Latin American immigrants than among locals) and utilization of emergency rooms (0.205 more visits than the Spanish-born population). Conclusions. There is no significant difference in utilization of public health care between Latin American immigrants and native-born populations in Spain, with the exception of a higher frequency of use of emergency rooms by the former.


REFERENCES

  1. Oficina Económica del Presidente. Inmigración y economía española: 1996-2006. Madrid: Oficina Económica del Presidente, 2006.

  2. Méndez M. Las percepciones de los españoles en relación con la inmigración: una mirada desde las encuestas. Temas para el debate 2006;133(3):43-46.

  3. Antón J, Muñoz-de Bustillo R. Health care utilisation rates among immigrants in Spain. Eur Jl of Health Econ 2009 [consultado 2009 noviembre 12]. Disponible en: http://www.springerlink.com/content/ a2508h5166v15178/fulltext.pdf.

  4. García P, González S, Sáez M. Diferencias en estado de salud y en los condicionantes de utilización de los servicios sanitarios entre la población de origen extranjero. En: Argullol i Morgadas E, López i Casanovas G, dirs. Inmigración y transformación social en Cataluña. Bilbao: Fundación BBVA, 2007:257-304.

  5. Burón A, Cots F, García O, Castells X. Hospital emergency departmentutilisation rates among the immigrant population. BMC Health Serv Res 2008;8:51.

  6. Cots F, Castells X, Ollé C, Manzanera R, Varela J, Vall O. Perfil de la casuística hospitalaria de la población inmigrante en Barcelona. Gac Sanit 2002;16(5)376-384.

  7. Salazar A, Navarro-Calderón E, Abad A, Alberola V, Almela F, Borrás R, et al. Diagnósticos al alta hospitalaria de las personas inmigrantes en la ciudad de Valencia 2001-2002. Rev Esp Salud Pública 2003;77(6):713-23.

  8. Berk ML, Schur CL, Chávez LR, Frankel M. Health care use among undocumented Latino immigrants. Health Aff 2000;19(4):51-64.

  9. Laroche M. Health Status and Health Services Utilization of Canada’s Immigrant and Non-Immigrant Population. Can Pub Pol 2000;26(1):51-75.

  10. Hjern A, Haglund B, Persson G, Rosén M. Is there equity in access to health care services for ethnic minorities in Sweden?. Eur J Public Health 2001;11(2):147-152

  11. Bach PB, Pham HH, Schrag D, Tate RC, Hargraves JL. Primary physicians who treat Blacks and Whites. N Engl J Med 2004;351(6):575-584.

  12. Krasnik A, Norredam M, Sorensen TM, Michaelsen JJ, Nielsen AN, Keiding N. Effect of ethnic background on Danish hospital utilisation patterns. Soc Sci Med 2006;55(7):1207-1211.

  13. Lay B, Lauber C, Nordt C, Rössler W. Patterns of inpatient care for immigrants in Switzerland. A case control study. Soc Psychiatry Psychiatr Epidemiol 2006; 41(3):199-207.

  14. Uiters E, Devillé W, Foets M, Spreeuwenberg P, Groenewegen PP. Differences between immigrant and non-immigrant groups in the use of primary medical care; a systematic approach. BMC Health Serv Res 2009;9:76.

  15. Gerdtham UG. Equity in health care utilization: further evidence based on hurdle models and Swedish micro data. Health Econ 1997;6(3):303-319.

  16. Jiménez-Martín S, Labeaga JM, Martínez-Granado M. An empirical analysis of the demand for physician services across the European Union. Eur J Health Econ 2004;5(2):150-165.

  17. Cameron AC, Trivedi PK. Microeconometrics. Methods and Applications. Nueva York: Cambridge University Press, 2005.

  18. Jones AM, Rice N, Basho d’Uva T, Balia S. Applied Health Economics. Nueva York: Routledge, 2007.

  19. Observatorio Europeo de Médicos del Mundo. Estudio europeo sobre el acceso a los servicios de salud por parte de las personas en situación irregular. Villejust: Médicos del Mundo, 2007.

  20. Bragulat E, Espinosa G, Queralt C, Alonso JR, Millá J, Sánchez M, et al. Saturación del servicio de urgencias: Factores asociados y cuantificación. Med Clin (Barc) 2003;121(5):167-172.

  21. Abásolo I. Equidad horizontal en la distribución del gasto público en sanidad por grupos socioeconómicos en Canarias: Un estudio comparado con el conjunto español. Hac Púb Esp 1998;147(4):1473-1427.




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