ArticleBMC public health2011
Primary care utilisation patterns among an urban immigrant population in the Spanish National Health System.
Article in BMC public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Screening and routine diagnosis of mental disorders among migrants in primary care: A cross-sectional study.Journal of migration and health · 2023Article
- Immigration factors and potentially avoidable hospitalizations in Canada.SSM - population health · 2019Article
- Injuries Among Immigrants Treated in Primary Care in Madrid, Spain.Journal of immigrant and minority health · 2018Article
- Article
- Differences in primary health care use among sub-Saharan African immigrants in Norway: a register-based study.BMC health services research · 2017Article
- Global healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay.BMC public health · 2016Article
- Different Patterns in Health Care Use Among Immigrants in Spain.Journal of immigrant and minority health · 2016Article
- [Immigrant perceptions of the Spanish National Healthcare System and its services].Atencion primaria · 2016Article
- Patterns of pharmaceutical use for immigrants to Spain and Norway: a comparative study of prescription databases in two European countries.International journal for equity in health · 2016Article
- Comparison of Health Care Resource Utilization by Immigrants Versus Native Elderly People.Journal of immigrant and minority health · 2016Article
- Dangerous crossing: demographic and clinical features of rescued sea migrants seen in 2014 at an outpatient clinic at Augusta Harbor, Italy.Conflict and health · 2016Article
- HIV practitioners in Madrid and New York improving inclusion of underrepresented populations in research.Health promotion international · 2015Article
- [Potentially excluded population from health coverage and health impact since Royal Decree 16/2012: The Central Catalonia experience].Atencion primaria · 2015Observational
- Immigrants' use of primary health care services for mental health problems.BMC health services research · 2014Article
- Hospital admissions in Alicante (Spain): a comparative analysis of foreign citizens from high-income countries, immigrants from low-income countries, and Spanish citizens.BMC health services research · 2013Article
- Health care utilization by immigrants in Italy.International journal of health care finance and economics · 2013Article
- Learning strengths from cultural differences: a comparative study of maternal health-related behaviors and infant care among Southern Asian immigrants and Taiwanese women.BMC international health and human rights · 2013Article
- [Immigration and healthy lifestyles in Spain].Atencion primaria · 2012Article
- Delaying progression to type 2 diabetes among high-risk Spanish individuals is feasible in real-life primary healthcare settings using intensive lifestyle intervention.Diabetologia · 2012Article
- Monitoring reasons for encounter via an electronic patient record system: the case of a rural practice initiative.International journal of medical sciences · 2012Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is evidence suggesting that the use of health services is lower among immigrants after adjusting for age and sex. This study takes a step forward to compare primary care (PC) utilisation patterns between immigrants and the native population with regard to their morbidity burden.
methodsThis retrospective, observational study looked at 69,067 individuals representing the entire population assigned to three urban PC centres in the city of Zaragoza (Aragon, Spain). Poisson models were applied to determine the number of annual PC consultations per individual based on immigration status. All models were first adjusted for age and sex and then for age, sex and case mix (ACG System®).
resultsThe age and sex adjusted mean number of total annual consultations was lower among the immigrant population (children: IRR = 0.79, p < 0.05; adults: IRR = 0.73, p < 0.05). After adjusting for morbidity burden, this difference decreased among children (IRR = 0.94, p < 0.05) and disappeared among adults (IRR = 1.00). Further analysis considering the PC health service and type of visit revealed higher usage of routine diagnostic tests among immigrant children (IRR = 1.77, p < 0.05) and a higher usage of emergency services among the immigrant adult population (IRR = 1.2, p < 0.05) after adjusting for age, sex and case mix.
conclusionsAlthough immigrants make lower use of PC services than the native population after adjusting the consultation rate for age and sex, these differences decrease significantly when considering their morbidity burden. These results reinforce the 'healthy migration effect' and discount the existence of differences in PC utilisation patterns between the immigrant and native populations in Spain.
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