ArticleInternational journal of health care finance and economics2013
Health care utilization by immigrants in Italy.
Article in International journal of health care finance and economics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Exploring differences in the utilization of the emergency department between migrant and non-migrant populations: a systematic review.BMC public health · 2024Pooled it
- International migrants' use of emergency departments in Europe compared with non-migrants' use: a systematic review.European journal of public health · 2018Pooled it
- The role of health literacy in the association between nationality and health status among university students: a cross-sectional study.Annals of medicine · 2026Article
- Disparities in the potentially avoidable use of emergency services by citizenship: a two-year cross-sectional study in Italy.BMC public health · 2026Article
- The Neurosurgical Immigrant Experience in Italy: Analysis of a Northeast Tertiary Center.Healthcare (Basel, Switzerland) · 2025Article
- Access to health services by women subjected to violence: findings from administrative healthcare data from the metropolitan area of northern Italy.BMC women's health · 2025Article
- Surge in antidepressant usage among adolescents and young adults during the COVID-19 pandemic: insights from an interrupted time series analysis.Epidemiology and psychiatric sciences · 2024Article
- Immigrant Status Disparities in Hearing Health Care Use in the United States.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024Article
- Health Service Use Among Migrants in the German National Cohort-The Role of Birth Region and Language Skills.International journal of public health · 2024Article
- Body mass index and cervical cancer screening among women aged 15-69 years in Eswatini: evidence from a population-based survey.BMC public health · 2023Article
- Do changes in primary care service use over time differ by neighbourhood income? Population-based longitudinal study in British Columbia, Canada.International journal for equity in health · 2022Article
- Unmet Healthcare Needs and Their Determining Factors among Unwell Migrants: A Comparative Study in Shanghai.International journal of environmental research and public health · 2022Article
- Article
- The Impact of Pre- and Postarrival Mechanisms on Self-rated Health and Life Satisfaction Among Refugees in Germany.Frontiers in sociology · 2021Article
- The migrating mediators and the interaction associated with the use of essential public health services: a cross-sectional study in Chinese older migrants.BMC geriatrics · 2020Article
- Disparities in emergency department use between Italians and migrants residing in Rome, Italy: the Rome Dynamic Longitudinal Study from 2005 to 2015.BMC public health · 2020Article
- Improving the utilization of essential public health services by Chinese elderly migrants: strategies and policy implication.Journal of global health · 2020Article
- The potential of mobile health clinics in chronic disease prevention and health promotion in universal healthcare systems. An on-field experiment.International journal for equity in health · 2020Article
- Article
- "Should I stay or Should I go": patient who leave Emergency Department of an Italian Third-Level Teaching Hospital.Acta bio-medica : Atenei Parmensis · 2018Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Healthcare utilization studies show how well documented disparities between migrants and non-migrants. Reducing such disparities is a major goal in European countries. However, healthcare utilization among Italian immigrants is under-studied. The objective of this study is to explore differences in healthcare use between immigrant and native Italians. Cross-sectional study using the latest available (2004/2005) Italian Health Conditions Survey. We estimated separate hurdle binomial negative regression models for GP, specialist, and telephone consultations and a logit model for emergency room (ER) use. We used logistic regression and zero-truncated negative binomial regression to model the zero (contact decision) and count processes (frequency decisions) respectively. Adjusting for risk factors, immigrants are significantly less likely to use healthcare services with 2.4 and 2.7 % lower utilization probability for specialist and telephone consultations, respectively. First- and second-generation immigrants' probability for specialist and telephone contact is significantly lower than natives'. Immigrants, ceteris paribus, have a much higher probability of using ERs than natives (0.7 %). First-generation immigrants show a higher probability of visiting ERs (1 %). GP visits show no significant difference. In conclusion Italian immigrants are much less likely to use specialist healthcare and medical telephone consultations than natives but more likely to use ERs. Hence, we report an over-use of ERs and under-utilization of preventive care among immigrants. We recommend improved health policies for immigrants: promotion of better information dissemination among them, simplification of organizational procedures, better communications between providers and immigrants, and an increased supply of health services for the most disadvantaged populations.
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Registered trials
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