Evidence map›Paper›PMID 33736623›Full record

ArticleBMC public health2021

What explains the inequalities in health care utilization between immigrants and non-migrants in Switzerland?

Christina Tzogiou, Stefan Boes, Beatrice Brunner

Abstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. [Self-help measures as determinants of emergency department utilization among people with and without a migration history in Germany].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Does loss to follow-up lead to an overestimation of treatment success? Findings from a spine surgery registry of over 15,000 patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Christina TzogiouWinterthur Institute of Health Economics, Zurich University of Applied Sciences (ZHAW), Gertrudstrasse 15, Winterthur, 8401, Switzerland. christina.tzogiou@zhaw.ch.ORCID 0000-0001-8100-0034
Stefan BoesDepartment of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, Lucerne, 6002, Switzerland.
Beatrice BrunnerWinterthur Institute of Health Economics, Zurich University of Applied Sciences (ZHAW), Gertrudstrasse 15, Winterthur, 8401, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInequalities in health care use between immigrants and non-migrants are an important issue in many countries, with potentially negative effects on population health and welfare. The aim of this study is to understand the factors that explain these inequalities in Switzerland, a country with one of the highest percentages of foreign-born population.

methodsUsing health survey data, we compare non-migrants to four immigrant groups, differentiating between first- and second-generation immigrants, and culturally different and similar immigrants. To retrieve the relative contribution of each inequality-associated factor, we apply a non-linear decomposition method and categorize the factors into demographic, socio-economic, health insurance and health status factors.

resultsWe find that non-migrants are more likely to visit a doctor compared to first-generation and culturally different immigrants and are less likely to visit the emergency department. Inequalities in doctor visits are mainly attributed to the explained component, namely to socio-economic factors (such as occupation and income), while inequalities in emergency visits are mainly attributed to the unexplained component. We also find that despite the universal health care coverage in Switzerland systemic barriers might exist.

conclusionsOur results indicate that immigrant-specific policies should be developed in order to improve access to care and efficiently manage patients in the health system.

Indexed as

Emigrants and ImmigrantsCross-Sectional StudiesHumansIncomePatient Acceptance of Health CareSocioeconomic FactorsSwitzerlandHealth care demandImmigrantsInequalitiesNon-linear decomposition

Identifiers

PMID33736623
PMCPMC7977586

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.