Evidence map›Paper›PMID 35223739›Full record

ArticleFrontiers in public health2022

Barriers to Accessing Primary Care and Appropriateness of Healthcare Among Immigrants in Italy.

Anteo Di Napoli, Martina Ventura, Teresa Spadea, Paolo Giorgi Rossi, Letizia Bartolini, Laura Battisti, Laura Cacciani, Nicola Caranci, Achille Cernigliaro, Marcello De Giorgi and 5 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
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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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

15 authors.

Anteo Di NapoliNational Institute for Health, Migration and Poverty (INMP), Roma, Italy.
Martina VenturaNational Institute for Health, Migration and Poverty (INMP), Roma, Italy.
Teresa SpadeaEpidemiology Unit, Local Health Unit TO3 Piedmont Region, Grugliasco, Italy.
Paolo Giorgi RossiEpidemiology Unit, Azienda Unità Sanitaria Locale - Istituto di Ricovero e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy.
Letizia BartoliniEpidemiology Unit, Azienda Unità Sanitaria Locale - Istituto di Ricovero e Cura a Carattere Scientifico di Reggio Emilia, Reggio Emilia, Italy.
Laura BattistiEpidemiological Observatory, Public Health Department - Local Health Unit, Trento, Italy.
Laura CaccianiDepartment of Epidemiology of the Lazio Regional Health Service, Roma, Italy.
Nicola CaranciRegional Health and Social Care Agency, Bologna, Italy.
Achille CernigliaroHealth Authority Sicily Region and Local Authority Trapani Province, Palermo, Italy.
Marcello De GiorgiUmbria Digitale - Health Information and Communication Technology Service, Regional Health Authority of Umbria, Perugia, Italy.
Antonio FanollaProvincial Government South Tyrol, Observatory for Health, Bolzano, Italy.
Marco LazzerettiTuscany Regional Health Agency, Florence, Italy.
Mariangela MininniPrimary Prevention Office, People Policies Department, Potenza, Italy.
Concetta MirisolaNational Institute for Health, Migration and Poverty (INMP), Roma, Italy.
Alessio PetrelliNational Institute for Health, Migration and Poverty (INMP), Roma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe health status and health care needs of immigrant populations must be assessed. The aim of this study was to evaluate barriers to accessing primary care and the appropriateness of health care among resident immigrants in Italy, using indicators regarding maternal health, avoidable hospitalization, and emergency care.

methodsCross-sectional study using some indicators of the National Monitoring System of Health Status and Healthcare of the Immigrant Population (MSHIP), coordinated by the National Institute for Health, Migration and Poverty (INMP), calculated on perinatal care, hospital discharge, and emergency department databases for the years 2016-2017 in nine Italian regions (Piedmont, Trento, Bolzano, Emilia-Romagna, Tuscany, Umbria, Latium, Basilicata, Sicily). The analyses were conducted comparing immigrant and Italian residents.

resultsCompared to Italian women, immigrant women had fewer than five gynecological examinations (8.5 vs. 16.3%), fewer first examinations after the 12th week of gestational age (3.8 vs. 12.5%), and fewer than two ultrasounds (1.0 vs. 3.8%). Compared to Italians, immigrants had higher standardized rates (× 1,000 residents) of avoidable hospitalizations (males: 2.1 vs. 1.4; females: 0.9 vs. 0.7) and of access to emergency departments for non-urgent conditions (males: 62.0 vs. 32.7; females: 52.9 vs. 31.4).

conclusionsIn Italy, there appear to be major issues regarding accessing services and care for the immigrant population. Policies aimed at improving socioeconomic conditions and promoting integration can promote healthy lifestyles and appropriate access to health care, counteracting the emergence of health inequities in the immigrant population.

Indexed as

Emigrants and ImmigrantsCross-Sectional StudiesDelivery of Health CareFemaleHumansItalyMalePregnancyPrimary Health Careaccessequityimmigrantsintervention policiesmonitoring system

Identifiers

PMID35223739
PMCPMC8864157

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.