000048354 001__ 48354
000048354 005__ 20200221144346.0
000048354 0247_ $$2doi$$a10.1186/s12939-016-0317-9
000048354 0248_ $$2sideral$$a94032
000048354 037__ $$aART-2016-94032
000048354 041__ $$aeng
000048354 100__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.$$uUniversidad de Zaragoza
000048354 245__ $$aPatterns of pharmaceutical use for immigrants to Spain and Norway: A comparative study of prescription databases in two European countries
000048354 260__ $$c2016
000048354 5060_ $$aAccess copy available to the general public$$fUnrestricted
000048354 5203_ $$aBackground: Although equity in health care is theoretically a cornerstone in Western societies, several studies show that services do not always provide equitable care for immigrants. Differences in pharmaceutical consumption between immigrants and natives are explained by variances in predisposing factors, enabling factors and needs across populations, and can be used as a proxy of disparities in health care use. By comparing the relative differences in pharmacological use between natives and immigrants from the same four countries of origin living in Spain and Norway respectively, this article presents a new approach to the study of inequity in health care. Methods: All purchased drug prescriptions classified according to the Anatomical Therapeutic Chemical (ATC) system in Aragon (Spain) and Norway for a total of 5 million natives and nearly 100,000 immigrants for one calendar year were included in this cross-sectional study. Age and gender adjusted relative purchase rates for immigrants from Poland, China, Colombia and Morocco compared to native populations in each of the host countries were calculated. Direct standardisation was performed based on the 2009 population structure of the OECD countries. Results: Overall, a significantly lower proportion of immigrants in Aragon (Spain) and Norway purchased pharmacological drugs compared to natives. Patterns of use across the different immigrant groups were consistent in both host countries, despite potential disparities between the Spanish and Norwegian health care systems. Immigrants from Morocco showed the highest drug use rates in relation to natives, especially for antidepressants, "pain killers" and drugs for peptic ulcer. Immigrants from China and Poland showed the lowest use rates, while Colombians where more similar to host countries. Conclusions: The similarities found between the two European countries in relation to immigrants'' pharmaceutical use disregarding their host country emphasises the need to consider specific immigrant-related features when planning and providing healthcare services to this part of the population. These results somehow remove the focus on inequity as the main reason to explain differences in purchase between immigrants and natives.
000048354 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000048354 590__ $$a1.738$$b2016
000048354 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b70 / 157 = 0.446$$c2016$$dQ2$$eT2
000048354 592__ $$a1.151$$b2016
000048354 593__ $$aPublic Health, Environmental and Occupational Health$$c2016$$dQ1
000048354 593__ $$aHealth Policy$$c2016$$dQ1
000048354 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000048354 700__ $$0(orcid)0000-0001-9064-9222$$aCalderón-Larrañaga, A.
000048354 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.$$uUniversidad de Zaragoza
000048354 700__ $$aRevilla-López, C.
000048354 700__ $$aDiaz, E.
000048354 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000048354 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ.
000048354 773__ $$g15, 1 (2016), [11 p.]$$pINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$tINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$x1475-9276
000048354 8564_ $$s1526967$$uhttps://zaguan.unizar.es/record/48354/files/texto_completo.pdf$$yVersión publicada
000048354 8564_ $$s90601$$uhttps://zaguan.unizar.es/record/48354/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000048354 909CO $$ooai:zaguan.unizar.es:48354$$particulos$$pdriver
000048354 951__ $$a2020-02-21-13:52:58
000048354 980__ $$aARTICLE