000168176 001__ 168176
000168176 005__ 20260128122451.0
000168176 0247_ $$2doi$$a10.1093/eurpub/cku123
000168176 0248_ $$2sideral$$a89609
000168176 037__ $$aART-2015-89609
000168176 041__ $$aeng
000168176 100__ $$aDiaz,E.
000168176 245__ $$aHow do immigrants use primary health care services? A register-based study in Norway
000168176 260__ $$c2015
000168176 5060_ $$aAccess copy available to the general public$$fUnrestricted
000168176 5203_ $$aBackground: Immigrant’s use of primary health care (PHC) services differs from that of native’s, but studies are non-consistent, and the importance of individual explaining variables like socio-economic status, morbidity burden and length of stay in the host country is uncertain. Methods: Registry-based study using merged data from the National Population Register and the Norwegian Health Economics Administration Database for all immigrants and natives ≥15 years registered in Norway in 2008 (3 739 244 persons), applying the Johns Hopkins ACG® Case-Mix System. Using multivariate binary logistic and negative binomial regression analyses, respectively, we compared overall use of PHC and number of visits to PHC between immigrants and natives, and investigated the significance of socio-economic, immigration and morbidity variables. Results: A significantly lower percentage of immigrants used the general practitioner (GP) compared with natives. Among GP users, however, most immigrants used the GP at a 2–15% significantly higher rate compared with natives. Older immigrants used their GP less and at lower rates than younger immigrants. A significantly lower percentage of immigrants from high-income countries, but a higher percentage of all other immigrants used emergency services compared with natives, with no differences in use rates. Morbidity burden and length of stay were essential explaining variables. Conclusion: Lower use of PHC among immigrants could be due to better health or to access barriers, and should be further studied, especially for the oldest immigrants. Adjusted high frequency of use may be appropriate, but it might also be a signal of non-effective contacts.
000168176 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000168176 590__ $$a2.751$$b2015
000168176 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b18 / 152 = 0.118$$c2015$$dQ1$$eT1
000168176 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b38 / 171 = 0.222$$c2015$$dQ1$$eT1
000168176 592__ $$a1.344$$b2015
000168176 593__ $$aPublic Health, Environmental and Occupational Health$$c2015$$dQ1
000168176 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000168176 700__ $$0(orcid)0000-0001-9064-9222$$aCalderón-Larrañaga,A.
000168176 700__ $$aPrado-Torres,A.
000168176 700__ $$aPoblador-Plou,B.
000168176 700__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu,L.$$uUniversidad de Zaragoza
000168176 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000168176 773__ $$g25, 1 (2015), 72-78$$pEur. j. public health$$tEuropean Journal of Public Health$$x1101-1262
000168176 8564_ $$s272018$$uhttps://zaguan.unizar.es/record/168176/files/texto_completo.pdf$$yVersión publicada
000168176 8564_ $$s3492828$$uhttps://zaguan.unizar.es/record/168176/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000168176 909CO $$ooai:zaguan.unizar.es:168176$$particulos$$pdriver
000168176 951__ $$a2026-01-28-11:22:44
000168176 980__ $$aARTICLE