000056160 001__ 56160
000056160 005__ 20200221144348.0
000056160 0247_ $$2doi$$a10.1186/s12889-016-3127-5
000056160 0248_ $$2sideral$$a95267
000056160 037__ $$aART-2016-95267
000056160 041__ $$aeng
000056160 100__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.$$uUniversidad de Zaragoza
000056160 245__ $$aGlobal healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay
000056160 260__ $$c2016
000056160 5060_ $$aAccess copy available to the general public$$fUnrestricted
000056160 5203_ $$aBackground: The healthcare of immigrants is an important aspect of equity of care provision. Understanding how immigrants use the healthcare services based on their needs is crucial to establish effective health policy. Methods: This retrospective, observational study included the total population of Aragon, Spain (1, 251, 540 individuals, of whom 11.9 % were immigrants). Patient-level data on the use of primary, specialised, hospital, and emergency care as well as prescription drug use in 2011 were extracted from the EpiChron Cohort and compared between immigrants and nationals. Multivariable standard or zero-inflated negative binomial regression models were generated, adjusting for age, sex, length of stay, and morbidity burden. Results: The annual visit rates of immigrants were lower than those of nationals for primary care (3.3 vs 6.4), specialised care (1.3 vs 2.7), planned hospital admissions/100 individuals (1.6 vs 3.8), unplanned hospital admissions/100 individuals (2.7 vs 4.7), and emergency room visits/10 individuals (2.3 vs 2.8). Annual prescription drug costs were also lower for immigrants (€47 vs €318). These differences were only partially attenuated after adjusting for age, sex and morbidity burden. Conclusion: In a universal coverage health system offering broad legal access to immigrants, the global use of healthcare services was lower for immigrants than for nationals. These differences may be explained in part by the healthy migration effect, but also reveal possible inequalities in healthcare provision that warrant further investigation.
000056160 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI11-01126
000056160 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000056160 590__ $$a2.265$$b2016
000056160 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b63 / 176 = 0.358$$c2016$$dQ2$$eT2
000056160 592__ $$a1.431$$b2016
000056160 593__ $$aPublic Health, Environmental and Occupational Health$$c2016$$dQ1
000056160 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000056160 700__ $$0(orcid)0000-0001-9064-9222$$aCalderón-Larrañaga, A.
000056160 700__ $$aDiaz, E.
000056160 700__ $$aPoblador-Plou, B.
000056160 700__ $$aMacipe-Costa, R.
000056160 700__ $$0(orcid)0000-0002-5704-6056$$aPrados-Torres, A.$$uUniversidad de Zaragoza
000056160 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000056160 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ.
000056160 773__ $$g16, 1 (2016), 450 [10 pp]$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458
000056160 8564_ $$s736063$$uhttps://zaguan.unizar.es/record/56160/files/texto_completo.pdf$$yVersión publicada
000056160 8564_ $$s107141$$uhttps://zaguan.unizar.es/record/56160/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000056160 909CO $$ooai:zaguan.unizar.es:56160$$particulos$$pdriver
000056160 951__ $$a2020-02-21-13:53:51
000056160 980__ $$aARTICLE