000099129 001__ 99129
000099129 005__ 20230519145447.0
000099129 0247_ $$2doi$$a10.1186/s12939-020-01373-3
000099129 0248_ $$2sideral$$a122580
000099129 037__ $$aART-2021-122580
000099129 041__ $$aeng
000099129 100__ $$0(orcid)0000-0003-2928-6623$$aGimeno-Feliu, L.A.$$uUniversidad de Zaragoza
000099129 245__ $$aOveruse or underuse? Use of healthcare services among irregular migrants in a north-eastern Spanish region
000099129 260__ $$c2021
000099129 5060_ $$aAccess copy available to the general public$$fUnrestricted
000099129 5203_ $$aBackground: There is little verified information on global healthcare utilization by irregular migrants. Understanding how immigrants use healthcare services based on their needs is crucial to establish effective health policy. We compared healthcare utilization between irregular migrants, documented migrants, and Spanish nationals in a Spanish autonomous community. 
Methods: This retrospective, observational study included the total adult population of Aragon, Spain: 930, 131 Spanish nationals; 123, 432 documented migrants; and 17, 152 irregular migrants. Healthcare utilization data were compared between irregular migrants, documented migrants and Spanish nationals for the year 2011. Multivariable standard or zero-inflated negative binomial regression models were generated, adjusting for age, sex, length of stay, and morbidity burden. 
Results: The average annual use of healthcare services was lower for irregular migrants than for documented migrants and Spanish nationals at all levels of care analyzed: primary care (0.5 vs 4 vs 6.7 visits); specialized care (0.2 vs 1.8 vs 2.9 visits); planned hospital admissions (0.3 vs 2 vs 4.23 per 100 individuals), unplanned hospital admissions (0.5 vs 3.5 vs 5.2 per 100 individuals), and emergency room visits (0.4 vs 2.8 vs 2.8 per 10 individuals). The average annual prescription drug expenditure was also lower for irregular migrants (€9) than for documented migrants (€77) and Spanish nationals (€367). These differences were only partially attenuated after adjusting for age, sex, and morbidity burden. 
Conclusions: Under conditions of equal access, healthcare utilization is much lower among irregular migrants than Spanish nationals (and lower than that of documented migrants), regardless of country of origin or length of stay in Spain.
000099129 536__ $$9info:eu-repo/grantAgreement/ES/DGA-FEDER/B01-17R$$9info:eu-repo/grantAgreement/ES/DGA-FEDER/Construyendo Europa desde Aragón$$9info:eu-repo/grantAgreement/ES/MINECO-ISCIII/FIS/PI11-01126
000099129 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000099129 590__ $$a4.673$$b2021
000099129 592__ $$a1.369$$b2021
000099129 594__ $$a5.4$$b2021
000099129 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b42 / 183 = 0.23$$c2021$$dQ1$$eT1
000099129 593__ $$aPublic Health, Environmental and Occupational Health$$c2021$$dQ1
000099129 593__ $$aHealth Policy$$c2021$$dQ1
000099129 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000099129 700__ $$aPastor-Sanz, M.
000099129 700__ $$0(orcid)0000-0002-5119-5093$$aPoblador-Plou, B.
000099129 700__ $$aCalderón-Larrañaga, A.
000099129 700__ $$aDíaz, E.
000099129 700__ $$aPrados-Torres, A.
000099129 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000099129 773__ $$g20, 1 (2021), 41 [11 pp]$$pINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$tINTERNATIONAL JOURNAL FOR EQUITY IN HEALTH$$x1475-9276
000099129 8564_ $$s2066226$$uhttps://zaguan.unizar.es/record/99129/files/texto_completo.pdf$$yVersión publicada
000099129 8564_ $$s2061286$$uhttps://zaguan.unizar.es/record/99129/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000099129 909CO $$ooai:zaguan.unizar.es:99129$$particulos$$pdriver
000099129 951__ $$a2023-05-18-14:39:58
000099129 980__ $$aARTICLE