Acceso a los servicios de salud de la población inmigrante en España

Llop-Gironés, Alba; Lorenzo, Ingrid Vargas; García-Subirats, Irene; Aller, Marta-Beatriz; Vázquez, María Luisa

doi:10.4321/s1135-57272014000600005

Cited by 49 publications

(40 citation statements)

References 33 publications

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“…Nevertheless, studies reviewed pay little attention to the structural and organizational dimensions of healthcare systems, other than reporting the specific conditions for accessing health services. One paper explored the influence of attitudes of professionals regarding immigrants [ 54 ], 2 studies assessed the reasons for unmet healthcare need [ 31 , 38 ] while 2 underscored the patient workload of healthcare professionals [ 22 , 23 ]. In addition, the effect that new legislation enacted in different countries could have had on access to healthcare services by immigrants has not yet been evaluated and published and therefore cannot be assessed in this review.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the use of health services by immigrants and native populations

et al. 2016

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BackgroundChanges in migration patterns that have occurred in recent decades, both quantitative, with an increase in the number of immigrants, and qualitative, due to different causes of migration (work, family reunification, asylum seekers and refugees) require constant u pdating of the analysis of how immigrants access health services. Understanding of the existence of changes in use patterns is necessary to adapt health services to the new socio-demographic reality. The aim of this study is to describe the scientific evidence that assess the differences in the use of health services between immigrant and native populations.MethodsA systematic review of the electronic database MEDLINE (PubMed) was conducted with a search of studies published between June 2013 and February 2016 that addressed the use of health services and compared immigrants with native populations. MeSH terms and key words comprised Health Services Needs and Demands/Accessibility/Disparities/Emigrants and Immigrants/Native/Ethnic Groups. The electronic search was supplemented by a manual search of grey literature. The following information was extracted from each publication: context of the study (place and year), characteristics of the included population (definition of immigrants and their sub-groups), methodological domains (design of the study, source of information, statistical analysis, variables of health care use assessed, measures of need, socio-economic indicators) and main results.ResultsThirty-six publications were included, 28 from Europe and 8 from other countries. Twenty-four papers analysed the use of primary care, 17 the use of specialist services (including hospitalizations or emergency care), 18 considered several levels of care and 11 assessed mental health services. The characteristics of immigrants included country of origin, legal status, reasons for migration, length of stay, different generations and socio-demographic variables and need. In general, use of health services by the immigrants was less than or equal to the native population, although some differences between immigrants were also identified.ConclusionsThis review has identified that immigrants show a general tendency towards a lower use of health services than native populations and that there are significant differences within immigrant sub-groups in terms of their patterns of utilization. Further studies should include information categorizing and evaluating the diversity within the immigrant population.

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Section: Discussionmentioning

confidence: 99%

A systematic review of the use of health services by immigrants and native populations

et al. 2016

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“…These studies have reported a greater tendency among immigrants to use hospital emergency services as a substitute for other healthcare services [ 33 , 34 ], although there is evidence that utilization rates among Spanish people of outpatient, emergency, and hospitalization services exceed the corresponding rates among immigrants [ 35 , 36 ]. Our results regarding lower use by immigrants could be explained by the exclusion of diagnoses related to childbirths, which are more common among immigrant women [ 35 ]; possible difficulties for immigrants to access the health system [ 37 ]; and the “healthy migrant effect” that has been described in Spain [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Self-rated health and hospital services use in the Spanish National Health System: a longitudinal study

Tamayo-Fonseca

Nolasco

Quesada

et al. 2015

BMC Health Serv Res

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BackgroundSelf-rated health is a subjective measure that has been related to indicators such as mortality, morbidity, functional capacity, and the use of health services. In Spain, there are few longitudinal studies associating self-rated health with hospital services use. The purpose of this study is to analyze the association between self-rated health and socioeconomic, demographic, and health variables, and the use of hospital services among the general population in the Region of Valencia, Spain.MethodsLongitudinal study of 5,275 adults who were included in the 2005 Region of Valencia Health Survey and linked to the Minimum Hospital Data Set between 2006 and 2009. Logistic regression models were used to calculate the odds ratios between use of hospital services and self-rated health, sex, age, educational level, employment status, income, country of birth, chronic conditions, disability and previous use of hospital services.ResultsBy the end of a 4-year follow-up period, 1,184 participants (22.4 %) had used hospital services. Use of hospital services was associated with poor self-rated health among both men and women. In men, it was also associated with unemployment, low income, and the presence of a chronic disease. In women, it was associated with low educational level, the presence of a disability, previous hospital services use, and the presence of chronic disease. Interactions were detected between self-rated health and chronic disease in men and between self-rated health and educational level in women.ConclusionsSelf-rated health acts as a predictor of hospital services use. Various health and socioeconomic variables provide additional predictive capacity. Interactions were detected between self-rated health and other variables that may reflect different complex predictive models, by gender.

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“…Respecto a los problemas de salud mental, no se han obtenido resultados significativos entre los inmigrantes de diferente procedencia. Sin embargo, estudios con inmigrantes asiáticos revelan que este colectivo es menos propenso a buscar ayuda psicológica ante problemas de ansiedad y estrés (Llop-Gironés, Vargas Lorenzo, Garcia-Subirats, Aller, & Vázquez, 2014), por lo que quizá futuras investigaciones podrían dirigirse hacia el tipo de servicio de salud al que acude cada grupo de inmigrantes según su procedencia. Además, se ha encontrado que una de las barreras más notables a la hora de buscar o no la ayuda, junto con el idioma, es la barrera cultural.…”

Section: Discusión Y Conclusionesunclassified

Apoyo social, resiliencia y región de origen en la salud mental y la satisfacción vital de los inmigrantes

et al. 2018

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Se analiza la relación del apoyo social y la resiliencia con la satisfacción vital y la salud mental de los inmigrantes, y las diferencias en dichas variables según la región de origen (África, Europa, Latinoamérica y Asia). En el estudio han participado 1094 inmigrantes que residen en España. Los resultados de la regresión por pasos muestran que la tenacidad, el apoyo social de la familia y de los autóctonos, y el control personal son los mejores predictores de la satisfacción vital. La tenacidad, el apoyo de la familia y el control lo son de la salud mental.

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Acceso a los servicios de salud de la población inmigrante en España

Cited by 49 publications

References 33 publications

A systematic review of the use of health services by immigrants and native populations

A systematic review of the use of health services by immigrants and native populations

Self-rated health and hospital services use in the Spanish National Health System: a longitudinal study

Apoyo social, resiliencia y región de origen en la salud mental y la satisfacción vital de los inmigrantes

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