2020
DOI: 10.1186/s12889-020-09280-6
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Disparities in emergency department use between Italians and migrants residing in Rome, Italy: the Rome Dynamic Longitudinal Study from 2005 to 2015

Abstract: Background The Emergency Department (ED) can be considered an indicator of accessibility and quality and can be influenced in period of economic downturns. In the last fifteen years, the number of migrants in Italy has doubled (from 2.4 million in 2005 to 5.2 in 2019, 4.1 and 8.7% of the total population, respectively). However, evidence about migrants’ healthcare use is poor, and no studies focused on the ED utilisation rate during the Great Recession are available. This study aims to analyse … Show more

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Cited by 10 publications
(7 citation statements)
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“…They also exhibit lower mortality rates (Fedeli et al 2015;Pacelli et al 2016) and are less likely to report functional limitations and chronic illnesses (Caselli, Loi, and Strozza 2017). Moreover, a recent study shows that hospital emergency department use varies according to migrants' country of origin (Trappolini et al 2020). Finally, studies of hospitalisation rates report mixed results (Cacciani et al 2011;Casadei et al 2016).…”
Section: The Italian Contextmentioning
confidence: 99%
“…They also exhibit lower mortality rates (Fedeli et al 2015;Pacelli et al 2016) and are less likely to report functional limitations and chronic illnesses (Caselli, Loi, and Strozza 2017). Moreover, a recent study shows that hospital emergency department use varies according to migrants' country of origin (Trappolini et al 2020). Finally, studies of hospitalisation rates report mixed results (Cacciani et al 2011;Casadei et al 2016).…”
Section: The Italian Contextmentioning
confidence: 99%
“…It could also be explained by the economic downturn compounding precarious employment conditions and low socioeconomic status. Certainly, there is evidence that migrant health worsens with longer residence in the host country [44,[75][76][77]. However, in the absence of information about the length of stay, we cannot confirm this hypothesis.…”
Section: Discussionmentioning
confidence: 83%
“…A longitudinal population-based open cohort study was conducted, using data from the Rome Dynamic Longitudinal Study cohort, which is part of the Italian Network of Longitudinal Metropolitan studies (IN-liMeS) [41,42,44]. The dynamic cohort is based on the Municipal Register of Rome, which provides individual demographic information (sex, age, birthdate, birthplace, date of registration in the Municipality of Rome, and date of cancellation from the population register) for all who have been resident in Rome from 1st January 2001 to 31st December 2015 (4,143,462 records, which correspond to 3,978,400 individuals).…”
Section: Research Design and Cohort Descriptionmentioning
confidence: 99%
“…by reducing access barriers to health services) and improving their living and working conditions might be a prerequisite to allow them to maintain (and to actually realize) their fertility intentions, contributing to raise national fertility levels. This might also be the case of countries, such as Italy, where equity remains a fundamental principle of the health system (see MIPEX health index, IOM, 2016) but disparities in the use of health services persist (Trappolini et al, 2020).…”
Section: Discussionmentioning
confidence: 99%