Ethnic background and differences in health care use: a national cross-sectional study of native Dutch and immigrant elderly in the Netherlands

Abstract

Background: Immigrant elderly are a rapidly growing group in Dutch society; little is known about their health care use. This study assesses whether ethnic disparities in health care use exist and how they can be explained. Applying an established health care access model as explanatory factors, we tested health and socio-economic status, and in view of our research population we added an acculturation variable, elaborated into several sub-domains.

Beteiligung von Menschen mit Migrationshintergrund an Gesundheitssurveys des Robert Koch-Instituts

“…In order to achieve a representative inclusion of people with a migration background, in future surveys sub-group-specific activities to increase participation of PMB are recommended. [11,33]. Darüber hinaus nehmen Personen aus bestimmten Herkunftsländern seltener teil [11,[33][34][35].…”

“…[11,33]. Darüber hinaus nehmen Personen aus bestimmten Herkunftsländern seltener teil [11,[33][34][35]. Für Deutschland trifft das, in Übereinstimmung mit den DEGS 1-Ergebnissen, insbesondere für Menschen mit türkischem Migrationshintergrund zu [31,36].…”

“…Menschen mit Migrationshintergrund haben für die Teilnahme an Gesundheitsstudien andere Barrieren zu überwinden als Menschen ohne Migrationshintergrund [10]. Hierzu zählen insbesondere sprachliche Barrieren, kulturelle Werte und Normen sowie mangelhafte Erreichbarkeit [6,10,11].…”

Hvilke ønsker har eldre med ikke-vestlig minoritetsbakgrunn for sin alderdom i Norge?

“…En studie fra Nederland viser at eldre minoriteter i mindre grad bruker hjemmebaserte tjenester og fysioterapi, men i større grad bruker fastlege (Denktas, Koopmans, Birnie, Foets & Bonsel 2009). …”

Culturally sensitive care for elderly immigrants through ethnic community health workers: design and development of a community based intervention programme in the Netherlands

“…Generally speaking, elderly immigrants in the Netherlands perceive a poorer health [1-4], more chronic conditions [3,4], and a less favourable mental health compared to native Dutch elderly [3-6]. Moreover, elderly immigrants report more often physical limitations [3,7,8].…”