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International Journal of Public Health

Erschienen in:

28.04.2016 | Original Article

Utilization of health-care services among immigrants recruited through non-profit organizations in southern Italy

verfasst von: Aida Bianco, Elisabetta Larosa, Claudia Pileggi, Carmelo G. A. Nobile, Maria Pavia

Erschienen in: International Journal of Public Health | Ausgabe 6/2016

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Abstract

Objectives

The study aims were focused on acquiring information about access to health-care services and to investigate the potential barriers affecting full access to health-care services.

Methods

The study population consisted of immigrants and refugees aged 18 or more living in Italy for at least 12 months recruited through non-profit organizations.

Results

961 immigrants took part in the study, with a response rate of 98.9 %. Of the participants, 85 % had access to a general practitioner (GP) at least once, and 46.6 and 22.4 % mentioned a minimum one emergency visit and hospital stay, respectively. Diagnostic procedures and/or drug prescriptions (49.7 %), chronic disease control (15.8 %), and preventive interventions (13 %) were the most reported reasons for GP access.

Conclusions

This study yielded current and broader insight into the model of health-care utilization among immigrants. The findings adds to our understanding of the third-sector organizations’ role in facilitating immigrants’ access to services offered by the Italian National Health Service, contributing to the extensive discussion on how to best manage migrant health care in Italy.

Agudelo-Suárez AA, Gil-González D, Vives-Cases C, Love JG, Wimpenny P, Ronda-Pérez E (2012) A metasynthesis of qualitative studies regarding opinions and perceptions about barriers and determinants of health services’ accessibility in economic migrants. BMC Health Serv Res 12:461CrossRefPubMedPubMedCentral

Arnold C, Theede J, Gagnon A (2014) A qualitative exploration of access to urban migrant healthcare in Nairobi. Kenya. Soc Sci Med 110:1e9

Aung NC, Rechel B, Odermatt P (2010) Access to and utilisation of GP services among Burmese migrants in London: a cross-sectional descriptive study. BMC Health Serv Res 10:285CrossRefPubMedPubMedCentral

Baldissera S, Binkin N, De Mei B, Fontana G, Minardi V, Perra A, Possenti V, Salmaso S, Bertozzi N, Campostrini S, Carrozzi G, D’Argenio P, Vasselli S, D’Argenzio A, Fateh–Moghadam P, Minelli G, Trinito MO, Benelli E, Menna S (2009) PASSI (Progressi Delle Aziende Sanitarie per la Salute in Italia), an Italian behavioural risk factor system: results 2007. Rapporti ISTISAN 07/30. Istituto Superiore Sanità, Rome. Available at: http://www.iss.it/binary/publ/cont/07-30.1195128446.pdf

Bennett IM, Chen J, Soroui JS, White S (2009) The contribution of health literacy to disparities in self-rated health status and preventive health behaviors in older adults. Ann Fam Med 7:204–211CrossRefPubMedPubMedCentral

Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K (2011) Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 155:97–107CrossRefPubMed

Cacciani L, Baglio G, Rossi L, Materia E, Marceca M, Geraci S, Spinelli A, Osborn J, Guasticchi G (2006) Hospitalisation among immigrants in Italy. Emerg Themes Epidemiol 3:4CrossRefPubMedPubMedCentral

Castañeda H (2009) Illegality as risk factor: a survey of unauthorized migrant patients in a Berlin clinic. Soc Sci Med 68:1552–1560CrossRefPubMed

Choe JH, Taylor VM, Yasui Y, Burke N, Nguyen T, Acorda E, Jackson JC (2006) Health care access and sociodemographic factors associated with hepatitis B testing in Vietnamese American men. J Immigr Minor Health 8:193–201CrossRefPubMed

Clough J, Lee S, Chae DH (2013) Barriers to health care among Asian immigrants in the United States: a traditional review. J Health Care Poor Underserved 24:384–403CrossRefPubMed

De Marco M, Forti O, Licata D (2014) Caritas e Migrantes. XXIII Rapporto Immigrazione 2013. Tau Editrice, Todi (PG)

Derose KP, Escarce JJ, Lurie N (2007) Immigrants and health care: sources of vulnerability. Health Aff 26:1258–1268CrossRef

D.Lgs. 286 (1998) Single text of provisions on immigration and the status of immigrants. G.U. Serie Generale n.191 del 18.08.1998 S.O. n.139. Available at: http://www.gazzettaufficiale.it/atto/serie_generale/caricaDettaglioAtto/originario?atto.dataPubblicazioneGazzetta=1998-08-18&atto.codiceRedazionale=098G0348&elenco30giorni=false. Accessed 11 Feb 2015

D.P.R. 394 (1999) Regulations for the implementation of single text of provisions on immigration and the status of immigrants. Available at: http://www.esteri.it/mae/normative/normativa_consolare/visti/dpr_394_1999.pdf. Accessed 21 Feb 2015

Dumont JC, Organisation for Economic Co-operation and Development (OECD) (2014) Is migration really increasing? Migration Policy Debates. Available at: http://www.oecd.org/berlin/Is-migration-really-increasing.pdf

Ellis BH, MacDonald HZ, Lincoln AK, Cabral HJ (2008) Mental health of Somali adolescent refugees: the role of trauma, stress, and perceived discrimination. J Consult Clin Psychol 76:184e193CrossRef

Galanis P, Sourtzi P, Bellali T, Theodorou M, Karamitri I, Siskou O, Giorgos Charalambous G, Kaitelidou D (2013) Public health services knowledge and utilization among immigrants in Greece: a cross-sectional study. BMC Health Serv Res 13:350CrossRefPubMedPubMedCentral

Geraci S, Marceca M, Del Vecchio R (1995) Immigrazione e salute: problematiche sanitarie in una società multiculturale. Ann Ig 7:147–231

Goel MS, Wee CC, McCarthy EP, Davis RB, Ngo-Metzger Q, Phillips RSJ (2003) Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med 18:1028–1035CrossRefPubMedPubMedCentral

Goel MS, McCarthy EP, Phillips RS, Wee CC (2004) Obesity among US immigrant subgroups by duration of residence. J Am Med Assoc 292:2860–2867CrossRef

Han A, Laranjo H, Friedman SM (2009) The design and pilot of a translation aid to help ED clinicians enhance communication with the Portuguese-speaking patient. Int J Emerg Med 2:41–46CrossRefPubMedPubMedCentral

Hasnain-Wynia R, Wolf MS (2010) Promoting health care equity: is health literacy a missing link? Health Serv Res 45:897–903CrossRefPubMedPubMedCentral

Heldal E, Kuyvenhoven JV, Wares F, Migliori GB, Ditiu L, Fernandez de la Hoz K, Garcia D (2008) Diagnosis and treatment of tuberculosis in undocumented migrants in low- or intermediate-incidence countries. Int J Tuberc Lung Dis 12:878–888PubMed

Istituto Nazionale di Statistica (ISTAT) (2013) La salute e il ricorso ai servizi sanitari attraverso la crisi. Available at: http://www.istat.it/it/files/2013/12/Stat_report_salute.pdf?title=La+salute+e+il+ricorso+ai+servizi+sanitari++-+24%2Fdic%2F2013+-+Testo+integrale.pdf. Accessed 19 Jan 2015

Istituto Nazionale di Statistica (ISTAT) (2014) Popolazione straniera residente 2002–2014. Available at: http://demo.istat.it/strasa2014/index.html

Jacobs EA, Lauderdale DS, Meltzer D, Shorey JM, Levinson W, Thisted RA (2001) Impact of interpreter services on delivery of health care to limited-English-proficient patients. J Gen Intern Med 16:468–474CrossRefPubMedPubMedCentral

Kandula NR, Kersey M, Lurie N (2004) Assuring the health of immigrants: what the leading health indicators tell us. Annu Rev Public Health 25:357–376CrossRefPubMed

Kraler A, Reichel D (2010) Quantitative data in the area of migration, integration and discrimination in Europe-an overview. European Commission, Brussels. Available at: https://ec.europa.eu/migrantintegration/librarydoc/prominstat-working-paper-no-01---quantitativedata-in-the-area-of-migration-integration-and-discrimination-in-europe-anoverview. Accessed 23 Nov 2014

Lebrun LA, Dubay LC (2010) Access to primary and preventive care among foreign-born adults in Canada and the United States. Health Serv Res 45:1693–1719CrossRefPubMedPubMedCentral

Lucas JW, Barr-Anderson DJ, Kington RS (2003) Health status, health insurance, and health care utilization patterns of immigrant Black men. Am J Public Health 93:1740–1747CrossRefPubMedPubMedCentral

Manuti B, Rizza P, Bianco A, Nobile CG, Pavia M (2010) The quality of preventive health care delivered to adults: results from a cross-sectional study in Southern Italy. BMC Public Health 10:350CrossRefPubMedPubMedCentral

Manuti B, Rizza P, Pileggi C, Bianco A, Pavia M (2013) Assessment of perceived health status among primary care patients in Southern Italy: findings from a cross-sectional survey. Health Qual. Life Outcomes 11:93CrossRefPubMedPubMedCentral

Medda E, Baglio G, Guasticchi G, Spinelli A (2002) Reproductive health of immigrant women in the Lazio region of Italy. Ann Ist Super Sanità 38:357–365PubMed

Miceli M, Di Lallo D (1996) Reproductive health in immigrant women: a study in the city of Rome, 1982–1992. Epidemiol Prev 20:80–82PubMed

Ministry of Health, Circular 5 (2000) Applicative directions on single text of provisions on immigration and the status of immigrants—Provisions on health care. G.U. Serie generale n. 126 del 1.06.2000. Available at: http://www.gazzettaufficiale.it/atto/serie_generale/caricaDettaglioAtto/originario?atto.dataPubblicazioneGazzetta=2000-06-01&atto.codiceRedazionale=000A6490&elenco30giorni=false. Accessed 18 Feb 2015

Ozolins L, Hjelm K (2003) Nurses’ experiences of problematic situations with migrants in emergency care in Sweden. Clin Eff Nurs 7:84–93CrossRef

Permanent Conference for Relations between State, Regions and Autonomous Provinces of Trento and Bolzano (2012) Directions for the correct application of legislation on health care to the immigrant population by the Regions and Autonomous Provinces. Available at: http://www.statoregioni.it/Documenti/DOC_038879_255%20csr%20-%205%20quater.pdf. Accessed 5 Apr 2015

Rechel B, Mladovsky P, Devillé W (2012) Monitoring migrant health in Europe: a narrative review of data collection practices. Health Policy 105:10–16CrossRefPubMed

Rechel B, Mladovsky P, Ingleby D, Mackenbach JP, McKee M (2013) Migration and health in an increasingly diverse Europe. Lancet 381:1235–1245CrossRefPubMed

Rousseau C, ter Kuile S, Munoz M, Nadeau L, Ouimet MJ, Kirayer L, Crépeau F (2008) Health care access for refugees and immigrants with precarious status: public health and human rights challenges. Can J Public Health 99:290–292PubMed

Sanz B, Regidor E, Galindo S, Pascual C, Lostao L, Diaz JM, Sànchez E (2011) Pattern of health services use by immigrants from different regions of the world residing in Spain. Int J Public Health 56:567–576CrossRefPubMed

Setia MS, Quesnel-Vallee A, Abrahamowicz M, Tousignant P, Lynch J (2011) Access to health-care in Canadian immigrants: a longitudinal study of the National Population Health Survey. Health Soc Care Community 19:70–79CrossRefPubMed

Spinelli A, Grandolfo M, Donati S, Andreozzi S, Longhi C, Bucciarelli M, Baglio G (2003) Assistenza alla nascita tra le donne immigrate. In: Morrone A, Spinelli A, Geraci S, Toma L, Andreozzi S (eds) Immigrati e zingari: salute e disuguaglianze, Rapporti ISTISAN 03/4. Istituto Superiore Sanità, Rome, pp 11–23. Available at: http://www.iss.it/binary/publ/publi/0304.1109071999.pdf. Accessed 24 Feb 2014

StataCorp (2009) Stata: Release 11. Statistical Software. College Station, TX: StataCorp LP

The World Bank (2011) The World Bank. Available at: http://data.worldbank.org/indicator/NY.GNP.PCAP.CD. Accessed 21 Mar 2016

United Nations, Department of Economic and Social Affairs, Population Division (2013) Trends in International Migrant Stock: The 2013 Revision. United Nations database, POP/DB/MIG/Stock/Rev.2013. Available at: http://esa.un.org/unmigration/documents/the_number_of_international_migrants.pdf. Accessed 19 Jun 2015

Venters H, Gany F (2011) African immigrant health. J Immigr Minor Health 13:333–344CrossRefPubMed

WHO Regional Office for Europe (2010) How health systems can address health inequities linked to migration and ethnicity. WHO Regional Office for Europe, Copenhagen

Xu KT, Borders TF (2008) Does being an immigrant make a difference in seeking physician services? J Health Care Poor Underserved 19:380–390CrossRefPubMed

Titel: Utilization of health-care services among immigrants recruited through non-profit organizations in southern Italy
verfasst von: Aida Bianco
Elisabetta Larosa
Claudia Pileggi
Carmelo G. A. Nobile
Maria Pavia
Publikationsdatum: 28.04.2016
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 6/2016
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-016-0820-1

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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