• 作者：Luis André ; s Gimeno-Feliu^a ; ^{med000764@gmail.com} ; Rosa Marí ; a Macipe-Costa^b ; Ignacio Dolsac^c ; Rosa Magalló ; n-Botaya^d ; Lourdes Luzó ; n^e ; Alexandra Prados-Torres^f ; Javier Garcí ; a-Campayo^g
• 关键词：Inmigrantes ; Recursos sanitarios ; Atenció ; n primaria ; Utilizació ; n de servicios ; Frecuentació ; n ; Adultos ; Ni&ntilde ; os
• 刊名：Atenci贸n Primaria
• 出版年：2011
• 期刊代码：pca69_02126567
• 类别：med
• 出版时间：October 2011
• 卷：43
• 期：10
• 页码：544-550
• 文件大小：264 K

Objectives

To study the frequency of attendance in primary care of immigrant population compared to autochthonous one. To analyse differences in health services use according to geographical origin.

Methods

A retrospective descriptive study was carried out. All Family Medicine and Paediatrics consultations were analysed using the electronic medical record.

Design

Retrospective descriptive study. We analysed all the medicine and paediatrics appointments data from the electronic medical record.

Location

Urban Health Centre, Zaragoza.

Participants

All patients with an appointment at the Health Centre during a one year period.

Intervention

Is in line with the reference population with health cards by sex and age. Direct standardisation was performed to avoid differences due to different population distribution.

Main measures

Number of visits annually to the doctor, on the basis of national origin, sex and age.

Results

We analysed 110,046 adult consultations (based on a population of 20,675 inhabitants, 20%of immigrants) and 17,647 paediatric consultations (based on 2,452 children, 29%of immigrants).

Adjusted annual consultation ratio of Spanish patients was higher than that of the immigrant population (7.1 consultations vs 4.8 in children, and 4.7 vs 2.8 in adults) (P < .001). Adults from Eastern Europe showed the lowest number of consultations (1.6). In emergency consultations in Primary Care, Spanish children consulted more frequently than immigrants, but immigrant adults consulted more frequently than Spanish adults.

Conclusions

Immigrant population consulted primary care services less often compared with the Spanish population. There are notable differences according to geographical origin. This can be explained by better health, better use of healthcare system, and other difficulties in accessibility to health systems.