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Immigrants in the Netherlands: equal access for equal needs?
K Stronks1, A C Ravelli, S A Reijneveld
1Department of Social Medicine, Academic Medical Centre, University of Amsterdam, Meibergdreef 15, 1105 AZ Amsterdam, The Netherlands. k.stronks@amc.uva.nl
Journal of Epidemiology and Community Health
|September 13, 2001
Summary
First-generation immigrant groups in the Netherlands show lower utilization of specialized health care services, particularly Turkish and Moroccan populations. This disparity persists even after accounting for socioeconomic status and health needs, suggesting potential access barriers.
Area of Science:
- Public Health
- Health Services Research
- Sociology of Health
Background:
- Healthcare access and utilization are critical for population health.
- Understanding ethnic disparities in healthcare is essential for equitable service provision.
- Previous research indicates potential barriers faced by immigrant populations in accessing healthcare.
Purpose of the Study:
- To examine the utilization of healthcare services among first-generation immigrant groups in the Netherlands.
- To determine if equitable access to healthcare has been achieved for these populations.
- To identify ethnic differences in the use of various health care services.
Main Methods:
- Survey data linked to insurance registers for individuals aged 16-64 in the Netherlands.
- Logistic regression analysis to compare healthcare use across ethnic groups, adjusting for health and socioeconomic status.
- Inclusion of Surinamese, Netherlands Antillean, Turkish, and Moroccan immigrant groups alongside the indigenous population.
Main Results:
- Healthcare utilization varied significantly by ethnicity, even after controlling for health status.
- Increased use of general practitioner services and prescription drugs was observed in Surinamese, Turkish, and Moroccan groups.
- Lower utilization of specialized care was noted among Turkish and Moroccan populations, and to a lesser extent, Netherlands Antilleans, compared to the indigenous population.
Conclusions:
- Immigrant groups, particularly Turkish and Moroccan, exhibit lower utilization of specialized healthcare services in the Netherlands.
- Socioeconomic status partially explains, but does not fully account for, these disparities.
- Ethnic background itself may influence healthcare consumption patterns, possibly due to access limitations.
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