移民同化在西班牙的医疗保健利用
Zuleika Ferre1, Patricia Triunfo1, José-Ignacio Antón2,3
1Department of Economics, Faculty of Social Sciences, University of the Republic (Uruguay), Montevideo, Uruguay.
概括
移民在西班牙的医疗保健使用显示了随着时间的推移的同化,特别是在妇女和初级/紧急护理方面. 老龄化导致15年后的使用模式趋同.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 对于移民的医疗保健使用情况如何随着居住时间的变化而演变的理解有限,尤其是在普遍医疗保健系统中.
- 现有的研究往往侧重于外国出生的和本地出生的人口之间的医疗保健消费的静态差异.
研究的目的:
- 调查西班牙移民医疗同化进程的动态.
- 分析医疗保健使用模式如何随着时间的推移而变化,考虑到时期,队列和同化效应.
主要方法:
- 利用了西班牙当地卫生调查的所有可用波.
- 采用统计方法来分辨医疗保健使用的时期,队列和同化效应.
- 分析了医疗保健服务的使用情况,包括全科医生访问和紧急护理.
主要成果:
- 发现了强有力的证据,证明移民在医疗保健使用中的同化,特别是对于全科医生和急诊护理的访问.
- 在外国出生的女性中观察到更强的同化效应.
- 确定不同的衰老效应有助于在居住15年后医疗保健利用模式的趋同.
结论:
- 移民在西班牙的医疗保健使用模式显示了随着时间的推移的同化.
- 基于抵达时间和原籍地区的同化异质性凸显了福利国家的财务建模中需要细致的移民评估的需要.
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