Atención al paciente inmigrante: realidad y percepción de los profesionales de 6 zonas de Atención Primaria de Navarra

Autor: M.C. Fuertes, J.M. Uribe, P. Bustince, L. Elizalde, M.R. de Andrés, S. Urmeneta, P. García Castellano
Rok vydání: 2010
Předmět:
Zdroj: Anales del Sistema Sanitario de Navarra v.33 n.2 2010
SciELO España. Revistas Científicas Españolas de Ciencias de la Salud
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Popis: Background. To describe utilisation of health care services and motives for consultation in Primary Care in the native and the immigrant population, and compare this with the perception of primary care professionals. Methods. Data was collected on health care activity during the year 2006 for all people registered (N=86,966) in the 6 basic health care zones with the highest proportion of immigrants (14.4%) and on the following variables: country of origin, age, sex, year of ins- cription in the public health service. The health card and OMI-AP programme databases were used. A qualitative methodology of focus groups and in-depth interviews was employed. r esults. Seventy-two point four percent of immigrants requested care from the primary care professionals in 2006, of whom 50% pro- ceeded from Ecuador and 70% were between 25 and 44 years old. Eighty-two percent of the natives made consultations and required more referrals to specialised care than the immigrants of the same age group. The most frequent consultation with natives and with im- migrants was «acute respiratory infections» (7 to 23% according to age group). The second most frequent with immigrants was «admi- nistrative problems». The consultations with immigrants were not related to preventive aspects such as smoking and there were more consultations (p>0.001) for gynaeco-obstetric episodes (10.7%) and those related to work (19%) or psychosomatic problems (8.5%). The perception of the primary care professionals was that the immi- grants carry out more consultations than the natives and generate a certain «disorder» in the clinic. conclusion. Immigrants use healthcare services less than the native population. Nonetheless, this fact is not perceived in this way by the primary care professionals. Fewer preventive activi- ties are carried out with immigrants, who suffer from more la- bour and psychosomatic problems.
Databáze: OpenAIRE