Emergency room utilization in Copenhagen: a comparison of immigrant groups and Danish-born residents
Emergency room utilization in Copenhagen: a comparison of immigrant groups and Danish-born residents
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DOI：
10.1080/14034940310001659
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发表时间：
2004-02-01
影响因子：
3.4
通讯作者：
Nielsen, AS
中科院分区：
文献类型：
--
作者：
Norredam, M;Krasnik, A;Nielsen, AS
背景：该研究的目的是调查丹麦哥本哈根的移民群体和丹麦出生的居民对急诊室的使用是否存在差异。方法：作者比较了 1997 年研究人群中不同种族的急诊室接触人数。数据由哥本哈根市统计局提供。研究人群包括 1998 年 1 月 1 日居住在哥本哈根 Bispebjerg 医院服务区的 183,478 名公民。“接触者”包括 1997 年期间到 Bispebjerg 医院急诊室就诊的 22,026 人次。研究人群和“接触者”的特征都是性别、年龄、收入和出生国家。根据出生国，移民包括九个民族。通过比较比率的泊松回归分析数据。结果：索马里、土耳其和前南斯拉夫出生的人的急诊室使用率高于丹麦出生的居民。所有其他非西方出生的居民的利用率与丹麦出生的居民相似。在其他西方和欧洲国家出生的人表现出利用率较低的趋势。结论：一些移民群体使用率较高的原因可能是健康差异或缺乏对丹麦医疗保健系统的了解，以及寻求初级保健的障碍，包括语言、害怕歧视和对初级保健的满意度较低。挑战仍然是确定这些因果关系，并找出为什么移民群体之间的利用模式有所不同。
Background: The aim of the study was to investigate whether utilization of the emergency room differed between immigrant groups and Danish-born residents in Copenhagen, Denmark. Methods: The authors compared the number of emergency room contacts during 1997 among different ethnic groups in the study population. Data were provided by the Statistical Office of the Municipality of Copenhagen. The study population consisted of 183,478 citizens residing in the catchment area of Bispebjerg Hospital in Copenhagen on 1 January 1998. "Contacts'' included 22,026 visits made to the emergency room at Bispebjerg Hospital during 1997. Both the study population and "contacts'' were characterized by gender, age, income, and country of birth. The immigrants comprised nine ethnic groups according to country of birth. Data were analysed by Poisson regression comparing rate ratios. Results: Persons born in Somalia, Turkey, and ex-Yugoslavia had higher utilization rates of emergency room than Danish-born residents. All other non-Western-born residents had utilization rates similar to Danish-born residents. Persons born in other Western and European countries showed a tendency towards less utilization. Conclusion: Higher utilization rates among some immigrant groups may be explained by disparities in health or lack of knowledge about the Danish healthcare system as well as barriers to seeking primary care including language, fear of discrimination, and low satisfaction with primary care. The challenge remains to identify these causal relations, and to find out why utilization patterns vary between immigrant groups.