Public health services knowledge and utilization among immigrants in Greece: a cross-sectional study.
Public health services knowledge and utilization among immigrants in Greece: a cross-sectional study.
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DOI：
10.1186/1472-6963-13-350
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发表时间：
2013-09-13
影响因子：
2.8
通讯作者：
Kaitelidou D
中科院分区：
文献类型：
--
作者：
Galanis P;Sourtzi P;Bellali T;Theodorou M;Karamitri I;Siskou O;Charalambous G;Kaitelidou D
上世纪90年代，希腊已成为移民的东道国，移民主要来自巴尔干半岛和东欧国家，目前这些移民约占总人口的9%。尽管移民人数不断增加，但人们对他们的健康状况和获得医疗服务的情况知之甚少。本研究旨在探讨希腊移民在获得和利用医疗保健服务方面所面临的障碍。 2012 年 1 月至 4 月在希腊雅典进行了一项试点横断面研究。研究对象包括 191 名在希腊生活不到 10 年的移民。我们制定了一份调查问卷，其中包括有关社会人口特征、健康状况、公共卫生服务知识和利用以及获得卫生服务的困难的信息。统计分析包括Pearson×2检验、×2趋势检验、Student’s t检验、方差分析和Pearson相关系数。只有 20.4% 的参与者表示他们对希腊的公共卫生服务有良好/非常良好的了解。去年，相当大比例的参与者（62.3%）至少需要一次使用卫生服务但无力承担，而希腊有 49.7% 的参与者在过去 12 个月内使用过公共卫生服务。其中最重要的问题是医院等待时间长、与卫生专业人员沟通困难以及医疗费用高昂。希腊语能力的提高与医疗服务知识的增加相关（p<0.001）。家庭月收入的增加也与获得医疗服务的困难减少有关（p<0.001）。为希腊移民提供医疗保健服务并为其提供便利是必要的。根据移民人口的需求，简单的措施，例如有关现有卫生服务和可及性条款的综合信息，是使他们能够更好地获得所需服务的重要一步。
During the 90s, Greece has been transformed to a host country for immigrants mostly from the Balkans and Eastern European Countries, who currently constitute approximately 9% of the total population. Despite the increasing number of the immigrants, little is known about their health status and their accessibility to healthcare services. This study aimed to explore the perceived barriers to access and utilization of healthcare services by immigrants in Greece. A pilot cross-sectional study was conducted from January to April 2012 in Athens, Greece. The study population consisted of 191 immigrants who were living in Greece for less than 10 years. We developed a questionnaire that included information about sociodemographic characteristics, health status, public health services knowledge and utilization and difficulties in health services access. Statistical analysis included Pearson’s ×2 test, ×2 test for trend, Student’s t-test, analysis of variance and Pearson’s correlation coefficient. Only 20.4% of the participants reported that they had a good/very good degree of knowledge about public health services in Greece. A considerable percentage (62.3%) of the participants needed at least once to use health services but they could not afford it, during the last year, while 49.7% used public health services in the last 12 months in Greece. Among the most important problems were long waiting times in hospitals, difficulties in communication with health professionals and high cost of health care. Increased ability to speak Greek was associated with increased health services knowledge (p<0.001). Increased family monthly income was also associated with less difficulties in accessing health services (p<0.001). The empowerment and facilitation of health care access for immigrants in Greece is necessary. Depending on the needs of the migrant population, simple measures such as comprehensive information regarding the available health services and the terms for accessibility is an important step towards enabling better access to needed services.
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影响因子：
5.1
作者：
Muennig, P;Fahs, MC;Davis, S
通讯作者：
Davis, S
影响因子：
2.8
作者：
Hargreaves S;Friedland JS;Gothard P;Saxena S;Millington H;Eliahoo J;Le Feuvre P;Holmes A
通讯作者：
Holmes A
影响因子：
12.7
作者：
Jackson, James S.;Neighbors, Harold W.;Baser, Raymond
通讯作者：
Baser, Raymond
影响因子：
2.8
作者：
Aung, Nyein Chan;Rechel, Bernd;Odermatt, Peter
通讯作者：
Odermatt, Peter
影响因子：
2.7
作者：
Karamitri, Ioanna;Bellali, Thalia;Kaitelidou, Daphne
通讯作者：
Kaitelidou, Daphne