"Hospital utilization by Mexican migrants returning to Mexico due to health needs".
"Hospital utilization by Mexican migrants returning to Mexico due to health needs".
复制标题
DOI：
10.1186/1471-2458-11-241
复制
发表时间：
2011-04-18
影响因子：
4.5
通讯作者：
de la Sierra-de la Vega LA
中科院分区：
文献类型：
--
作者：
González-Block MA;de la Sierra-de la Vega LA
共有1270万墨西哥人作为移民居住在美国，其中只有45%在这个国家有医疗保险，而墨西哥移民获得医疗保险充满了困难。健康保险已被证明会影响这两个国家的医疗保健使用。本文量化了从美国返回的移民在美墨边境地区和原籍社区的公立和私立医院寻求医疗服务的住院情况。估计了墨西哥的床位利用率和住院率占美国移民预期总数的比例。调查对象包括48家卫生部医院和47家私立医院，这些医院服务于墨西哥移民人口众多或非常多的城市，17%的汇款接收家庭位于这些城市，此外还有15家公立医院和159家私立医院，分布在墨西哥与美国沿着的10个城市。通过各种方法对医院进行抽样，以包括27%的床位。病人和工作人员进行了采访，并对数据进行了三角测量，以量化返回墨西哥寻求医疗服务的移民。分析了官方出院统计数据和来自移民数据库和公布的统计数据的二级数据，以确定床位占用率、一般移民住院率和与原籍社区家庭保持密切关系的移民人口规模。2008年，多达1 609名移徙者被送往公立医院（76.6%），492人被送往私立医院（23.4%），这些医院服务于移徙密集和非常密集的城市。使用了公立医院容量的0.90%。在边境地区，公立医院（27.3%）和私立医院（72.7%）分别收治了908名和2 416名移民。使用了公立医院容量的1.18%。通过这些服务，有受抚养家庭的流动人口的预期住院需求中有2.4%至20.4%得到满足。各医院最常见的诊断类别依次为创伤、糖尿病并发症和择期手术。私立医院提到选择性手术是主要的诊断类别，其次是糖尿病并发症。墨西哥原籍社区的医院几乎没有投入资源来满足美国移民的住院需求。目前没有医院方案刺激移民的需求或满足他们的具体需求。在临床和行政记录中登记迁移史很容易实现。发展两国转诊网络，并在目前的墨西哥联邦计划内为美国移民提供保险，可以大大增加移民就医的机会。
A total of 12.7 million Mexicans reside as migrants in the United States, of whom only 45% have health insurance in this country while access to health insurance by migrants in Mexico is fraught with difficulties. Health insurance has been shown to impact the use of health care in both countries. This paper quantifies hospitalizations by migrants who return from the US seeking medical care in public and private hospitals in the US-Mexico border area and in communities of origin. The proportion of bed utilization and the proportion of hospitalizations in Mexico out of the total expected by migrants in the US were estimated. The universe included 48 Ministry of Health and 47 private hospitals serving municipalities of high or very high migration in Mexico, where 17% of remittance-receiving households are located, as well as 15 public and 159 private hospitals in 10 Mexican cities along the border with the US. Hospitals were sampled through various methods to include 27% of beds. Patients and staff were interviewed and data triangulated to quantify migrants that returned to Mexico seeking medical care. Official hospital discharge statistics and secondary data from migration databases and published statistics were analyzed to identify bed occupancy, general migrant hospitalization rates and the size of the migrant population that maintains close relationships with households in communities of origin. Up to 1609 migrants were admitted to public hospitals (76.6%) and 492 to private hospitals (23.4%) serving municipalities of high and very high migration intensity in 2008. Up to 0.90% of public hospital capacity was used. In the border area up to 908 and 2416 migrants were admitted to public (27.3%) and private (72.7%) hospitals, respectively. Up to 1.18% of public hospital capacity was used. Between 2.4% and 20.4% of the expected hospitalization needs of migrants with dependent households are satisfied through these services. The most common diagnostic categories mentioned across hospitals were traumatisms, complications of diabetes and elective surgery, in that order. Private hospitals mention elective surgeries as the main diagnostic category followed by complications of diabetes. Hospitals in communities of origin in Mexico are devoting few resources to respond to hospitalization needs of migrants in the US. Currently no hospital programs exist to stimulate migrant demand or to cater to their specific needs. Registering migratory history in clinical and administrative records can be readily implemented. Developing bi-national referral networks and insuring migrants in the US within current Mexican federal programs could greatly increase migrant access to hospitals.
登录
查看更多内容
影响因子：
3
作者：
Wallace SP;Mendez-Luck C;Castañeda X
通讯作者：
Castañeda X
影响因子：
--
作者：
Landeck, Michael;Garza, Cecilia
通讯作者：
Garza, Cecilia
影响因子：
--
作者：
Ortega, Alexander N.;Fang, Hai;Gelberg, Lillian
通讯作者：
Gelberg, Lillian
影响因子：
9.7
作者：
Bustamante, Arturo Vargas;Ojeda, Gilbert;Castaneda, Xochitl
通讯作者：
Castaneda, Xochitl