A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System
A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System
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DOI：
10.3390/ijerph10041474
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发表时间：
2013-04-01
影响因子：
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通讯作者：
Luisa Vazquez, Maria
中科院分区：
文献类型：
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作者：
Aller, Marta-Beatriz;Maria Colome, Josep;Luisa Vazquez, Maria
目的：比较移民者与当地人对护理关系、管理和信息连续性的认知，探讨住院时间对移民者连续性认知的影响。方法：基于对1500名患者的随机抽样的横断面研究，其中22%(331人)是移民。研究区域由加泰罗尼亚医疗系统的三个医疗领域组成。为了收集数据，采用了CCAENA问卷。建立多因素Logistic回归模型。结果：与当地人一样，移民的管理连续性(88.5%)和与初级和二级保健医生的关系连续性(86.7%和81.8%)较高，而信息连续性(59.1%)较低。移民和原住民在管理和信息连续性方面没有统计上的显著差异。然而，移民认为在信任、沟通和临床责任方面与初级保健医生的关系连续性较差。相反，在有效沟通和临床责任方面，移民认为与二级护理医生的关系具有更高的连续性。讨论：类似的管理和信息连续性观念似乎指向了对患者的类似治疗，无论他们的移民身份如何。然而，关系连续性方面的差异突显出需要提高专业人员治疗移民患者的技能。
Objective: To compare immigrants' and natives' perceptions of relational, managerial and informational continuity of care and to explore the influence of the length of stay on immigrants' perceptions of continuity. Methods: Cross-sectional study based on a survey of a random sample of 1,500 patients, of which 22% (331) were immigrants. The study area was made up by three healthcare areas of the Catalan healthcare system. To collect data, the CCAENA questionnaire was applied. Multivariate logistic regression models were conducted. Results: Like natives, immigrants perceive high levels of managerial continuity (88.5%) and relational continuity with primary and secondary care physicians (86.7 and 81.8%), and lower levels of informational continuity (59.1%). There were no statistically significant differences in managerial and informational continuity between immigrants and natives. However, immigrants perceive a worse relational continuity with primary care physicians in terms of trust, communication and clinical responsibility. Conversely, immigrants perceive higher relational continuity with secondary care physicians in terms of effective communication and clinical responsibility. Discussion: Similar managerial and informational continuity perceptions seem to point towards a similar treatment of patients, regardless of their immigrant status. However, differences in relational continuity highlight the need for improvements in professionals' skills in treating immigrants' patients.