A comparison of the health status and health care utilization patterns between foreigners and the national population in Spain: New evidence from the Spanish National Health Survey
A comparison of the health status and health care utilization patterns between foreigners and the national population in Spain: New evidence from the Spanish National Health Survey
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DOI：
10.1016/j.socscimed.2009.05.005
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发表时间：
2009-08-01
影响因子：
5.4
通讯作者：
Jimenez-Rubio, Dolores
中科院分区：
文献类型：
--
作者：
Hernandez-Quevedo, Cristina;Jimenez-Rubio, Dolores
移民在西班牙社会中所占比例的不断增加给国家卫生保健系统带来了压力，使其既要满足这一人口群体的需要，又要控制费用。2000年，西班牙通过了一项法律，根据这项法律，所有人，无论其国籍如何，有权在与西班牙公民相同的条件下使用医疗服务，只要他们在当地人口普查中登记。然而，关于移民和西班牙人口之间健康状况和保健利用率差异的经验证据不足。本文使用2003年和2006年西班牙国家健康调查，探讨存在的不平等，在健康和获得卫生服务的移民人口生活在西班牙，相对于西班牙人。我们的研究结果表明，有不同的模式，在健康水平和医疗保健的使用之间的国民和外国人口在西班牙：而移民的自我报告的健康相对于西班牙人口取决于个人的国籍，所有移民，无论其国籍，似乎面临进入专业护理的障碍。需要进一步研究，以了解这些障碍的性质，以便制定更有效的卫生政策。(C)2009爱思唯尔有限公司版权所有。
The increasing proportion of immigrants in Spanish society is placing pressure on the National Health Care System to accommodate the needs of this population group while keeping costs under control. In the year 2000, a law was approved in Spain according to which all people, regardless of their nationality. are entitled to use health care services under the same conditions as Spanish citizens, provided that they are registered in the local population census. However, empirical evidence about differences in health status and health care utilization between the immigrant and the Spanish population is insufficient. This paper uses the 2003 and 2006 Spanish National Health Surveys to explore the existence of inequalities in health and in the access to health services for the immigrant population living in Spain, relative to that of Spaniards. Our results show that there are different patterns in the level of health and the medical care use between the national and the foreign population in Spain: while immigrants' self-reported health relative to that of the Spanish population depends upon individual nationality, all immigrants, regardless of their nationality, seem to face barriers of entry to specialized care. Further research is needed to understand the nature of these barriers in order to design more effective health policies. (C) 2009 Elsevier Ltd. All rights reserved.