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. 2008 Mar 3:8:51.
doi: 10.1186/1472-6963-8-51.

Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain

Andrea Buron  1 , Francesc Cots, Oscar Garcia, Oriol Vall, Xavier Castells
Affiliations

Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain

Andrea Buron et al. BMC Health Serv Res. .

Abstract

Background: The recent increase in the number of immigrants of Barcelona represents a challenge for the public healthcare system, the emergency department being the most used healthcare service by this group. However, utilisation rates in our environment have not yet been studied. We aimed to compare emergency department utilisation rates between Spanish-born and foreign-born residents in a public hospital of Barcelona.

Methods: The study population included all adults residing in the area of study and visiting the emergency department of Hospital del Mar in 2004. The emergency care episodes were selected from the Emergency Department register, and the population figures from the Statistics Department of Barcelona. Emergency care episodes were classified into five large clinical categories. Adjusted rate ratios (RR) of utilisation among foreign-born vs. Spanish-born residents were assessed through negative binomial regression.

Results: The overall utilisation rate was 382 emergency contacts per 1,000 persons-years. The RR for foreign-born versus Spanish-born residents was 0.62 (95% CI: 0.52; 0.74%). The RR was also significantly below one in surgery (0.51, 95% CI: 0.42; 0.63), traumatology (0.47, 95% CI: 0.38; 0.59), medicine (0.48, 95% CI: 0.38; 0.59) and psychiatry (0.42, 95% CI: 0.18; 0.97). No differences were found in utilisation of gynaecology and minor emergency services.

Conclusion: The overall lower utilisation rates obtained for foreign-born residents is consistent with previous studies and is probably due to the "healthy immigrant effect". Thus, the population increase due to immigration does not translate directly into a corresponding increase in the number of emergency contacts. The lack of differences in minor and gynaecological emergency care supports the hypothesis that immigrants overcome certain barriers by using the emergency department to access to health services. The issue of healthcare barriers should therefore be addressed, especially among immigrants.

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Figures

Figure 1
Figure 1
Flow chart of the emergency care episodes in Hospital del Mar in 2004 included in this study.
See this image and copyright information in PMC

References

    1. Eurostat Europe in figures; Eurostat yearbook 2005. European Comission. 2005.
    1. Instituto Nacional de Estadística. INEbase. 2006. http://www.ine.es/inebase/
    1. Departament de Estadística Ajuntament de Barcelona. 2006. http://www.bcn.es/estadistica/castella/index.htm
    1. Serra-Sutton V, Hausmann S , Rajmil L, ElorzaRicart JM, Berra S, Bartomeu N. In: Experiencias de investigación y políticas de salud relacionadas con inmigración en otros países europeos. El caso de los Países Bajos, el Reino Unido y Suiza. Agencia de Evaluación de Tecnología e Investigación Médicas (AATRM). Barcelona; CatSalut; Departament de Sanitat i Seguretat Social; Generalitat de Catalunya, 2004., editor.
    1. Berra S, ElorzaRicart JM, Bartomeu N, Hausmann S, Serra-Sutton V, Rajmil L. In: Necesidades en salud y utilización de los servicios sanitarios en la población inmigrante en Cataluña. Revisión exhaustiva de la literatura científica. Agencia de Evaluación de Tecnología e Investigación Médicas (AATRM). Barcelona; CatSalut; Departament de Sanitat i Seguretat Social; Generalitat de Catalunya, 2004. , editor.

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