Frecuencia de consultas al médico en población adulta en España, antes y después de la restricción de acceso a los inmigrantes indocumentados

  1. E. Ronda 1
  2. G. Zhao 1
  3. L. Lostao 2
  4. E. Regidor 3
  1. 1 Área de Medicina Preventiva y Salud Pública, Universidad de Alicante, Alicante, España
  2. 2 Departamento de Sociología, Universidad Pública de Navarra, Pamplona, España
  3. 3 Instituto de Investigación Sanitaria, Hospital Clínico San Carlos (IdISSC), Madrid, España. Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
Zeitschrift:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Datum der Publikation: 2020

Nummer: 5

Seiten: 306-312

Art: Artikel

DOI: 10.1016/J.SEMERG.2019.12.010 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Semergen: revista española de medicina de familia

Zusammenfassung

Objective To study the frequency of medical consultations in autochthonous and immigrant populations in Spain, before and after a government measure of 2012 that restricted the use of public health services to undocumented immigrants. Material and methods The data were taken from the European Health Surveys in Spain in 2009 and 2014. An analysis was made of the consultations with the family doctor and the consultations with the medical specialist in autochthonous and immigrant populations from 18 to 64 years. Percentage increases were calculated in the frequency of people who consulted in 2014 with respect to 2009, and, in each year, the percentage ratio (PR) of consultation in immigrants with respect autochthonous, with 95% confidence intervals (95% CI). Results The frequency of consultations increased in 2014 compared to 2009, with the exception of family doctor's consultation with the autochthonous women. The highest increases occurred in visits to medical specialists in immigrants (39.9%), in autochthonous (21.6%), and in visits by the family doctor to immigrant women. After adjusting for age and socioeconomic variables and indicators of need for assistance, there were no significant differences in both years between immigrants and autochthonous in the 2 types of consultations. Conclusions The frequency of consultations to the family doctor or medical specialist did not decrease in Spain between 2009 and 2014 in the immigrant population.

Bibliographische Referenzen

  • Instituto Nacional de Estadística. Principales series de población [consultado 11 Mar 2019]. Disponible en: http://www.ine.es/jaxi/Datos.htm?path=/t20/e245/p08/l0/&file=02002.px Google Scholar
  • BOE n.°. 98 31278-31312. Real Decreto-Ley 16/2012, d. d. a., de medidas urgentes para garantizar la sostenibilidad del Sistema Nacional de Salud y mejorar la calidad y seguridad de sus prestaciones [consultado 14 Mar 2019]. Disponible en: https://www.boe.es/buscar/act.php?id=BOE-A-2012-5403 Google Scholar
  • A. Kiil, K. Houlberg How does copayment for health care services affect demand, health and redistribution? A systematic review of the empirical evidence from 1990 to 2011 Eur J Health Econ., 15 (2014), pp. 813-828 CrossRefView Record in ScopusGoogle Scholar
  • E.B. Moliné, R. González La reducción del gasto sanitario en España durante la crisis Cuadernos de Información económica (2015), pp. 37-48 Google Scholar
  • H. Legido-Quigley, E. Urdaneta, A. Gonzalez, D. La Parra, C. Muntaner, C. Alvarez-Dardet, et al. Erosion of universal health coverage in Spain Lancet., 382 (2013), p. 1977 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • M.A. Royo-Bordonada, M. Díez-Cornell, J.M. Llorente Health-care access for migrants in Europe: The case of Spain Lancet., 382 (2013), pp. 393-394 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • E. Ronda, E. Briones-Vozmediano, T. Galon, A.M. García, F.G. Benavides, A.A. Agudelo-Suárez A qualitative exploration of the impact of the economic recession in Spain on working, living and health conditions: Reflections based on immigrant workers’ experiences Health Expect., 19 (2016), pp. 416-426 CrossRefView Record in ScopusGoogle Scholar
  • V. Porthé, I. Vargas, E. Ronda, D. Malmusi, L. Bosch, M.L. Vázquez Has the quality of health care for the immigrant population changed during the economic crisis in Catalonia (Spain)? Opinions of health professionals and immigrant users Gac Sanit., 32 (2018), pp. 425-432 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • V. Porthé, I. Vargas, B. Sanz-Barbero, I. Plaza-Espuña, L. Bosch, M.L. Vázquez Changes in access to health care for immigrants in Catalonia during the economic crisis: Opinions of health professionals and immigrant users Health Policy., 120 (2016), pp. 1293-1303 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • L. Lostao, S. Geyer, R. Albaladejo, A. Moreno-Lostao, E. Ronda, E. Regidor Use of health services according to income before and after elimination of copayment in Germany and restriction of universal health coverage in Spain Int J Equity Health., 17 (2018), p. 11 Google Scholar
  • Instituto Nacional de Estadística. Encuesta Europea de Salud para España [consultado 15 Mar 2019]. Disponible en: http://www.ine.es/metodologia/t15/t153042014.pdf Google Scholar
  • R. Carmona, R. Alcázar-Alcázar, A. Sarria-Santamera, E. Regidor Frecuentación de las consultas de medicina general y especializada por población inmigrante y autóctona: una revisión sistemática Rev Esp Salud Publica., 88 (2014), pp. 135-155 CrossRefView Record in ScopusGoogle Scholar
  • I. Garcia-Subirats, I. Vargas, B. Sanz, D. Malmusi, E. Ronda, M. Ballesta, et al. Changes in access to health services of the immigrant and native-born population in Spain in the context of economic crisis Int J Environ Res Public Health., 11 (2014), pp. 10182-10201 CrossRefView Record in ScopusGoogle Scholar
  • M. Gili, J. García Campayo, M. Roca Crisis económica y salud mental. Informe SESPAS 2014 Gac Sanit., 28 (2014), pp. 104-108 ArticleDownload PDFView Record in ScopusGoogle Scholar
  • B. Sanz, E. Regidor, S. Galindo, C. Pascual, L. Lostao, J.M. Díaz, et al. Pattern of health services use by immigrants from different regions of the world residing in Spain Int J Public Health., 56 (2011), pp. 567-576 CrossRefView Record in ScopusGoogle Scholar
  • K. Levecque, E. Ronda, F.G. Benavides, R. Van Rossem Use of existing health information systems for migrant health research in Europe: challenges and opportunities D. Ingleby, A. Krasnik, V. Lorant, O. Razum (Eds.), Health inequalities and risk factors among migrants and ethnic minorities, Garant Publishers, Antwerp, Apeldoorn (2014), pp. 53-68 Google Scholar
  • S. Monge, E. Ronda, M. Pons-Vigués, C. Vives Cases, D. Malmusi, D. Gil-González Limitaciones y recomendaciones metodológicas en las publicaciones sobre salud de la población inmigrante en España Gac Sanit., 29 (2015), pp. 461-463 ArticleDownload PDFView Record in ScopusGoogle Scholar