[移民人群中皮肤科服务的利用情况]

[Utilization of dermatology services among the immigrant population].

作者信息

Albares Tendero Ma Pilar, Ramos Rincón José Manuel, Belinchón Romero Isabel, Betlloch Más Isabel, Pastor Tomás Natalia, Botella Antón Rafael

机构信息

Sección de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain.

出版信息

Gac Sanit. 2008 Mar-Apr;22(2):133-6. doi: 10.1157/13119322.

DOI:10.1157/13119322

PMID:18420011

Abstract

OBJECTIVE

To determine the utilization rate of a dermatology service among the immigrant population and compare this rate with that among the autochthonous population.

METHODS

Over a 1-year period, data on all patients attended in the Dermatology Service of Health Department 19 in the autonomous community of Valencia were prospectively collected.

RESULTS

Of 39,160 consultations, 1,625 were made by immigrants (4.1%). Attendance for dermatologic emergencies was greater in immigrants than in the autochthonous population (7.7% vs 3.0%; p<0.001), while surgical activity was lower in immigrants than in Spanish-born patients (2.6% vs 5%; p<0.001). Demand for consultation in the immigrant population was 5.7 visits per 100 immigrants, lower than that in the autochthonous population (16.2). The standardized rate ratio was 0.34. North Africans (5.6 per 100 immigrants), East Europeans (4.8), sub-Saharan Africans (5.3) and Asians (4.2) consulted less than Latin Americans (8.5; p<0.001).

CONCLUSIONS

Demand was lower in the immigrant than in the autochthonous population, and the utilization pattern differed according to country.

摘要

目的

确定皮肤科服务在移民人群中的利用率，并将该利用率与本地人群的利用率进行比较。

方法

在1年期间，前瞻性收集了瓦伦西亚自治区第19卫生部门皮肤科服务的所有就诊患者的数据。

结果

在39160次会诊中，移民进行了1625次（4.1%）。移民中皮肤科急诊的就诊率高于本地人群（7.7%对3.0%；p<0.001），而移民的外科手术活动低于西班牙出生的患者（2.6%对5%；p<0.001）。移民人群的会诊需求为每100名移民5.7次就诊，低于本地人群（16.2次）。标准化率比为0.34。北非人（每100名移民中有5.6次）、东欧人（4.8次）、撒哈拉以南非洲人（5.3次）和亚洲人（4.2次）的会诊次数少于拉丁美洲人（8.5次；p<0.001）。