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[前苏联移民到以色列后的医疗服务利用模式]

[Patterns of utilization of healthcare services among immigrants to Israel from the former Soviet Union].

作者信息

Baron-Epel Orna, Garty-Sandalon Noga, Green Manfred S

机构信息

Israel Center for Disease Control, Ministry of Health, Tel Hashomer, Israel.

出版信息

Harefuah. 2008 Apr;147(4):282-6, 376.

PMID:18686805
Abstract

BACKGROUND

Contradictory evidence exists as to the rate of use of healthcare services by Israeli immigrants from the former Soviet Union (fSU).

OBJECTIVES

The aim of this study was to compare the rates of utilization of healthcare services in veteran Israeli Jews and immigrants a decade and a half after immigration.

METHODS

The data was obtained from the Israel National Health Interview Survey (INHIS) during 2003-2004, which is based on 6,756 interviews with veteran Israeli Jews and 953 interviews with immigrants from the fSU, of them 835 arrived in Israel during the years 1990-1998, and 118 arrived after 1998. Questions included use of healthcare services, health status and socioeconomic factors.

RESULTS

The immigrants from the fSU reported similar rates of visiting a family physician and specialist and lower hospitalization rates after adjustment for socioeconomic variables compared to veteran Jews. However, the rate of use of preventive tests such as serum cholesterol tests, mammography and Pap smear tests was lower in immigrants. There was no significant difference in use of healthcare services between recent immigrants and those living in Israel more than 5 years, except for mammography performance.

CONCLUSIONS

The use of community healthcare services among immigrants is similar to the use among veteran Jews. However, the immigrant population in Israel utilizes preventive services less often than the veteran Jewish population.

摘要

背景

关于前苏联(fSU)的以色列移民使用医疗服务的比率,存在相互矛盾的证据。

目的

本研究的目的是比较移民十五年后,以色列老一代犹太人和移民使用医疗服务的比率。

方法

数据取自2003 - 2004年以色列国家健康访谈调查(INHIS),该调查基于对6756名以色列老一代犹太人的访谈以及对953名来自fSU的移民的访谈,其中835人在1990 - 1998年间抵达以色列,118人在1998年后抵达。问题包括医疗服务的使用、健康状况和社会经济因素。

结果

在对社会经济变量进行调整后,与老一代犹太人相比,来自fSU的移民报告称看家庭医生和专科医生的比率相似,住院率较低。然而,移民中血清胆固醇检测、乳房X光检查和巴氏涂片检查等预防性检查的使用率较低。除乳房X光检查外,新移民与在以色列居住超过5年的移民在医疗服务使用方面没有显著差异。

结论

移民中社区医疗服务的使用情况与老一代犹太人相似。然而,以色列的移民人口比老一代犹太人口更少使用预防性服务。

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