Muñoz-de Bustillo Rafael, Antón Pérez José-Ignacio
Universidad de Salamanca, Salamanca, España.
Salud Publica Mex. 2010 Jul-Aug;52(4):357-63. doi: 10.1590/s0036-36342010000400012.
To identify patterns of public health care utilization by Latin American immigrants in Spain as compared to the local population.
This analysis is based on information provided by the 2006 National Health Survey on the frequency of visits to general practitioners, specialists and emergency rooms, as well as hospital stays. The study uses a descriptive analysis involving tests of equality of distributions, medians and proportions, and a multivariate analysis with binomial negative and probit models.
The distribution of Latin American immigrants show lower utilization rates of public health care services than the native-born population, with the exception of hospital stays. The pattern of health care use by Latin Americans and Spaniards is different, with the exception of hospital stays. The results of the multivariate analysis indicate statistically significant differences only in the case of hospital stays (the probability of staying in a hospital in the last year is 2.8% higher for Latin American immigrants than among locals) and utilization of emergency rooms (0.205 more visits than the Spanish-born population).
There is no significant difference in utilization of public health care between Latin American immigrants and native-born populations in Spain, with the exception of a higher frequency of use of emergency rooms by the former.
与当地人口相比，确定西班牙拉丁美洲移民的公共医疗保健利用模式。
本分析基于2006年全国健康调查提供的关于就诊全科医生、专科医生和急诊室的频率以及住院情况的信息。该研究采用描述性分析，包括分布、中位数和比例的平等性检验，以及使用二项式负二项回归模型和概率单位模型的多变量分析。
除住院情况外，拉丁美洲移民的公共医疗保健服务利用率低于本地出生人口。拉丁美洲人和西班牙人的医疗保健使用模式不同，住院情况除外。多变量分析结果表明，仅在住院情况（去年拉丁美洲移民住院概率比当地人高2.8%）和急诊室利用情况（比西班牙出生人口多0.205次就诊）方面存在统计学显著差异。
西班牙拉丁美洲移民与本地出生人口在公共医疗保健利用方面没有显著差异，前者使用急诊室的频率较高除外。
