The Nuffield Trust, London, UK.
J Health Serv Res Policy. 2011 Apr;16(2):90-4. doi: 10.1258/jhsrp.2010.010097. Epub 2011 Mar 9.
Although over half a million migrants arrive in England each year, information about their use of health services is limited. Our aim was to describe the use of secondary care by international immigrants and compare it to people moving within England.
Routine anonymized data were used to identify people who appear as registering with a general practitioner (GP) for the first time in England, yet are aged 15 or over. We assumed that most long-term residents will have registered before the age of 15, and therefore the majority of those registering for the first time later in life will be international immigrants. The study compared hospital admissions among first registrants to the general population of England and to within-England migrants, selected using propensity scoring.
The first registrants aged 15 or over had around half the rate of hospital admission as that of the general population of England. They were also less likely to have a hospital admission than a matched group of within-England migrants. The lower admission rates persisted over several years and were consistent in three consecutive cohorts of first registrants (each consisting of over half a million people).
The assumption that international immigrants use more secondary care than the members of the indigenous population appears to be unfounded.
尽管每年有超过 50 万移民抵达英国，但有关他们使用卫生服务的信息有限。我们的目的是描述国际移民对二级保健的利用情况，并将其与在英国境内迁移的人进行比较。
使用常规匿名数据来识别首次在英格兰注册全科医生（GP）的人，但年龄在 15 岁或以上。我们假设大多数长期居民将在 15 岁之前注册，因此以后生活中首次注册的大多数人将是国际移民。该研究通过倾向评分比较首次注册者的住院率与英格兰的一般人群以及英格兰境内移民。
年龄在 15 岁或以上的首次注册者的住院率约为英格兰一般人群的一半。与匹配的英格兰境内移民组相比，他们的住院率也较低。这种较低的入院率持续了数年，在连续三批首次注册者（每批超过 50 万人）中均保持一致。
国际移民比本土人口更多地使用二级保健的假设似乎没有根据。
