EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Al. Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.
J Immigr Minor Health. 2019 Apr;21(2):219-229. doi: 10.1007/s10903-018-0744-3.
Migrants' health is attracting substantial global interest. We aimed to identify barriers and differences in healthcare services utilization between migrants and natives in a nationally representative sample using data from the National Health Survey 2014. A total of 18,165 participants providing information on country of birth and nationality were included, and comparison of healthcare services utilization was made by using participants born in Portugal and with Portuguese nationality as the reference group. Migrants reported a lower frequency of medical visits, a higher consumption of medication without a prescription and less use of preventive care services. The main reasons for not attending medical consultations among migrants were the absence of need and financial difficulties. This study illustrates inequalities in healthcare use among migrants in Portugal, and provides useful information for enlightening policymakers and healthcare providers to develop health policies that can address migrants' needs.
移民健康正引起全球的广泛关注。本研究旨在利用 2014 年国家健康调查的数据，在全国代表性样本中确定移民与本地居民在医疗服务利用方面的障碍和差异。共纳入 18165 名提供有关出生地和国籍信息的参与者，以出生于葡萄牙和拥有葡萄牙国籍的参与者为参照组，对医疗服务利用情况进行了比较。移民报告称医疗就诊的频率较低，未经处方用药的比例较高，且预防性保健服务的利用率较低。移民不参加医疗咨询的主要原因是没有需求和经济困难。本研究说明了葡萄牙移民在医疗服务利用方面的不平等，并为决策者和医疗服务提供者提供了有用的信息，以制定能够满足移民需求的卫生政策。
