Department of Nursing, Center for Health Services Management and Evaluation, National and Kapodistrian University of Athens, Athens, Greece.
Department of Sociology, Panteion University of Social and Political Sciences, Athens, Greece.
Int J Health Serv. 2020 Oct;50(4):444-457. doi: 10.1177/0020731420902604. Epub 2020 Feb 6.
A cross-sectional study was conducted from April 2013 until March 2014 to explore the existence of inequalities in access to and utilization of health services by migrants compared to non-migrants in Greece and to test the influence of various factors on these disparities. Also, we investigated the influence of several socioeconomic and demographic characteristics. Study population included 1,152 migrants and 702 non-migrants. Migrants, participants suffering from a chronic disease, those without health insurance, and patients who assessed their health status as not at all good/a little good/moderate were statistically more likely to report unmet needs in getting their medication. Uninsured participants, females, those unemployed or without a permanent occupational status, and those who assessed their health status as not at all good/a little good/moderate were statistically more likely to report unmet needs in access to health services during the last year. Regarding the use of health services, those with health coverage, non-migrants, and females were statistically more likely to go for a blood test as a hospital outpatient. Greece, despite administrative delays and barriers, provided full coverage to the uninsured, asylum seekers, and migrants, even many groups of undocumented migrants.
本研究于 2013 年 4 月至 2014 年 3 月开展，旨在探究希腊移民与非移民在卫生服务获取和利用方面的差异，并分析各种因素对这些差异的影响。此外，我们还调查了若干社会经济和人口统计学特征的影响。研究对象包括 1152 名移民和 702 名非移民。研究发现，患有慢性病的移民、无健康保险的移民、以及自评健康状况为“非常差/有点差/中等”的移民更有可能报告在获得药物治疗方面存在未满足的需求。无保险的参与者、女性、失业或无固定职业身份的参与者、以及自评健康状况为“非常差/有点差/中等”的参与者更有可能报告在过去一年中存在无法获得卫生服务的情况。在卫生服务的使用方面，有健康保险的参与者、非移民以及女性更有可能作为医院门诊病人进行血液检查。希腊尽管存在行政延误和障碍，但为无保险者、寻求庇护者和移民（甚至包括许多无证移民群体）提供了全面的覆盖。
