Finnish Institute for Health and Welfare, 00271 Helsinki, Finland.
Department of Psychology and Logopedics, University of Helsinki, 00014 Helsinki, Finland.
Int J Environ Res Public Health. 2021 Feb 24;18(5):2229. doi: 10.3390/ijerph18052229.
Equal access to health care is one of the key policy priorities in many European societies. Previous findings suggest that there may be wide differences in the use of health services between people of migrant origin and the general population. We analyzed cross-sectional data from a random sample of persons of Russian (n = 692), Somali (n = 489), and Kurdish (n = 614) origin and the Health 2011 survey data (n = 1406) representing the general population in Finland. Having at least one outpatient visit to any medical doctor during the previous 12 months was at the same level for groups of Russian and Kurdish origin, but lower for people of Somali origin, compared with the general population. Clear differences were found when examining where health care services were sought: people of migrant origin predominantly visited a doctor at municipal health centers whereas the general population also used private and occupational health care. Self-reported need for doctor's treatment was especially high among Russian women and Kurdish men and women. Compared to the general population, all migrant origin groups reported much higher levels of unmet medical need and were less satisfied with the treatment they had received. Improving basic-level health services would serve besides the population at large, the wellbeing of the population of migrant origin.
平等获得医疗保健是许多欧洲社会的主要政策重点之一。先前的研究结果表明，移民出身的人与普通人群在医疗服务的使用上可能存在很大差异。我们分析了来自俄罗斯（n=692）、索马里（n=489）和库尔德（n=614）移民的随机样本和代表芬兰普通人群的 2011 年健康调查数据（n=1406）的横断面数据。与普通人群相比，在过去 12 个月中至少有一次看任何医生的门诊就诊率在俄罗斯和库尔德原籍群体中处于同一水平，但索马里原籍群体的这一比例较低。在检查寻求医疗服务的地点时，发现了明显的差异：移民出身的人主要在市立保健中心看医生，而普通人群也使用私人和职业保健。俄罗斯女性和库尔德男女自我报告对医生治疗的需求特别高。与普通人群相比，所有移民原籍群体报告的未满足的医疗需求水平要高得多，对他们所接受的治疗的满意度也较低。改善基层卫生服务不仅将造福普通人群，也将造福移民出身的人群。
