National Institute for Health, Migration and Poverty (INMP), Roma, Italy.
Epidemiology Unit, Local Health Unit TO3 Piedmont Region, Grugliasco, Italy.
Front Public Health. 2022 Feb 9;10:817696. doi: 10.3389/fpubh.2022.817696. eCollection 2022.
The health status and health care needs of immigrant populations must be assessed. The aim of this study was to evaluate barriers to accessing primary care and the appropriateness of health care among resident immigrants in Italy, using indicators regarding maternal health, avoidable hospitalization, and emergency care.
Cross-sectional study using some indicators of the National Monitoring System of Health Status and Healthcare of the Immigrant Population (MSHIP), coordinated by the National Institute for Health, Migration and Poverty (INMP), calculated on perinatal care, hospital discharge, and emergency department databases for the years 2016-2017 in nine Italian regions (Piedmont, Trento, Bolzano, Emilia-Romagna, Tuscany, Umbria, Latium, Basilicata, Sicily). The analyses were conducted comparing immigrant and Italian residents.
Compared to Italian women, immigrant women had fewer than five gynecological examinations (8.5 vs. 16.3%), fewer first examinations after the 12th week of gestational age (3.8 vs. 12.5%), and fewer than two ultrasounds (1.0 vs. 3.8%). Compared to Italians, immigrants had higher standardized rates (× 1,000 residents) of avoidable hospitalizations (males: 2.1 vs. 1.4; females: 0.9 vs. 0.7) and of access to emergency departments for non-urgent conditions (males: 62.0 vs. 32.7; females: 52.9 vs. 31.4).
In Italy, there appear to be major issues regarding accessing services and care for the immigrant population. Policies aimed at improving socioeconomic conditions and promoting integration can promote healthy lifestyles and appropriate access to health care, counteracting the emergence of health inequities in the immigrant population.
必须评估移民人口的健康状况和医疗保健需求。本研究的目的是使用孕产妇健康、可避免住院和急诊护理方面的指标，评估意大利居民移民获得初级保健的障碍和医疗保健的适宜性。
使用国家移民人口健康和医疗监测系统（MSHIP）的一些指标进行横断面研究，该系统由国家卫生、移民和贫困研究所（INMP）协调，计算了 2016-2017 年意大利 9 个地区（皮埃蒙特、特伦托、博尔扎诺、艾米利亚-罗马涅、托斯卡纳、翁布里亚、拉齐奥、巴西利卡塔、西西里岛）的围产期护理、出院和急诊科数据库。分析比较了移民和意大利居民。
与意大利妇女相比，移民妇女进行的妇科检查次数少于 5 次（8.5 次对 16.3 次），妊娠 12 周后首次检查次数少于 3.8 次（3.8 次对 12.5 次），且少于 2 次超声检查（1.0 次对 3.8 次）。与意大利人相比，移民的可避免住院率（男性：2.1 次对 1.4 次；女性：0.9 次对 0.7 次）和非紧急情况下到急诊部门就诊的比例（男性：62.0 次对 32.7 次；女性：52.9 次对 31.4 次）更高。
在意大利，移民获得服务和医疗保健方面似乎存在重大问题。旨在改善社会经济条件和促进融合的政策可以促进健康的生活方式和适当的医疗保健，从而遏制移民人群中出现健康不平等现象。
