Finnish Institute for Health and Welfare, Public Health and Welfare, Helsinki, Finland.
University of Oulu, Faculty of Medicine, Research Unit of Clinical Medicine, Oulu, Finland.
Inquiry. 2024 Jan-Dec;61:469580241252567. doi: 10.1177/00469580241252567.
Foreign-born people have been found to be less satisfied with health care than native populations across countries. However, studies on differences in satisfaction with treatment between different foreign-born groups are lacking. This study explores differences in satisfaction with primary health care between the foreign-born population from different regions of origins and the general population of Finland. The study uses survey data on foreign-born population (n = 2708) and general population (n = 6671) living in Finland who report using health services. Satisfaction with experienced respect for privacy during treatment, benefit of treatment and smoothness of treatment are predicted by region of origin using logistic regression. Almost all foreign-born groups were less likely to consider treatment appointments beneficial as compared to the general population. Some foreign-born groups (people from Southeast Asia and South and Central Asia) were more satisfied with smoothness of care compared to general population. People from East Asia were less likely than the general population to consider that their privacy had been respected during the examinations and treatment. While we made the positive finding of high overall satisfaction with treatment, we also found important differences between groups. In particular, appointments were found less useful among the foreign-born population. Perceived unusefulness of treatment might lead to underuse of health care, which might result in accumulation of untreated health problems. The results point toward potential development points in the health care system. Addressing these issues might help decrease health disparities between population groups.
研究发现,与本地人口相比,移民对医疗保健的满意度较低。然而,对于不同移民群体之间治疗满意度差异的研究还很缺乏。本研究探讨了来自不同原籍地区的移民人口与芬兰普通人群在初级保健方面满意度的差异。该研究使用了在芬兰生活的移民人口(n=2708)和普通人群(n=6671)的调查数据,这些人报告了使用卫生服务的情况。使用逻辑回归预测了原籍地区对治疗期间隐私尊重感、治疗获益和治疗流畅性的满意度。与普通人群相比,几乎所有移民群体都不太认为治疗预约是有益的。一些移民群体(来自东南亚以及南亚和中亚的人)对护理的流畅性比普通人群更满意。与普通人群相比,东亚人不太认为在检查和治疗过程中他们的隐私得到了尊重。虽然我们对治疗总体满意度高的情况感到欣慰,但我们也发现了不同群体之间的重要差异。特别是,移民群体认为预约不太有用。治疗被认为无用可能导致医疗保健的使用不足,这可能导致未治疗的健康问题积累。这些结果指向了医疗保健系统的潜在发展点。解决这些问题可能有助于减少不同人群之间的健康差距。