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比较澳大利亚移民群体的医疗服务使用情况:来自澳大利亚家庭收入与劳动力动态调查的证据。

Comparing health service usage of migrant groups in Australia: Evidence from the household income and labour dynamics survey of Australia.

作者信息

Brown Heather, Breislin Emily

机构信息

Lancaster University, Division of Health Research, Lancaster LA1 4AT, United Kingdom.

Lumanity, Steel City House, West Street, Sheffield S1 2GQ, United Kingdom.

出版信息

J Migr Health. 2024 Oct 10;10:100277. doi: 10.1016/j.jmh.2024.100277. eCollection 2024.

Abstract

PURPOSE

We explored differences in primary and secondary health care usage across migrants from different regions in Australia.

DESIGN/METHODOLOGY/APPROACH: Data comes from the Household Income and Labour Dynamics of Australia survey from waves 9, 13, and 17 (2009, 2013, and 2017). Zero inflated Poisson regressions and non-linear decompositions were estimated.

FINDINGS

Younger women from South Asia, Latin America and Eastern and Southern Europe and younger men from Eastern and Southern Europe had lower rates of GP visits compared to the host population. Older African men have higher rates of nights in hospital and younger Eastern and Southern European women, older women from the Rest of Asia, and younger African men and women have lower rates of nights in hospital compared to the host population.

ORIGINALITY

This is the first paper to investigate differences in primary and service usage amongst immigrants across the life course. Our results have important implications for planning of health service resources.

PRACTICAL IMPLICATIONS

Migrants are a heterogenous group and health policy needs to consider these differences to ensure the effectiveness and efficiency of service provision.

摘要

目的

我们探究了澳大利亚不同地区移民在初级和二级医疗保健使用方面的差异。

设计/方法/途径:数据来自澳大利亚家庭收入与劳动力动态调查的第9、13和17轮(2009年、2013年和2017年)。估计了零膨胀泊松回归和非线性分解。

研究结果

与当地居民相比,来自南亚、拉丁美洲以及东欧和南欧的年轻女性以及来自东欧和南欧的年轻男性看全科医生的比率较低。与当地居民相比,年长的非洲男性住院天数较多,而东欧和南欧的年轻女性、亚洲其他地区的年长女性以及非洲的年轻男性和女性住院天数较少。

创新性

这是第一篇研究不同年龄段移民在初级医疗和服务使用方面差异的论文。我们的研究结果对卫生服务资源规划具有重要意义。

实际意义

移民是一个异质性群体,卫生政策需要考虑这些差异,以确保服务提供的有效性和效率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbba/11915523/df18e94631f0/gr1.jpg

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