The lower quality of preventive care among forced migrants in a country with universal healthcare coverage.

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Version: Author's accepted manuscript
Serval ID
serval:BIB_E72617EA401D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The lower quality of preventive care among forced migrants in a country with universal healthcare coverage.
Journal
Preventive Medicine
Author(s)
Martin Y., Collet T.H., Bodenmann P., Blum M.R., Zimmerli L., Gaspoz J.M., Battegay E., Cornuz J., Rodondi N.
ISSN
1096-0260 (Electronic)
ISSN-L
0091-7435
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
59
Pages
19-24
Language
english
Notes
Publication types: Journal Article
Abstract
OBJECTIVE: To assess the association between socio-demographic factors and the quality of preventive care and chronic care of cardiovascular (CV) risk factors in a country with universal health care coverage.
METHODS: Our retrospective cohort assessed a random sample of 966 patients aged 50-80years followed over 2years (2005-2006) in 4 Swiss university primary care settings (Basel/Geneva/Lausanne/Zürich). We used RAND's Quality Assessment Tools indicators and examined recommended preventive care among different socio-demographic subgroups.
RESULTS: Overall patients received 69.6% of recommended preventive care. Preventive care indicators were more likely to be met among men (72.8% vs. 65.4%; p<0.001), younger patients (from 71.0% at 50-59years to 66.7% at 70-80years, p for trend=0.03) and Swiss patients (71.1% vs. 62.7% in forced migrants; p=0.001). This latter difference remained in multivariate analysis adjusted for gender, age, civil status and occupation (OR 0.68; 95% CI 0.54-0.86). Forced migrants had lower scores for physical examination and breast and colon cancer screening (all p≤0.02). No major differences were seen for chronic care of CV risk factors.
CONCLUSION: Despite universal healthcare coverage, forced migrants receive less preventive care than Swiss patients in university primary care settings. Greater attention should be paid to forced migrants for preventive care.
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Web of science
Create date
03/01/2014 11:25
Last modification date
20/08/2019 17:10
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