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

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Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_E72617EA401D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The lower quality of preventive care among forced migrants in a country with universal healthcare coverage.
Périodique
Preventive Medicine
Auteur(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
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
59
Pages
19-24
Langue
anglais
Notes
Publication types: Journal Article
Résumé
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.
Pubmed
Web of science
Création de la notice
03/01/2014 10:25
Dernière modification de la notice
20/08/2019 16:10
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