当前位置： SCI文献检索 > BMC HEALTH SERVICES RESEARCH期刊下所有文献 > Determinants of health care utilization by immigrants in Portugal.

Determinants of health care utilization by immigrants in Portugal.

Abstract：

BACKGROUND:The increasing diversity of population in European Countries poses new challenges to national health systems. There is a lack of data on accessibility and use of health care services by migrants, appropriateness of the care provided, client satisfaction and problems experienced when confronting the health care system. This limits knowledge about the multiple determinants of the utilization of health services. The aim of this study was to describe the access of migrants to health care and its determinants in Portugal. METHODS:The study sample included 1513 immigrants (53% men), interviewed at the National Immigrant Support Centre, in Lisbon. Data were collected using questionnaires. The magnitude of associations between use of National Health Service and socio-demographic variables was estimated by means of odds ratios (OR) at 95% confidence intervals, calculated using logistic regression. RESULTS:Among participants, 3.6% stated not knowing where to go if facing a health problem. Approximately 20% of the respondents reported that they had never used the National Health Service, men more than women. Among National Health Service users, 35.6% attended Health Centres, 12% used Hospital services, and 54.4% used both. Among the participants that ever used the health services, 22.4% reported to be unsatisfied or very unsatisfied. After adjusting for all variables, utilization of health services, among immigrant men, remained significantly associated with length of stay, legal status, and country of origin. Among immigrant women, the use of health services was significantly associated with length of stay and country of origin. CONCLUSION:There is a clear need to better understand how to ensure access to health care services and to deliver appropriate care to immigrants, and that special consideration must be given to recent and undocumented migrants. To increase health services use, and the uptake of prevention programs, barriers must be identified and approaches to remove them developed, through coherent and comprehensive strategies.

journal_name

BMC Health Serv Res

journal_title

BMC health services research

authors

Dias SF,Severo M,Barros H

doi

10.1186/1472-6963-8-207

subject

Has Abstract

pub_date

2008-10-07 00:00:00

pages

207

issn

1472-6963

pii

1472-6963-8-207

journal_volume

8

pub_type

杂志文章

相关文献

BMC HEALTH SERVICES RESEARCH文献大全
  • Equity in development and access to health services in the Wild Coast of South Africa: the community view through four linked cross-sectional studies between 1997 and 2007.

    abstract：BACKGROUND:After election in 1994, the South African government implemented national and regional programmes, such as the Wild Coast Spatial Development Initiative (SDI), to provoke economic growth and to decrease inequities. CIET measured development in the Wild Coast region across four linked cross-sectional surveys ...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/1472-6963-11-S2-S5

    authors： Mitchell S,Andersson N

    更新日期：2011-12-21 00:00:00

  • Contact characteristics and factors associated with the degree of urgency among older people in emergency primary health care: a cross-sectional study.

    abstract：BACKGROUND:As the proportion of older people increases, so will the consumption of health services. The aim of this study was to describe the contact characteristics among older people and to identify factors associated with the degree of urgency at the Norwegian out-of-hours (OOH) emergency primary health care service...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-020-05219-0

    authors： Haraldseide LM,Sortland LS,Hunskaar S,Morken T

    更新日期：2020-04-22 00:00:00

  • Surgeons and preventive health: a mixed methods study of current practice, beliefs and attitudes influencing health promotion activities amongst public hospital surgeons.

    abstract：BACKGROUND:Little is known about the participation of surgeons in preventative health activities in the non-admitted hospital care setting. The aim of this study was to identify which preventive health activities surgeons practice and to explore their attitudes towards preventive health. METHODS:A mixed methods study ...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-019-4186-y

    authors： Barrett S,Begg S,Sloane A,Kingsley M

    更新日期：2019-06-06 00:00:00

  • The cost-effectiveness of a new disease management model for frail elderly living in homes for the elderly, design of a cluster randomized controlled clinical trial.

    abstract：BACKGROUND:The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. METHODS:This study concerns a cluster randomized controlled cli...

    journal_title：BMC health services research

    pub_type： 杂志文章,随机对照试验

    doi：10.1186/1472-6963-8-143

    authors： Boorsma M,van Hout HP,Frijters DH,Ribbe MW,Nijpels G

    更新日期：2008-07-07 00:00:00

  • Obstacles to the uptake of breast, cervical, and colorectal cancer screenings: what remains to be achieved by French national programmes?

    abstract：BACKGROUND:In France, equality in access to screening has been one of the main thrusts of public policies implemented between 2009 and 2013 (the national cancer plan). Our aim in this study was to analyse the obstacles to and levers for breast, cervical, and colorectal cancer screening uptake and their trends over time...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/1472-6963-14-465

    authors： Sicsic J,Franc C

    更新日期：2014-10-04 00:00:00

  • Model depicting aspects of audit and feedback that impact physicians' acceptance of clinical performance feedback.

    abstract：BACKGROUND:Audit and feedback (A&F) is a strategy that has been used in various disciplines for performance and quality improvement. There is limited research regarding medical professionals' acceptance of clinical-performance feedback and whether feedback impacts clinical practice. The objectives of our research were ...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-016-1486-3

    authors： Payne VL,Hysong SJ

    更新日期：2016-07-13 00:00:00

  • Introducing voluntary private health insurance in a mixed medical economy: are Hong Kong citizens willing to subscribe?

    abstract：BACKGROUND:Struggling to correct the public-private imbalance in its health care system, the Hong Kong SAR Government seeks to introduce a government-regulated voluntary health insurance scheme, or VHIS, a distinctive financing instrument that combines the characteristics of private insurance with strong government reg...

    journal_title：BMC health services research

    pub_type： 杂志文章,评审

    doi：10.1186/s12913-017-2559-7

    authors： He AJ

    更新日期：2017-08-25 00:00:00

  • Structure evaluation of the implementation of geriatric models in primary care: a multiple-case study of models involving advanced geriatric nurses in five municipalities in Norway.

    abstract：BACKGROUND:The Advanced Geriatric Nurse role recently has been introduced into Norway's primary healthcare system, and our study's purpose was to examine the implementation of models of care developed for Advanced Geriatric Nurse in primary care. With a structure evaluation, we tried to identify conditions that affect ...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-020-05566-y

    authors： Antypas K,Kirkevold M

    更新日期：2020-08-14 00:00:00

  • The dominance of the private sector in the provision of emergency obstetric care: studies from Gujarat, India.

    abstract：BACKGROUND:India has experienced a steep rise in institutional childbirth. The relative contributions of public and private sector facilities to emergency obstetric care (EmOC) has not been studied in this setting. This paper aims to study in three districts of Gujarat state, India:(a) the availability of EmOC faciliti...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-016-1473-8

    authors： Salazar M,Vora K,De Costa A

    更新日期：2016-07-07 00:00:00

  • Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development.

    abstract：BACKGROUND:Management, culture and systems for better quality and patient safety in hospitals have been widely studied in Norway. Nursing homes and home care, however have received much less attention. An increasing number of people need health services in nursing homes and at home, and the services are struggling with...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-020-05149-x

    authors： Johannessen T,Ree E,Aase I,Bal R,Wiig S

    更新日期：2020-04-03 00:00:00

  • Perceptions of appropriate treatment among the informal allopathic providers: insights from a qualitative study in two peri-urban areas in Bangladesh.

    abstract：BACKGROUND:How the informal providers deliver health services are not well understood in Bangladesh. However, their practices are often considered inappropriate and unsafe. This study attempted to fill-in this knowledge gap by exploring their perceptions about diagnosis and appropriate treatment, as well as identifying...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-019-4254-3

    authors： Sizear MMI,Nababan HY,Siddique MKB,Islam S,Paul S,Paul AK,Ahmed SM

    更新日期：2019-06-26 00:00:00

  • Impact evaluation of a healthy lifestyle intervention to reduce cardiovascular disease risk in health centers in San José, Costa Rica and Chiapas, Mexico.

    abstract：BACKGROUND:Previous healthy lifestyle interventions based on the Salud para Su Corazón curriculum for Latinos in the United States, and a pilot study in Guatemala, demonstrated improvements in patient knowledge, behavior, and clinical outcomes for adults with hypertension. This article describes the implementation of a...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-015-1248-7

    authors： Fort MP,Murillo S,López E,Dengo AL,Alvarado-Molina N,de Beausset I,Castro M,Peña L,Ramírez-Zea M,Martínez H

    更新日期：2015-12-28 00:00:00

  • Factors affecting general practitioners' decisions to adopt new prescription drugs - cohort analyses using Australian longitudinal physician survey data.

    abstract：BACKGROUND:We investigate factors affecting Australian general practitioners' decisions to adopt novel oral anticoagulants (NOACs) for the prevention of stroke/systemic embolism among patients with atrial fibrillation. Australia has a national homogeneous review and coverage system, which enables us to distinguish phys...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-019-3889-4

    authors： Zhang Y,Méndez SJ,Scott A

    更新日期：2019-02-07 00:00:00

  • Equity of access to reproductive health services among youths in resource-limited suburban communities of Mandalay City, Myanmar.

    abstract：BACKGROUND:Inequity of accessibility to and utilization of reproductive health (RH) services among youths is a global concern, especially in resource-limited areas. The level of inequity also varies by cultural and socio-economic contexts. To tailor RH services to the needs of youths, relevant solutions are required. T...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/1472-6963-12-458

    authors： Thin Zaw PP,Liabsuetrakul T,Htay TT,McNeil E

    更新日期：2012-12-15 00:00:00

  • Effect of counselling on health-promoting lifestyle and the quality of life in Iranian middle-aged women: a randomised controlled clinical trial.

    abstract：BACKGROUND:Promotion of healthy lifestyle is an important strategy. This study was conducted to determine the effects of counselling on health-promoting lifestyle and quality of life in middle-aged women. METHODS:This randomised, controlled, clinical trial was conducted on 102 middle-aged women presenting to health ce...

    journal_title：BMC health services research

    pub_type： 杂志文章,随机对照试验

    doi：10.1186/s12913-019-4176-0

    authors： Karimlou V,Charandabi SM,Malakouti J,Mirghafourvand M

    更新日期：2019-06-03 00:00:00

  • Promoting quality use of medicines in South-East Asia: reports from country situational analyses.

    abstract：BACKGROUND:Irrational use of medicines is widespread in the South-East Asia Region (SEAR), where policy implementation to encourage quality use of medicines (QUM) is often low. The aim was to determine whether public-sector QUM is better in SEAR countries implementing essential medicines (EM) policies than in those not...

    journal_title：BMC health services research

    pub_type： 杂志文章,多中心研究

    doi：10.1186/s12913-018-3333-1

    authors： Holloway KA,Kotwani A,Batmanabane G,Santoso B,Ratanawijitrasin S,Henry D

    更新日期：2018-07-05 00:00:00

  • Models and methods for determining the optimal number of beds in hospitals and regions: a systematic scoping review.

    abstract：BACKGROUND:Determining the optimal number of hospital beds is a complex and challenging endeavor and requires models and techniques which are sensitive to the multi-level, uncertain, and dynamic variables involved. This study identifies and characterizes extant models and methods that can be used to determine the requi...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-020-5023-z

    authors： Ravaghi H,Alidoost S,Mannion R,Bélorgeot VD

    更新日期：2020-03-06 00:00:00

  • Claims for disease-modifying therapy by Alberta non-insured health benefits clients.

    abstract：BACKGROUND:Uncontrolled disease activity in inflammatory diseases of the joints, skin and bowel leads to morbidity and disability. Disease-modifying therapies are widely used to suppress this disease activity, but cost-coverage is variable. For Treaty First Nations and Inuit people in Canada without alternative private...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-016-1685-y

    authors： Barnabe C,Healy B,Portolesi A,Kaplan GG,Hemmelgarn B,Weaselhead C

    更新日期：2016-08-24 00:00:00

  • A mixed-methods needs assessment of adult diabetes mellitus (type II) and hypertension care in Toledo, Belize.

    abstract：BACKGROUND:Non-communicable diseases, including diabetes mellitus and hypertension, continue to disproportionately burden low- and middle-income countries. However, little research has been done to establish current practices and management of chronic disease in these settings. The objective of this study was to examin...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-017-2075-9

    authors： Dekker AM,Amick AE,Scholcoff C,Doobay-Persaud A

    更新日期：2017-02-28 00:00:00

  • Disabled and immigrant, a double minority challenge: a qualitative study about the experiences of immigrant parents of children with disabilities navigating health and rehabilitation services in Norway.

    abstract：BACKGROUND:Immigrants and their Norwegian-born children make up approximately 18% of the total population in Norway. While several studies have been conducted on immigrants' utilization of healthcare services, immigrant families are systematically underrepresented in international studies of children with disabilities....

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-020-5004-2

    authors： Arfa S,Solvang PK,Berg B,Jahnsen R

    更新日期：2020-02-22 00:00:00

  • Use of shared care and routine tests in follow-up after treatment for localised cutaneous melanoma.

    abstract：BACKGROUND:Patients may decide to undertake shared care with a general practitioner (GP) during follow-up after treatment for localised melanoma. Routine imaging tests for surveillance may be commonly used despite no evidence of clinical utility. This study describes the frequency of shared care and routine tests durin...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-018-3291-7

    authors： Lim WY,Turner RM,Morton RL,Jenkins MC,Irwig L,Webster AC,Dieng M,Saw RPM,Guitera P,Low D,Low C,Bell KJL

    更新日期：2018-06-20 00:00:00

  • Willingness to pay and willingness to accept in a patient-centered blood pressure control study.

    abstract：BACKGROUND:Elevated blood pressure is a major risk factor for cardiovascular disease and stroke but patients often discount recommended behavioral changes and prescribed medications. While effective interventions to promote adherence have been developed, cost-effectiveness from the patient's perspective, has not been w...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-017-2451-5

    authors： Gleason-Comstock J,Streater A,Goodman A,Janisse J,Brody A,Mango L,Dawood R,Levy P

    更新日期：2017-08-07 00:00:00

  • The quality of medical death certification of cause of death in hospitals in rural Bangladesh: impact of introducing the International Form of Medical Certificate of Cause of Death.

    abstract：BACKGROUND:Accurate and timely data on cause of death are critically important for guiding health programs and policies. Deaths certified by doctors are implicitly considered to be reliable and accurate, yet the quality of information provided in the international Medical Certificate of Cause of Death (MCCD) usually va...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-017-2628-y

    authors： Hazard RH,Chowdhury HR,Adair T,Ansar A,Quaiyum Rahman AM,Alam S,Alam N,Rampatige R,Streatfield PK,Riley ID,Lopez AD

    更新日期：2017-10-02 00:00:00

  • A systematic review of different models of home and community care services for older persons.

    abstract：BACKGROUND:Costs and consumer preference have led to a shift from the long-term institutional care of aged older people to home and community based care. The aim of this review is to evaluate the outcomes of case managed, integrated or consumer directed home and community care services for older persons, including thos...

    journal_title：BMC health services research

    pub_type： 杂志文章,评审

    doi：10.1186/1472-6963-11-93

    authors： Low LF,Yap M,Brodaty H

    更新日期：2011-05-09 00:00:00

  • Communication and patient safety in gynecology and obstetrics - study protocol of an intervention study.

    abstract：BACKGROUND:Patient safety is a key target in public health, health services and medicine. Communication between all parties involved in gynecology and obstetrics (clinical staff/professionals, expectant mothers/patients and their partners, close relatives or friends providing social support) should be improved to ensur...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-019-4579-y

    authors： Lippke S,Wienert J,Keller FM,Derksen C,Welp A,Kötting L,Hofreuter-Gätgens K,Müller H,Louwen F,Weigand M,Ernst K,Kraft K,Reister F,Polasik A,Huener Nee Seemann B,Jennewein L,Scholz C,Hannawa A

    更新日期：2019-11-28 00:00:00

  • Identifying the barriers and enablers in the implementation of the New Zealand and Australian Antenatal Corticosteroid Clinical Practice Guidelines.

    abstract：BACKGROUND:The ineffective implementation of evidence based practice guidelines can mean that the best health outcomes are not achieved. This study examined the barriers and enablers to the uptake and implementation of the new bi-national (Australia and New Zealand) antenatal corticosteroid clinical practice guidelines...

    journal_title：BMC health services research

    pub_type： 杂志文章,多中心研究

    doi：10.1186/s12913-016-1858-8

    authors： Mc Goldrick EL,Crawford T,Brown JA,Groom KM,Crowther CA

    更新日期：2016-10-28 00:00:00

  • "I go I die, I stay I die, better to stay and die in my house": understanding the barriers to accessing health care in Timor-Leste.

    abstract：BACKGROUND:Despite public health care being free at the point of delivery in Timor-Leste, wealthier patients access hospital care at nearly twice the rate of poorer patients. This study seeks to understand the barriers driving inequitable utilisation of hospital services in Timor-Leste from the perspective of community...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-016-1762-2

    authors： Price JA,Soares AI,Asante AD,Martins JS,Williams K,Wiseman VL

    更新日期：2016-09-30 00:00:00

  • Developing a patient and family-centred approach for measuring the quality of injury care: a study protocol.

    abstract：BACKGROUND:Quality indicators (QI) are used in health care to measure quality of service and performance improvement. Health care professionals and organizations caring for patients with injuries need information regarding the quality of care provided and the outcomes experienced in order to target improvement efforts....

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/1472-6963-13-31

    authors： Stelfox HT,Boyd JM,Straus SE,Gagliardi AR

    更新日期：2013-01-27 00:00:00

  • The influential role of personal advice networks on general practitioners' performance: a social capital perspective.

    abstract：BACKGROUND:In several health systems of advanced countries, reforms have changed primary care in the last two decades. The literature has assessed the effects of a variety of interventions and individual factors on the behavior of general practitioners (GPs). However, there has been a lack of investigation concerning t...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-017-2467-x

    authors： Calciolari S,González-Ortiz LG,Lega F

    更新日期：2017-08-08 00:00:00

  • Impact of a New York City supportive housing program on Medicaid expenditure patterns among people with serious mental illness and chronic homelessness.

    abstract：BACKGROUND:A rapid increase of Medicaid expenditures has been a serious concern, and housing stability has been discussed as a means to reduce Medicaid costs. A program evaluation of a New York City supportive housing program has assessed the association between supportive housing tenancy and Medicaid savings among New...

    journal_title：BMC health services research

    pub_type： 杂志文章

    doi：10.1186/s12913-017-2816-9

    authors： Lim S,Gao Q,Stazesky E,Singh TP,Harris TG,Levanon Seligson A

    更新日期：2018-01-10 00:00:00