A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System
Aller Hernández, Marta Beatriz (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i Medicina Preventiva i Salut Pública)
Colomé Doménech, Josep Maria (Consorci de Salut i Social de Catalunya)
Waibel, Sina (Consorci de Salut i Social de Catalunya)
Vargas Lorenzo, Ingrid (Consorci de Salut i Social de Catalunya)
Vázquez Navarrete, María Luisa (Consorci de Salut i Social de Catalunya)

Date:	2013
Abstract:	Objective: To compare immigrants' and natives' perceptions of relational, managerial and informational continuity of care and to explore the influence of the length of stay on immigrants' perceptions of continuity. Methods: Cross-sectional study based on a survey of a random sample of 1,500 patients, of which 22% (331) were immigrants. The study area was made up by three healthcare areas of the Catalan healthcare system. To collect data, the CCAENA questionnaire was applied. Multivariate logistic regression models were conducted. Results: Like natives, immigrants perceive high levels of managerial continuity (88. 5%) and relational continuity with primary and secondary care physicians (86. 7 and 81. 8%), and lower levels of informational continuity (59. 1%). There were no statistically significant differences in managerial and informational continuity between immigrants and natives. However, immigrants perceive a worse relational continuity with primary care physicians in terms of trust, communication and clinical responsibility. Conversely, immigrants perceive higher relational continuity with secondary care physicians in terms of effective communication and clinical responsibility. Discussion: Similar managerial and informational continuity perceptions seem to point towards a similar treatment of patients, regardless of their immigrant status. However, differences in relational continuity highlight the need for improvements in professionals' skills in treating immigrants' patients.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Emigrants and immigrants ; Continuity of patient care ; Quality of healthcare ; Health care surveys
Published in:	International journal of environmental research and public health, Vol. 10 Núm. 4 (2013) , p. 1474-1488, ISSN 1660-4601

DOI: 10.3390/ijerph10041474
PMID: 23571452

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