d31cebca5203817f29acf9927c76a712 intjouenvrespubhea_a2013v10n4p1474.pdf 740e5c56d6454bbac97ce93508c3020712d73421 intjouenvrespubhea_a2013v10n4p1474.pdf 7b7497997162665e2e1d21ebb8004961d3c43b189d1059e2d9fea84f8574831e intjouenvrespubhea_a2013v10n4p1474.pdf Title: A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System Subject: 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. Keywords: emigrants and immigrants; continuity of patient care; quality of healthcare; health care surveys Author: Marta-Beatriz Aller, Josep Maria Colomé, Sina Waibel, Ingrid Vargas, María Luisa Vázquez Creator: Microsoft® Office Word 2007 Producer: Microsoft® Office Word 2007 CreationDate: Tue Apr 9 13:53:42 2013 ModDate: Tue Apr 9 13:55:31 2013 Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 15 Encrypted: no Page size: 595.62 x 841.68 pts Page rot: 0 File size: 244661 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- Times New Roman,Italic TrueType WinAnsi no no no 5 0 Times New Roman TrueType WinAnsi no no no 7 0 Times New Roman,Bold TrueType WinAnsi no no no 9 0 Times New Roman CID TrueType Identity-H yes no yes 11 0 Times New Roman,BoldItalic TrueType WinAnsi no no no 27 0 Times New Roman,Bold CID TrueType Identity-H yes no yes 31 0 Arial,Bold TrueType WinAnsi no no no 39 0 Arial TrueType WinAnsi no no no 42 0 ABCDEE+Times New Roman Bold,Bold TrueType WinAnsi yes yes no 49 0 Times New Roman,Italic CID TrueType Identity-H yes no yes 57 0 Jhove (Rel. 1.6, 2011-01-04) Date: 2017-03-29 11:28:46 CEST RepresentationInformation: intjouenvrespubhea_a2013v10n4p1474.pdf ReportingModule: PDF-hul, Rel. 1.8 (2009-05-22) LastModified: 2016-12-09 10:29:21 CET Size: 244661 Format: PDF Version: 1.5 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 1217 FreeObjects: 1129 IncrementalUpdates: 2 DocumentCatalog: PageLayout: SinglePage PageMode: UseThumbs Language: en-US Info: Title: A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System Author: Marta-Beatriz Aller, Josep Maria Colomé, Sina Waibel, Ingrid Vargas, María Luisa Vázquez Subject: 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. Keywords: emigrants and immigrants; continuity of patient care; quality of healthcare; health care surveys Creator: Microsoft® Office Word 2007 Producer: Microsoft® Office Word 2007 CreationDate: Tue Apr 09 07:53:42 CEST 2013 ModDate: Tue Apr 09 07:55:31 CEST 2013 ID: 0x86cb29200b42bd4b951e9cf6fbae5d9e, 0xd156901084cc0648b097a63fd82d91e8 Filters: FilterPipeline: FlateDecode Fonts: Type0: Font: BaseFont: TimesȀNewȀRoman,Italic Encoding: Identity-H ToUnicode: true Font: BaseFont: TimesȀNewȀRoman Encoding: Identity-H ToUnicode: true Font: BaseFont: TimesȀNewȀRoman,Bold Encoding: Identity-H ToUnicode: true TrueType: Font: Name: F9 BaseFont: ABCDEE+TimesȀNewȀRomanȀBold,Bold FontSubset: true FirstChar: 32 LastChar: 98 FontDescriptor: FontName: ABCDEE+TimesȀNewȀRomanȀBold,Bold Flags: Nonsymbolic FontBBox: -558, -216, 2000, 677 FontFile2: true Encoding: WinAnsiEncoding Font: BaseFont: TimesȀNewȀRoman,Italic FirstChar: 32 LastChar: 243 FontDescriptor: FontName: TimesȀNewȀRoman,Italic Flags: Nonsymbolic FontBBox: -498, -216, 1120, 694 Encoding: WinAnsiEncoding Font: BaseFont: TimesȀNewȀRoman FirstChar: 32 LastChar: 250 FontDescriptor: FontName: TimesȀNewȀRoman Flags: Nonsymbolic FontBBox: -568, -216, 2000, 693 Encoding: WinAnsiEncoding Font: Name: F8 BaseFont: Arial FirstChar: 32 LastChar: 121 FontDescriptor: FontName: Arial Flags: Nonsymbolic FontBBox: -665, -210, 2000, 728 Encoding: WinAnsiEncoding Font: BaseFont: TimesȀNewȀRoman,Bold FirstChar: 32 LastChar: 250 FontDescriptor: FontName: TimesȀNewȀRoman,Bold Flags: Nonsymbolic FontBBox: -558, -216, 2000, 677 Encoding: WinAnsiEncoding Font: Name: F5 BaseFont: TimesȀNewȀRoman,BoldItalic FirstChar: 112 LastChar: 112 FontDescriptor: FontName: TimesȀNewȀRoman,BoldItalic Flags: Nonsymbolic FontBBox: -547, -216, 1206, 677 Encoding: WinAnsiEncoding CIDFontType2: Font: BaseFont: TimesȀNewȀRoman,Bold CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: TimesȀNewȀRoman,Bold Flags: Nonsymbolic FontBBox: -558, -216, 2000, 677 FontFile2: true Font: BaseFont: TimesȀNewȀRoman,Italic CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: TimesȀNewȀRoman,Italic Flags: Nonsymbolic FontBBox: -498, -216, 1120, 694 FontFile2: true Font: BaseFont: TimesȀNewȀRoman CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: TimesȀNewȀRoman Flags: Nonsymbolic FontBBox: -568, -216, 2000, 693 FontFile2: true XMP: application/pdf Marta-Beatriz Aller, Josep Maria Colomé, Sina Waibel, Ingrid Vargas, María Luisa Vázquez A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System 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. 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