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A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System
Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona 08022, Spain
Ph.D. Programme in Public Health and Methodology of Biomedical Research, Department of Pediatrics, Obstetrics and Gynecology, and Preventive Medicine, Universitat Autònoma de Barcelona (UAB), Barcelona 08193, Spain
* Author to whom correspondence should be addressed.
Received: 15 February 2013; in revised form: 11 March 2013 / Accepted: 27 March 2013 / Published: 9 April 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.
Keywords: emigrants and immigrants; continuity of patient care; quality of healthcare; health care surveys
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MDPI and ACS Style
Aller, M.-B.; Colomé, J.M.; Waibel, S.; Vargas, I.; Vázquez, M.L. A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System. Int. J. Environ. Res. Public Health 2013, 10, 1474-1488.
Aller M-B, Colomé JM, Waibel S, Vargas I, Vázquez ML. A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System. International Journal of Environmental Research and Public Health. 2013; 10(4):1474-1488.
Aller, Marta-Beatriz; Colomé, Josep M.; Waibel, Sina; Vargas, Ingrid; Vázquez, María L. 2013. "A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System." Int. J. Environ. Res. Public Health 10, no. 4: 1474-1488.