Martin, Yonas; Collet, Tinh-Hai; Bodenmann, Patrick; Blum, Manuel R.; Zimmerli, Lukas; Gaspoz, Jean-Michel; Battegay, Edouard; Cornuz, Jacques; Rodondi, Nicolas (2014). The lower quality of preventive care among forced migrants in a country with universal healthcare coverage. Preventive medicine, 59, pp. 19-24. Elsevier 10.1016/j.ypmed.2013.11.006
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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.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine |
UniBE Contributor: |
Blum, Manuel, Rodondi, Nicolas |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0091-7435 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Patricia Rajaonina |
Date Deposited: |
28 Mar 2014 15:06 |
Last Modified: |
05 Dec 2022 14:28 |
Publisher DOI: |
10.1016/j.ypmed.2013.11.006 |
PubMed ID: |
24262974 |
Uncontrolled Keywords: |
Forced migrants, Preventive care, Quality of care, Socio-demographic characteristics, Vulnerable populations |
BORIS DOI: |
10.7892/boris.41774 |
URI: |
https://boris.unibe.ch/id/eprint/41774 |
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