The lower quality of preventive care among forced migrants in a country with universal healthcare coverage

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 and 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:

09 Nov 2015 10:53

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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