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Utilisation of Hospital Services in Italy: A Comparative Analysis of Immigrant and Italian citizens

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Abstract

In Italy, immigrants from Less Developed Countries (LDCs) have doubled every 10 years since the 1970s and this number grew to 330,000 at the end of 1981, and to more than 1,300,000 in 2001. As the presence of immigrants increases, it becomes ever more important to assess their health needs and utilisation of health services, in order to promote adequate programmes and policies. This study was aimed to compare the patterns of hospital use by immigrants from LDCs living in the Lazio Region, Italy, with those of the resident Italians. The study was based on the hospital discharge data collected by the Lazio Region Hospital Information System. Discharges of immigrants from acute hospitals in Lazio during 2005 were compared with discharges of resident Italians. Age- and sex-specific hospitalisation rates (per 1,000) were also calculated for legal immigrants and Italians aged 18 years and over. Of 56,610 foreign patients from LCDs admitted to hospitals in Lazio during 2005, 88% were legally residing in the region. The immigrants were younger than the Italians (mean age 30.6 and 51.7 years, respectively), more than half were female and single, and about 1/3 had studied for 9 or more years. Among males, a similar pattern of hospital use by age was observed for foreigners and Italians, with the rates for foreigners in acute care being higher among young people (due to traumatic accidents) and lower among the oldest. Differently, among foreign females, the admission rates for both acute and day care settings varied with women’s age, the pattern of hospital use being strongly influenced by reproductive events. The main reason for hospitalisation of foreign males in acute care was injuries (approximately 1/4 of all discharges), and in day care was neoplasms; among females, more than half of the admissions were for childbirth in acute or induced abortions in day care. Injuries for males and induced abortions for females were identified as critical areas for migrants’ health, in which public health interventions may be promoted.

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Notes

  1. Classification of foreign countries: 15 EU countries, as well as Andorra, Vatican City, Iceland, Liechtenstein, Malta, Monaco, Norway, San Marino and Switzerland in Europe; Canada and the United States in America; Oceania; and Japan and Israel in Asia were considered Developed Countries; all the other foreign countries were classified in this article as Less Developed Countries.

References

  1. Caritas/Migrantes: Contemporary immigration in Italy: current trends and future prospects. Roma: Nuova Anterem; 2003.

  2. Baglio G, Cacciani L, Rosano A, Burgio A, Geraci S, Guasticchi G. Ospedalizzazione tra gli stranieri. In: Osservatorio Nazionale sulla Salute nelle Regioni Italiane. Rapporto Osservasalute 2005. Milano: Prex; 2006. pp. 169–186.

  3. Barro G, Cislaghi C, Costa G, Lemma P, Bandera L. Health problems of foreigners immigrated to Italy: the answer of institutions. Epidemiol Prev. 1993;17:239–43.

    CAS  PubMed  Google Scholar 

  4. Cacciani L, Baglio G, Rossi L, Materia E, Marceca M, Geraci S, Spinelli A, Osborn J, Guasticchi G. Hospitalisation among immigrants in Italy. Emerg Themes Epidemiology 2006; 3: 4. Available from: http://www.ete-online.com/content/3/1/4.

  5. Geraci S. La sfida della medicina delle migrazioni. In: Caritas/Migrantes, editor. Dossier statistico 2005: XV Rapporto sull’Immigrazione. Roma: Nuova Anterem; 2005.

    Google Scholar 

  6. Pennazza F, Boldrini R, Fortino A. Rapporto statistico il ricovero ospedaliero degli stranieri in Italia nell’anno 2000. Roma: Ministero della Salute, Ufficio di Statistica; 2002.

    Google Scholar 

  7. Sabbatani S, Baldi E, Manfredi R, Chiodo F. Admission of Foreign citizens to the general teaching hospital of Bologna, Northeastern Italy. An epidemiological and clinical survey. BJID. 2006;10(2):66–77.

    Google Scholar 

  8. Cots F, Castells X, García O, Riu M, Felipe A, Vall O. Impact of immigration on the cost of emergency visits in Barcelona. BMC Health Serv Res. 2007;7:9.

    Article  PubMed  Google Scholar 

  9. Freeman HE, Blendon RJ, Aiken DH. Americans report on their access to health care. Health Aff. 1987;7:6–18.

    Article  Google Scholar 

  10. Lucas JW, Barr-Anderson DJ, Kington RS. Health status, health insurance, and health care utilization patterns of immigrant Black men. Am J Public Health. 2003;93:1740–7.

    Article  PubMed  Google Scholar 

  11. Muennig P, Fans MC. Health status and hospital utilization of recent immigrants to New York city. Prev Med. 2002;35:225–31.

    Article  PubMed  Google Scholar 

  12. Stronks K, Ravelli ACJ, Reijneveld SA. Immigrants in the Netherlands: equal access for equal needs? J Epidemiol Community Health. 2001;55:701–17.

    Article  CAS  PubMed  Google Scholar 

  13. Venema HPU, Garretsen HFL, Van Der Maas PJ. Health of migrants and migrants health policy: the Netherlands as an example. Soc Sci Med. 1995;41:809–18.

    Article  Google Scholar 

  14. Ministero della Sanità. Classificazione delle malattie, dei traumatismi, degli interventi chirurgici e delle procedure diagnostiche e terapeutiche—versione 1997. Roma: Istituto Poligrafico e Zecca dello Stato; 1998.

  15. Istituto Nazionale di Statistica (Istat). Demography in figures. Roma; 2007. Available from: http://demo.istat.it/index_e.html.

  16. Istituto Nazionale di Statistica (Istat). La presenza straniera in Italia: caratteristiche demografiche. Roma: Informazioni; 2004. p. 10.

    Google Scholar 

  17. Caritas/Migrantes. Dossier statistico immigrazione 2006. Roma: Nuova Anterem; 2006.

    Google Scholar 

  18. Fortino A, Pennazza F, Boldrini R, Randazzo M, Marceca M, Geraci S. Rapporto nazionale sui ricoveri ospedalieri degli stranieri in Italia—Anno 1998. Roma: Ministero della Salute, Dipartimento della Programmazione; 2000.

  19. Marceca M. Aree di attenzione: la salute. In: Fondazione ISMU, editor. XI Rapporto sulle Migrazioni 2005. Milano: Ed. FrancoAngeli; 2006.

    Google Scholar 

  20. McDonald JT, Kennedy S. Insights into the “healthy immigrant effect”: health status and health service use of immigrants to Canada. Soc Sci Med. 2004;59:1613–27.

    Article  PubMed  Google Scholar 

  21. Buron A, Cots F, Garcia O, Vall O, Castells X. Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain. BMC Health Serv Res. 2008;8:51.

    Article  PubMed  Google Scholar 

  22. López Nicolás A, Ramos Parreño JM. Health services utilization by the immigrant and native-born populations in the autonomous region of Murcia (Spain). Gac Sanit 2009, Nov 25.

  23. Blais R, Maïga A. Do ethnic groups use health services like the majority of the population? A study from Quebec, Canada. Soc Sci Med. 1999;48:1237–45.

    Article  CAS  PubMed  Google Scholar 

  24. Capacci F, Carnevale F, Gazzano N. The health of foreign workers in Italy. Int J Occup Environ Health. 2005;11:64–6.

    PubMed  Google Scholar 

  25. Egger M, Minder CE, Smith GD. Health inequalities and migrant workers in Switzerland. Lancet. 1990;336:816.

    Article  CAS  PubMed  Google Scholar 

  26. Farchi S, Giorgi Rossi P, Chini F, Baglio G, Cacciani L, Lori G, et al. Injuries in the non industrialised country immigrants: analysis of emergency admissions in Latium, Italy, year 2000. Ann Ig. 2005;17:335–42.

    CAS  PubMed  Google Scholar 

  27. Medda E, Baglio G, Guasticchi G, Spinelli A. Reproductive health of immigrant women in the Lazio region of Italy. Ann Ist Super Sanita. 2002;38(4):357–65.

    PubMed  Google Scholar 

  28. Baglio G, Spinelli A, Guasticchi G. La salute delle donne immigrate in Italia e nel Lazio. Studi Emigrazione. 2006;161:43–58.

    Google Scholar 

  29. Spinelli A, Baglio G, Lispi L, Guasticchi G. Health conditions of immigrant women in Italy. Ann Ig. 2005;17(3):231–41.

    CAS  PubMed  Google Scholar 

  30. Spinelli A, Forcella E, Di Rollo S, Grandolfo ME. L’interruzione volontaria di gravidanza tra le donne straniere in Italia. Roma: Istituto Superiore di Sanità, Rapporto Istisan 06/17; 2006.

  31. Cacciani L, Rosano A, Boros S, Colucci A, Suligoi B, Rezza G, et al. AIDS among immigrants in Italy (1992–2003). Eur J Public Health. 2006;14(suppl. 4):188.

    Google Scholar 

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Authors and Affiliations

  1. National Centre for Epidemiology, Surveillance, and Health Promotion, Istituto Superiore di Sanità, via Giano della Bella, 34, 00162, Rome, Italy

    Giovanni Baglio & Angela Spinelli

  2. LSHTM, London, UK

    Catherine Saunders

  3. Department of Public Health Sciences, University of Rome “La Sapienza”, Rome, Italy

    John Osborn

Authors
  1. Giovanni Baglio
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  2. Catherine Saunders
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  3. Angela Spinelli
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  4. John Osborn
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Correspondence to Giovanni Baglio.

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Baglio, G., Saunders, C., Spinelli, A. et al. Utilisation of Hospital Services in Italy: A Comparative Analysis of Immigrant and Italian citizens. J Immigrant Minority Health 12, 598–609 (2010). https://doi.org/10.1007/s10903-010-9319-7

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  • DOI: https://doi.org/10.1007/s10903-010-9319-7

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