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Free clinic utilisation by immigrants after the introduction of a restrictive health policy in the Basque Country (Spain)
Department of Nursing I, University of the Basque Country (UPV/EHU), Biscay, Spain.
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. Department of Nursing I, University of the Basque Country (UPV/EHU), Biscay, Spain.ORCID-id: 0000-0001-7234-3510
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0002-8114-4705
2018 (Engelska)Ingår i: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 163, s. 9-15Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

OBJECTIVES: Policies restricting healthcare access for immigrants were applied in times of reduced public funding for welfare in Spain. This study aimed to assess the impact of the implementation of a more restrictive health policy in the Basque Country region, Decree 114/2012, on the number of consultations attended at a free clinic, where the majority of patients are undocumented immigrants.

STUDY DESIGN: Interrupted time series.

METHODS: A negative binomial regression model was applied in two phases to the number of healthcare consultations during the period 2007-2017 (n = 9272) to estimate the level and trend changes associated with the implementation of the policy. Data were analysed separately by sex and adjusted for consultations' seasonality and unemployment rate and the sex-specific percentage of migrant population in Biscay province as confounding factors.

RESULTS: Different trends of attendance between men and women were observed during the whole period, constituting 76.94% and 23.06% of all consultations, respectively. After the implementation of the decree, the number of consultations for women per trimester decreased and increased for men by 1%, although it was not statistically significant in either of the trends.

CONCLUSIONS: No clear relationship between the implementation of the Basque Decree 114/2012 and an increase in the attendance of immigrants in a free clinic during the studied period was found.

Ort, förlag, år, upplaga, sidor
Saunders Elsevier, 2018. Vol. 163, s. 9-15
Nyckelord [en]
free clinic, health policy, healthcare access, migrant, undocumented immigrants
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
URN: urn:nbn:se:umu:diva-150567DOI: 10.1016/j.puhe.2018.06.006ISI: 000446680400003PubMedID: 30015048OAI: oai:DiVA.org:umu-150567DiVA, id: diva2:1238229
Tillgänglig från: 2018-08-13 Skapad: 2018-08-13 Senast uppdaterad: 2019-04-24Bibliografiskt granskad

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Public Health
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiHälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

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