Journal of Immigrant and Minority Health
Volume 18, Issue 1, 2016, Pages 1-7

Comparison of Health Care Resource Utilization by Immigrants Versus Native Elderly People (Article)

Franchi C.* , Baviera M. , Sequi M. , Cortesi L. , Tettamanti M. , Roncaglioni M.C. , Pasina L. , Dignefa C.D. , Fortino I. , Bortolotti A. , Merlino L. , Mannucci P.M. , Nobili A.
  • a Laboratory for Quality Assessment of Geriatric Therapies and Services, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Via Giuseppe La Masa, 19, Milan, 20156, Italy
  • b Laboratory of General Practice Research, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy
  • c Laboratory of Mother and Child Health, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy
  • d Laboratory of General Practice Research, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy
  • e Laboratory of Geriatric Neuropsychiatry, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy
  • f Laboratory of General Practice Research, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy
  • g Laboratory for Quality Assessment of Geriatric Therapies and Services, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Via Giuseppe La Masa, 19, Milan, 20156, Italy
  • h Laboratory for Quality Assessment of Geriatric Therapies and Services, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Via Giuseppe La Masa, 19, Milan, 20156, Italy
  • i Regional Health Ministry, Milan, Lombardy Region, Italy
  • j Regional Health Ministry, Milan, Lombardy Region, Italy
  • k Regional Health Ministry, Milan, Lombardy Region, Italy
  • l Scientific Direction, IRCCS Maggiore Hospital Foundation, Milan, Italy
  • m Laboratory for Quality Assessment of Geriatric Therapies and Services, IRCCS - Istituto di Ricerche Farmacologiche “Mario Negri”, Via Giuseppe La Masa, 19, Milan, 20156, Italy

Abstract

To compare the utilization of health care resources (drug prescriptions, hospital admissions and health care services) by immigrant versus native elderly people (65 years or more), by using administrative database of the Lombardy Region. For each immigrant (an older people born out of Italy), one person born in Lombardy (native) was randomly selected and matched by age, sex and general practitioner. The 25,508 immigrants selected were less prescribed with at least one drug (OR 0.72, 95 % CI 0.67–0.76) and had a lesser use of health care services (OR 0.79, 95 % CI 0.75–0.84) than natives. No statistically significant differences were found for hospital admission rates (OR 0.99, 95 % CI 0.99–1.04). A lower rate of health care resource utilization was observed in elderly immigrants who had been living in the host region for as many as 10 years. © 2015, Springer Science+Business Media New York.

Author Keywords

Administrative database Health care resource Migrants Elderly

Index Keywords

hospitalization human statistics and numerical data health service Aged prescription drug Prescription Drugs Humans migrant male Emigrants and Immigrants female Aged, 80 and over very elderly health services utilization hospital emergency service Emergency Service, Hospital Italy
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954309192&doi=10.1007%2fs10903-014-0152-2&partnerID=40&md5=6941a152572f68e0f8fc21bab0f5476c
DOI: 10.1007/s10903-014-0152-2
ISSN: 15571912
Cited by: 4
Original Language: English