[Evaluating health care of the immigrant population in Italy through indicators of a national monitoring system].
Valutazione dell’assistenza sanitaria della popolazione immigrata in Italia attraverso alcuni indicatori di un sistema nazionale di monitoraggio.
immigrants; access; intervention policies; equity; monitoring system.
Journal
Epidemiologia e prevenzione
ISSN: 1120-9763
Titre abrégé: Epidemiol Prev
Pays: Italy
ID NLM: 8902507
Informations de publication
Date de publication:
Historique:
entrez:
8
1
2021
pubmed:
9
1
2021
medline:
24
6
2021
Statut:
ppublish
Résumé
to evaluate maternal and child healthcare, avoidable hospitalisation, access to emergency services among immigrants in Italy. cross sectional study of some health and health care indicators among Italian and foreign population residing in Italy in 2016-2017. indicators based on the national monitoring system coordinated by the Italian National Institute for Health, Migration and Poverty (INMP) of Rome, calculated on perinatal care (CedAP), hospital discharge (SDO), emergency services (EMUR) archives for the years 2016-2017, by of the following regions: Piedmont, Trento, Bolzano, Emilia-Romagna, Tuscany, Umbria, Lazio, Basilicata, Sicily. number and timeliness of pregnancy visits, number of ultrasounds, invasive prenatal investigations; perinatal mortality rates, birth weight, Apgar score at 5 minutes, need for neonatal resuscitation; standardized rates of avoidable hospitalisation and access to emergency services by triage code. more often than Italians, immigrant women have during pregnancy: less than 5 gynaecological examination (16.3% vs 8.5%), first examination after the 12th week of gestational age (12.5% vs 3.8%), less than 2 ultrasounds (3.8% vs 1.0%). Higher perinatal mortality rates among immigrants compared to Italians (3.6 vs 2.3 x1,000). Higher standardized rates (x1,000) among immigrants compared to Italians of avoidable hospitalisation (men: 2.1 vs 1.4; women: 0.9 vs 0.7) and of white triage codes in emergency (men: 62.0 vs 32.7; women: 52.9 vs 31.4). study findings show differences in access and outcomes of healthcare between Italians and immigrants. National monitoring system of indicators, coordinated by INMP, represents a useful tool for healthcare intervention policies aimed to health equity.
Identifiants
pubmed: 33415950
doi: 10.19191/EP20.5-6.S1.P085.077
pii: 4988
doi:
Types de publication
Journal Article
Langues
ita
Sous-ensembles de citation
IM