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Access, treatment and outcomes of care : a study of ethnic minorities in Europe

Lise Hanssens (UGent) , Jens Detollenaere (UGent) , Wim Hardyns (UGent) and Sara Willems (UGent)
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Abstract
Objectives : Recent research has shown that ethnic minorities still have less access to medical care and are less satisfied with the treatment they receive and the outcomes of the health care process. This article assesses how migrants in Europe experience access, treatment and outcomes in the European health care systems. Methods : Data were obtained from the QUALICOPC study (Quality and Costs of Primary Care in Europe). Regression analyses were used to estimate the access, treatment and outcomes of care for ethnic minorities. Results : In several countries, migrants experience that the opening hours of their GP practice were too limited and indicate that the practice was too far away from their work or home (lower access). They are more likely to report negative patient–doctor communication and less continuity of care than native patients (worse treatment). In addition, they are less satisfied with the care they received and are more likely to postpone care (worse outcomes). Conclusions : In general, migrants are still disadvantaged during the health care process. However, our results also indicate that satisfaction with the health care process improves for second-generation migrants in comparison with first-generation migrants.
Keywords
Logistic regression, Europe, Ethnic minorities, Primary health care, HEALTH-CARE, PATIENTS ASSESSMENTS, PATIENT SURVEY, QUALITY, EQUITY, ADULTS, RACE/ETHNICITY, SATISFACTION, IMMIGRATION, CONTINUITY

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Chicago
Hanssens, Lise, Jens Detollenaere, Wim Hardyns, and Sara Willems. 2016. “Access, Treatment and Outcomes of Care : a Study of Ethnic Minorities in Europe.” International Journal of Public Health 61 (4): 443–454.
APA
Hanssens, L., Detollenaere, J., Hardyns, W., & Willems, S. (2016). Access, treatment and outcomes of care : a study of ethnic minorities in Europe. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 61(4), 443–454.
Vancouver
1.
Hanssens L, Detollenaere J, Hardyns W, Willems S. Access, treatment and outcomes of care : a study of ethnic minorities in Europe. INTERNATIONAL JOURNAL OF PUBLIC HEALTH. 2016;61(4):443–54.
MLA
Hanssens, Lise et al. “Access, Treatment and Outcomes of Care : a Study of Ethnic Minorities in Europe.” INTERNATIONAL JOURNAL OF PUBLIC HEALTH 61.4 (2016): 443–454. Print.
@article{7189122,
  abstract     = {Objectives : Recent research has shown that ethnic minorities still have less access to medical care and are less satisfied with the treatment they receive and the outcomes of the health care process. This article assesses how migrants in Europe experience access, treatment and outcomes in the European health care systems.
Methods : Data were obtained from the QUALICOPC study (Quality and Costs of Primary Care in Europe). Regression analyses were used to estimate the access, treatment and outcomes of care for ethnic minorities.
Results : In several countries, migrants experience that the opening hours of their GP practice were too limited and indicate that the practice was too far away from their work or home (lower access). They are more likely to report negative patient--doctor communication and less continuity of care than native patients (worse treatment). In addition, they are less satisfied with the care they received and are more likely to postpone care (worse outcomes).
Conclusions : In general, migrants are still disadvantaged during the health care process. However, our results also indicate that satisfaction with the health care process improves for second-generation migrants in comparison with first-generation migrants.},
  author       = {Hanssens, Lise and Detollenaere, Jens and Hardyns, Wim and Willems, Sara},
  issn         = {1661-8556},
  journal      = {INTERNATIONAL JOURNAL OF PUBLIC HEALTH},
  language     = {eng},
  number       = {4},
  pages        = {443--454},
  title        = {Access, treatment and outcomes of care : a study of ethnic minorities in Europe},
  url          = {http://dx.doi.org/10.1007/s00038-016-0810-3},
  volume       = {61},
  year         = {2016},
}

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