Μετανάστες και υγεία-πρόνοια: έρευνα πεδίου.
An immigrants and health care: empirical research.
SubjectImmigrants -- Health and hygiene -- Greece ; Medically uninsured -- Greece ; Public welfare -- Greece ; Κοινωνική πρόνοια -- Ελλάδα ; Ασφάλιση, Κοινωνική -- Ελλάδα ; Μετανάστες
Increased migration rates recorded in Greece the past few years have brought the country in a position of facing great challenges especially regarding issues of integrating immigrants into Greek society. The immigrants' access to high quality health services is an important aspect of social integration of foreigners. Unfortunately until recently little attention was paid to health care of immigrants and also the consequences of migration in the health care system. The increasing number of immigrants, the different use of health services by various ethnic groups, and the cost of immigrants in the health care system gradually form a new operational framework of the NHS. This study aims to investigate and record the degree of use of health services by foreigners at the emergency department, the nosological spectrum of foreigners, the rate of foreigners admitted and the duration and cost of hospitalization as well as the coverage of hospital costs through insurance funds or private expenditure. The empirical research conducted in a public hospital in the first health region, the first quarter of 2011 showed that the use of health services by immigrants reached the 16% of the total population. Foreigners chose to address the emergency department (ER) by 95% for their health problems, while only the 5% chose to visit the outpatient department of the hospital. The 54.31% were male and 45.68% female, while the average age was 36.3 years. The percentage of uninsured foreigners examined in ER was 22.4% whereas the main social security fund of immigrants who had insurance coverage was IKA (69.4%). The number of foreigners hospitalized was 102 (7.9%), of which 62.75% were female and 37.25% were male. The rate for infectious diseases was 44% versus 56% for the indigenous population, with major diseases of malaria infection and HIV. The high rate of uninsured foreigners is associated with the large number of illegal immigrants. The low number of immigrants showed refugee identity card is related to the low rate of legitimate political refugees in the country. The use of health care services from men more frequently than women is associated with the racial distribution of the foreign population, as well as with the type of work. The causes of hospital attendance and the low rate of admissions show that the majority of health problems of immigrants could be addressed in primary care structures. Finally, the high percentage of patients with infectious diseases reinforces the concern for public health and highlights the poor health of the immigrant population, low or no coverage of immunization and poor living conditions.