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A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System

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  • Marta-Beatriz Aller

    (Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona 08022, Spain
    Ph.D. Programme in Public Health and Methodology of Biomedical Research, Department of Pediatrics, Obstetrics and Gynecology, and Preventive Medicine, Universitat Autònoma de Barcelona (UAB), Barcelona 08193, Spain)

  • Josep Maria Colomé

    (Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona 08022, Spain)

  • Sina Waibel

    (Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona 08022, Spain)

  • Ingrid Vargas

    (Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona 08022, Spain)

  • María Luisa Vázquez

    (Health Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona 08022, Spain)

Abstract

Objective : To compare immigrants’ and natives’ perceptions of relational, managerial and informational continuity of care and to explore the influence of the length of stay on immigrants’ perceptions of continuity. Methods : Cross-sectional study based on a survey of a random sample of 1,500 patients, of which 22% (331) were immigrants. The study area was made up by three healthcare areas of the Catalan healthcare system. To collect data, the CCAENA questionnaire was applied. Multivariate logistic regression models were conducted. Results : Like natives, immigrants perceive high levels of managerial continuity (88.5%) and relational continuity with primary and secondary care physicians (86.7 and 81.8%), and lower levels of informational continuity (59.1%). There were no statistically significant differences in managerial and informational continuity between immigrants and natives. However, immigrants perceive a worse relational continuity with primary care physicians in terms of trust, communication and clinical responsibility. Conversely, immigrants perceive higher relational continuity with secondary care physicians in terms of effective communication and clinical responsibility. Discussion : Similar managerial and informational continuity perceptions seem to point towards a similar treatment of patients, regardless of their immigrant status. However, differences in relational continuity highlight the need for improvements in professionals’ skills in treating immigrants’ patients.

Suggested Citation

  • Marta-Beatriz Aller & Josep Maria Colomé & Sina Waibel & Ingrid Vargas & María Luisa Vázquez, 2013. "A First Approach to Differences in Continuity of Care Perceived by Immigrants and Natives in the Catalan Public Healthcare System," IJERPH, MDPI, vol. 10(4), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:4:p:1474-1488:d:24824
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    References listed on IDEAS

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    1. Meeuwesen, Ludwien & Harmsen, Johannes A.M. & Bernsen, Roos M.D. & Bruijnzeels, Marc A., 2006. "Do Dutch doctors communicate differently with immigrant patients than with Dutch patients?," Social Science & Medicine, Elsevier, vol. 63(9), pages 2407-2417, November.
    2. Rebeca Terraza-Núñez & M. Vázquez & Ingrid Vargas & Tona Lizana, 2011. "Health professional perceptions regarding healthcare provision to immigrants in Catalonia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(5), pages 549-557, October.
    3. Rebeca Terraza-Núñez & Diana Toledo & Ingrid Vargas & M. Vázquez, 2010. "Perception of the Ecuadorian population living in Barcelona regarding access to health services," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(5), pages 381-390, October.
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