Evidences supporting the inclusion of immigrants in the universal healthcare coverage
Por:
Prats-Uribe, A, Brugueras, S, Comet, D, Alamo-Junquera, D, Gutierrez, LO, Orcau, A, Cayla, JA, Millet, JP
Publicada:
1 ago 2020
Resumen:
In 2012, the Spanish government enforced a healthcare exclusion policy against undocumented immigrants. The newly elected government has recently derogated this policy. To analyze how this decree could have affected population health, we looked at primary health patients who would have been excluded and compared with a matched sample of non-excluded patients. Potentially excluded patients had decreased odds of: depression, chronic obstructive pulmonary disease, dyslipidaemia, heart failure and hypertension while diabetes mellitus rates were similar to non-excluded. Infectious diseases were more frequent in potentially excluded population (HIV, tuberculosis and syphilis). The exclusion of patients impedes the control of infectious diseases at a community level.
Filiaciones:
Prats-Uribe, A:
Publ Hlth Agcy Barcelona ASPB, Epidemiol Serv, Pl Lesseps 1, Barcelona 08023, Spain
PSMar ASPB, Prevent Med & Publ Hlth Training Unit, Barcelona, Spain
Univ Oxford, Ctr Stat Med, Botnar Res Ctr, NDORMS, Oxford, England
Brugueras, S:
Publ Hlth Agcy Barcelona ASPB, Epidemiol Serv, Pl Lesseps 1, Barcelona 08023, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Barcelona, Spain
Univ Autonoma Barcelona UAB, Dept Pediat Obstet & Ginecol & Med Prevent, Barcelona, Spain
Comet, D:
Direccio Gen Ordenacio & Regulacio Sanitaria, Dept Salut, Subdireccio Gen Avaluac Med, Barcelona, Spain
Alamo-Junquera, D:
Publ Hlth Agcy Barcelona ASPB, Epidemiol Serv, Pl Lesseps 1, Barcelona 08023, Spain
Gutierrez, LO:
Inst Catala Salut ICS, Gerencia Terr Catalunya Cent, Barcelona, Spain
Orcau, A:
Publ Hlth Agcy Barcelona ASPB, Epidemiol Serv, Pl Lesseps 1, Barcelona 08023, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Barcelona, Spain
Cayla, JA:
Fdn TB Res Unit Barcelona fuiTB, Barcelona, Spain
Millet, JP:
Publ Hlth Agcy Barcelona ASPB, Epidemiol Serv, Pl Lesseps 1, Barcelona 08023, Spain
Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Barcelona, Spain
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