Immigrants’ use of healthcare in their country of origin

the role of social integration, discrimination and the parallel use of health care systems

Laura Kemppainen, Teemu Kemppainen, Natalia Skogberg, Hannamaria Kuusio, Päivikki Koponen

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

Sammanfattning

Aims

The objective of this study was to elucidate the utilisation of Russian health care by immigrants of Russian origin living in Finland (cross‐border health care). The study examined the association of cross‐border health care with social integration and discrimination. Moreover, it studied whether cross‐border health care was used as an alternative to the host‐country's healthcare system.

Methods

Data from the Finnish Migrant Health and Wellbeing Survey (Maamu) were utilised. The number of respondents of Russian origin was 545. The main analytical method was logistic regression. The outcome variable was based on a survey item on seeking physician's treatment or help abroad during the last 12 months. Social integration was measured multi‐dimensionally, and the indicator was extracted by multiple correspondence analysis. Ethical approval for the study was obtained from the Ethical Committee of the Uusimaa Hospital Region.

Results

We found that 15.4% of the respondents had visited a physician in Russia during the last 12 months. 10.4% had experienced discrimination in Finnish health services during their stay in Finland. Stronger social integration predicted less frequent utilisation of cross‐border health care. Experiences of discrimination or unfairness were associated with higher odds for seeking cross‐border health care. Cross‐border health care was typically used in parallel to the Finnish services.

Conclusions

Our findings on integration and discrimination emphasise the importance of general integration policy as well as cultural competence in health care. Parallel use of healthcare systems entails both risks (e.g double medication, problems of follow‐up) and opportunities (e.g. sense of agency), which should be further investigated.
Originalspråkengelska
TidskriftScandinavian Journal of Caring Sciences
Volym32
Utgåva2
Sidor (från-till)698-706
Antal sidor9
ISSN0283-9318
DOI
StatusPublicerad - jun 2018
MoE-publikationstypA1 Tidskriftsartikel-refererad

Vetenskapsgrenar

  • 3142 Folkhälsovetenskap, miljö och arbetshälsa

Citera det här

@article{94a7b706254c46279bb721f005836ce5,
title = "Immigrants’ use of healthcare in their country of origin: the role of social integration, discrimination and the parallel use of health care systems",
abstract = "AimsThe objective of this study was to elucidate the utilisation of Russian health care by immigrants of Russian origin living in Finland (cross‐border health care). The study examined the association of cross‐border health care with social integration and discrimination. Moreover, it studied whether cross‐border health care was used as an alternative to the host‐country's healthcare system.MethodsData from the Finnish Migrant Health and Wellbeing Survey (Maamu) were utilised. The number of respondents of Russian origin was 545. The main analytical method was logistic regression. The outcome variable was based on a survey item on seeking physician's treatment or help abroad during the last 12 months. Social integration was measured multi‐dimensionally, and the indicator was extracted by multiple correspondence analysis. Ethical approval for the study was obtained from the Ethical Committee of the Uusimaa Hospital Region.ResultsWe found that 15.4{\%} of the respondents had visited a physician in Russia during the last 12 months. 10.4{\%} had experienced discrimination in Finnish health services during their stay in Finland. Stronger social integration predicted less frequent utilisation of cross‐border health care. Experiences of discrimination or unfairness were associated with higher odds for seeking cross‐border health care. Cross‐border health care was typically used in parallel to the Finnish services.ConclusionsOur findings on integration and discrimination emphasise the importance of general integration policy as well as cultural competence in health care. Parallel use of healthcare systems entails both risks (e.g double medication, problems of follow‐up) and opportunities (e.g. sense of agency), which should be further investigated.",
keywords = "3142 Public health care science, environmental and occupational health",
author = "Laura Kemppainen and Teemu Kemppainen and Natalia Skogberg and Hannamaria Kuusio and P{\"a}ivikki Koponen",
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TY - JOUR

T1 - Immigrants’ use of healthcare in their country of origin

T2 - the role of social integration, discrimination and the parallel use of health care systems

AU - Kemppainen, Laura

AU - Kemppainen, Teemu

AU - Skogberg, Natalia

AU - Kuusio, Hannamaria

AU - Koponen, Päivikki

PY - 2018/6

Y1 - 2018/6

N2 - AimsThe objective of this study was to elucidate the utilisation of Russian health care by immigrants of Russian origin living in Finland (cross‐border health care). The study examined the association of cross‐border health care with social integration and discrimination. Moreover, it studied whether cross‐border health care was used as an alternative to the host‐country's healthcare system.MethodsData from the Finnish Migrant Health and Wellbeing Survey (Maamu) were utilised. The number of respondents of Russian origin was 545. The main analytical method was logistic regression. The outcome variable was based on a survey item on seeking physician's treatment or help abroad during the last 12 months. Social integration was measured multi‐dimensionally, and the indicator was extracted by multiple correspondence analysis. Ethical approval for the study was obtained from the Ethical Committee of the Uusimaa Hospital Region.ResultsWe found that 15.4% of the respondents had visited a physician in Russia during the last 12 months. 10.4% had experienced discrimination in Finnish health services during their stay in Finland. Stronger social integration predicted less frequent utilisation of cross‐border health care. Experiences of discrimination or unfairness were associated with higher odds for seeking cross‐border health care. Cross‐border health care was typically used in parallel to the Finnish services.ConclusionsOur findings on integration and discrimination emphasise the importance of general integration policy as well as cultural competence in health care. Parallel use of healthcare systems entails both risks (e.g double medication, problems of follow‐up) and opportunities (e.g. sense of agency), which should be further investigated.

AB - AimsThe objective of this study was to elucidate the utilisation of Russian health care by immigrants of Russian origin living in Finland (cross‐border health care). The study examined the association of cross‐border health care with social integration and discrimination. Moreover, it studied whether cross‐border health care was used as an alternative to the host‐country's healthcare system.MethodsData from the Finnish Migrant Health and Wellbeing Survey (Maamu) were utilised. The number of respondents of Russian origin was 545. The main analytical method was logistic regression. The outcome variable was based on a survey item on seeking physician's treatment or help abroad during the last 12 months. Social integration was measured multi‐dimensionally, and the indicator was extracted by multiple correspondence analysis. Ethical approval for the study was obtained from the Ethical Committee of the Uusimaa Hospital Region.ResultsWe found that 15.4% of the respondents had visited a physician in Russia during the last 12 months. 10.4% had experienced discrimination in Finnish health services during their stay in Finland. Stronger social integration predicted less frequent utilisation of cross‐border health care. Experiences of discrimination or unfairness were associated with higher odds for seeking cross‐border health care. Cross‐border health care was typically used in parallel to the Finnish services.ConclusionsOur findings on integration and discrimination emphasise the importance of general integration policy as well as cultural competence in health care. Parallel use of healthcare systems entails both risks (e.g double medication, problems of follow‐up) and opportunities (e.g. sense of agency), which should be further investigated.

KW - 3142 Public health care science, environmental and occupational health

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