Evidences supporting the inclusion of immigrants in the universal healthcare coverage

Author:

Prats-Uribe Albert123,Brugueras Sílvia145,Comet Dolors6,Álamo-Junquera Dolores1,Ortega Gutiérrez LLuïsa7,Orcau Àngels14,Caylà Joan A8,Millet Joan-Pau14

Affiliation:

1. Epidemiology Service, Public Health Agency of Barcelona (ASPB), Barcelona, Spain

2. Preventive Medicine and Public Health Training Unit, PSMar-ASPB, Barcelona, Spain

3. Centre for Statistics in Medicine, Botnar Research Centre, NDORMS, University of Oxford, Oxford, UK

4. Centro de Investigación Biomédica en Red de Epidemiologia y Salud Pública (CIBERESP), Barcelona, Spain

5. Departament de Pediatria, d’Obstetrícia i Ginecologia i de Medicina Preventiva, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain

6. Departament de Salut, Subdirecció General d’Avaluacions Mèdiques, Direcció General d’ordenació i Regulació Sanitària del, Barcelona, Spain

7. Gerencia Territorial de la Catalunya Central, Institut Català Salut (ICS), Barcelona, Spain

8. Foundation of Tuberculosis Research Unit of Barcelona (fuiTB), Barcelona, Spain

Abstract

Abstract 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.

Funder

Medical Research Council

Fundación Alfonso Martin Escudero

Information System for the Development of Research in Primary Care

SIDIAP

IDIAP Jordi Gol Institute

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

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