title: [Immigration and health: social inequalities in health disparities in the health system, in welfare and work].
abstract: Within the analysis of the socio-economic context and the data from hospital discharges, the themes of social inequalities, health disparities, determinants of health care are discussed. Regular immigrants versus irregular, wealthy people versus those in poverty, they have access to and receive different health treatments, besides presenting risk conditions significantly different in relation to their social situation. Through the analysis of hospital discharge records as well as data from injuries at work, besides underestimations in foreign people and the greater risk of injuries for immigrants, it is evident how the aspects of inequalities connected to socioeconomic determinants and the different access to health services are pivotal for our health and welfare and that a profound change is required to tackle them properly, focusing on intervention on health care system, according to models which take into account not only evidence based medicine, but also narrative medicine, not only health protection, but also health promotion, so that equity and quality of health care is warranted for everyone.
authors.affiliation: Fondazione ISMU, Milano, Italy. armandopullini@fastwebnet.it
authors.forename: A
authors.initials: A
authors.lastname: Pullini
mesh_terms: D000062:Accidents, Occupational / Q000517:prevention & control / Q000706:statistics & numerical data*; D003695:Delivery of Health Care / Q000592:standards; D054242:Emigrants and Immigrants / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D004641:Emigration and Immigration; D006291:Health Policy / Q000331:legislation & jurisprudence; D006293:Health Promotion; D006304:Health Status; D054624:Health Status Disparities; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008019:Life Style; D008499:Medical Records; D009784:Occupational Diseases / Q000453:epidemiology* / Q000517:prevention & control; D011203:Poverty / Q000706:statistics & numerical data; D012307:Risk Factors; D012944:Social Support; D012946:Social Welfare / Q000331:legislation & jurisprudence; D014937:Work