title: [Immigrant perceptions of the Spanish National Healthcare System and its services].
abstract: OBJECTIVE
  To analyse the perception, use and satisfaction of a group of immigrants living in Barcelona taking into account their gender, origin and social class.
  
  
  METHODS
  Cross sectional study.
  
  
  METHODS
  City of Barcelona, Spain.
  
  
  METHODS
  A group of 225 immigrant residents and users of social services in the city of Barcelona, from June to July 2012.
  
  
  METHODS
  the level of access and relationship with the public health system of immigrants living in Barcelona was analysed, based on a questionnaire. The responses were analysed in relation to: gender, age, social class, self-perceived health, national origin, time since arrival, and marital status.
  
  
  RESULTS
  The large majority (89%) of the population surveyed declared that the most important aspect was «to have been treated with respect» in health services. However, 59.4% reported a perception of «discrimination against immigrants», and 68.4% said that cultural differences affect «totally or partially» the quality of care received. For 66.7% of the participants, health care received in Barcelona is better than in their home country, mainly for its scientific, technical quality, and universal access.
  
  
  CONCLUSIONS
  Despite the good assessment of universal public health care system this study showed deficiencies of the system in terms of the psychosocial component of health care to immigrants in Barcelona. It is necessary to deepen the study of knowledge and perceptions of minority groups in the current context.
authors.affiliation: Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic de Barcelona, Barcelona, España/ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic, Barcelona, España. Electronic address: cesar.velasco@isglobal.org.
authors.forename: César
authors.initials: C
authors.lastname: Velasco
authors.affiliation: Universidad Barcelona, Máster de Gestión Hospitalaria y de Centros Sanitarios, Barcelona, España.
authors.forename: Ana Maria
authors.initials: AM
authors.lastname: Vinasco
authors.affiliation: Servicio de Medicina Preventiva y Epidemiología, Hospital Clínic de Barcelona, Barcelona, España/ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Hospital Clínic, Barcelona, España.
authors.forename: Antoni
authors.initials: A
authors.lastname: Trilla
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care; D054242:Emigrants and Immigrants; D005260:Female; D006296:Health Services / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011634:Public Health; D012923:Social Class; D013030:Spain; D013222:State Medicine; D011795:Surveys and Questionnaires
keywords: Barcelona; Calidad percibida; España; Health National System; Immigration; Migración; Perceived quality; Sistema Nacional de Salud; Spain