title: [Use Of Hospital Services By The Immigrant Population In Umbria, Italy].
abstract: The aim of this study was to identify possible inequalities in the quality of health care services for the management of conditions such as cardiovascolar diseases, psychiatric disorders, appendectomy, and hysterectomy, offered to the immigrant population in the Umbria region (central Italy). Hospital discharge data covering the period 2009-2012 were analysed and crude and standardized hospitalization rates per 100,000 calculated. Immigrants were found to have an increased risk of undergoing procedures such as appendectomy and hysterectomy for benign disease, indicating a greater degree of nonappropriateness in this category of users. In the young immigrant population, admissions were mainly due to reproductive health problems in women, and injuries/trauma in men. The results of this study confirm that, despite regional efforts to reduce social inequalities and consequently inequalities in health, through regional legislation, information to the population, training of healthcare personnel, and cultural mediation, some inequalities are present in the quality of health care delivered to foreign-born persons in the region. Hence, there is a need to strengthen information campaigns for immigrants, to keep them informed of their rights, and to strengthen training courses among healthcare and social workers.
authors.affiliation: Sezione di Sanità Pubblica - Dipartimento di Medicina Sperimentale, Centro Sperimentale per la Promozione della salute e l'educazione sanitaria - Università degli Studi di Perugia, Italia.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Casadei
authors.affiliation: Sezione di Sanità Pubblica - Dipartimento di Medicina Sperimentale, Centro Sperimentale per la Promozione della salute e l'educazione sanitaria - Università degli Studi di Perugia, Italia.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Angeli
authors.affiliation: Direzione Regionale Coesione sociale e Welfare, Servizio Mobilità sanitaria e gestione Sistema informativo sanitario e sociale - Regione Umbria, Italia.
authors.forename: Paola
authors.initials: P
authors.lastname: Casucci
authors.affiliation: Sezione di Sanità Pubblica - Dipartimento di Medicina Sperimentale, Centro Sperimentale per la Promozione della salute e l'educazione sanitaria - Università degli Studi di Perugia, Italia.
authors.forename: Liliana
authors.initials: L
authors.lastname: Minelli
authors.affiliation: Dipartimento di Filosofia, Scienze Sociali, Umane e della Formazione - Università degli Studi di Perugia, Italia.
authors.forename: Rossana
authors.initials: R
authors.lastname: Pasquini
mesh_terms: D001062:Appendectomy / Q000706:statistics & numerical data; D002318:Cardiovascular Diseases / Q000628:therapy; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data; D007247:Infertility, Female / Q000628:therapy; D007558:Italy; D001523:Mental Disorders / Q000628:therapy; D010351:Patient Discharge / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000628:therapy