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Migrants’ motives and expectations for contacting out-of-hours primary care: a survey study

BACKGROUND: Migrants are more likely to use out-of-hours primary care, especially for nonurgent problems. Their motives and expectations for help-seeking are as yet unknown. The objective of this study is to examine the motives and expectations of migrants for contacting out-of-hours primary care. M...

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Autores principales: Keizer, Ellen, Bakker, Peter, Giesen, Paul, Wensing, Michel, Atsma, Femke, Smits, Marleen, van den Muijsenbergh, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699192/
https://www.ncbi.nlm.nih.gov/pubmed/29162044
http://dx.doi.org/10.1186/s12875-017-0664-7
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author Keizer, Ellen
Bakker, Peter
Giesen, Paul
Wensing, Michel
Atsma, Femke
Smits, Marleen
van den Muijsenbergh, Maria
author_facet Keizer, Ellen
Bakker, Peter
Giesen, Paul
Wensing, Michel
Atsma, Femke
Smits, Marleen
van den Muijsenbergh, Maria
author_sort Keizer, Ellen
collection PubMed
description BACKGROUND: Migrants are more likely to use out-of-hours primary care, especially for nonurgent problems. Their motives and expectations for help-seeking are as yet unknown. The objective of this study is to examine the motives and expectations of migrants for contacting out-of-hours primary care. METHODS: We used data from a survey study of 11,483 patients who contacted a General Practitioner (GP) cooperative in the Netherlands between 2009 and 2014 (response rate 45.6%). Logistic regression analysis was used to test differences in motives and expectations between non-western and western migrants and native Dutch patients. RESULTS: The main motives for contacting a GP cooperative for non-western and western migrants were an urgent need for contact with a GP (54.9%–52.4%), worry (49.3%–43.0%), and a need for medical information (21.3%–26.2%). These were also the most important motives for native Dutch patients. Compared to native Dutch patients, non-western migrants more often perceived an urgent need for a GP (OR 1.65; 99% CI 1.27–2.16), less often needed information (OR 0.59; 99% CI 0.43–0.81), and more often experienced problems contacting their own GP during office hours (OR 1.71; 99% CI 1.21–2.43). Western migrants also reported experiencing problems more often in contacting their own GP (OR 1.38; 99% CI 1.04–1.84). As well as for natives, most non-western and western migrants expected to see a doctor (46.2%–46.6%) or get advice (39.6%–41.5%). Non-western migrants expected more often to get physical examination (OR 1.53; 99% CI 1.14–2.04), and prescription (OR 1.37; 99% CI 1.00–1.88). We found no differences in expectations between western migrants and native Dutch patients. CONCLUSION: The main motives and expectations of migrants are similar to native Dutch patients, yet non-western migrants more often wanted action from the GP, e.g. examination or prescription, and less often passive forms of assistance such as giving information. At the same time they experience problems accessing their own GP. We recommend stimulation of self-care, education about the purpose of a GP cooperative, and examination and improvement of accessibility of daytime primary care.
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spelling pubmed-56991922017-12-01 Migrants’ motives and expectations for contacting out-of-hours primary care: a survey study Keizer, Ellen Bakker, Peter Giesen, Paul Wensing, Michel Atsma, Femke Smits, Marleen van den Muijsenbergh, Maria BMC Fam Pract Research Article BACKGROUND: Migrants are more likely to use out-of-hours primary care, especially for nonurgent problems. Their motives and expectations for help-seeking are as yet unknown. The objective of this study is to examine the motives and expectations of migrants for contacting out-of-hours primary care. METHODS: We used data from a survey study of 11,483 patients who contacted a General Practitioner (GP) cooperative in the Netherlands between 2009 and 2014 (response rate 45.6%). Logistic regression analysis was used to test differences in motives and expectations between non-western and western migrants and native Dutch patients. RESULTS: The main motives for contacting a GP cooperative for non-western and western migrants were an urgent need for contact with a GP (54.9%–52.4%), worry (49.3%–43.0%), and a need for medical information (21.3%–26.2%). These were also the most important motives for native Dutch patients. Compared to native Dutch patients, non-western migrants more often perceived an urgent need for a GP (OR 1.65; 99% CI 1.27–2.16), less often needed information (OR 0.59; 99% CI 0.43–0.81), and more often experienced problems contacting their own GP during office hours (OR 1.71; 99% CI 1.21–2.43). Western migrants also reported experiencing problems more often in contacting their own GP (OR 1.38; 99% CI 1.04–1.84). As well as for natives, most non-western and western migrants expected to see a doctor (46.2%–46.6%) or get advice (39.6%–41.5%). Non-western migrants expected more often to get physical examination (OR 1.53; 99% CI 1.14–2.04), and prescription (OR 1.37; 99% CI 1.00–1.88). We found no differences in expectations between western migrants and native Dutch patients. CONCLUSION: The main motives and expectations of migrants are similar to native Dutch patients, yet non-western migrants more often wanted action from the GP, e.g. examination or prescription, and less often passive forms of assistance such as giving information. At the same time they experience problems accessing their own GP. We recommend stimulation of self-care, education about the purpose of a GP cooperative, and examination and improvement of accessibility of daytime primary care. BioMed Central 2017-11-21 /pmc/articles/PMC5699192/ /pubmed/29162044 http://dx.doi.org/10.1186/s12875-017-0664-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Keizer, Ellen
Bakker, Peter
Giesen, Paul
Wensing, Michel
Atsma, Femke
Smits, Marleen
van den Muijsenbergh, Maria
Migrants’ motives and expectations for contacting out-of-hours primary care: a survey study
title Migrants’ motives and expectations for contacting out-of-hours primary care: a survey study
title_full Migrants’ motives and expectations for contacting out-of-hours primary care: a survey study
title_fullStr Migrants’ motives and expectations for contacting out-of-hours primary care: a survey study
title_full_unstemmed Migrants’ motives and expectations for contacting out-of-hours primary care: a survey study
title_short Migrants’ motives and expectations for contacting out-of-hours primary care: a survey study
title_sort migrants’ motives and expectations for contacting out-of-hours primary care: a survey study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699192/
https://www.ncbi.nlm.nih.gov/pubmed/29162044
http://dx.doi.org/10.1186/s12875-017-0664-7
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