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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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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. |
format | Online Article Text |
id | pubmed-5699192 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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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