RT Journal Article
T1 Access to healthcare among Chinese immigrants living in Seville, Spain.
A1 Badanta-Romero, Bárbara
A1 Lucchetti, Giancarlo
A1 Barrientos-Trigo, Sergio
K1 Accesibilidad a los servicios de salud
K1 Enfermería transcultural
K1 Grupo minoritario
K1 Health services accessibility
K1 Minority group
K1 Public health
K1 Salud pública
K1 Transcultural nursing
AB To investigate the use of healthcare services and factors associated with accessing them among Chinese immigrants living in Southern Spain. A mixed methodology was used. A cross-sectional survey was first administered to Chinese immigrants (n=133), and they were asked about their visits to the doctor, use of emergency services, and hospitalization. A phenomenological approach was then used with key informants (n=7). In the interviews, additional information, such as barriers and facilitators to improving accessibility, was explored. In the previous year, 51% had visited a doctor and 34% had visited an Emergency Department. The main reasons for hospitalization were pregnancy (37.5%) and surgery (25%). At least 20% of the sample reported having never visited a doctor. Language difficulties and time constraints were identified as important barriers to accessibility. Sex differences were found among the reasons for lack of time, which, in men, were related to work (odds ratio [OR]=7.7) and, in women, were related to childcare (OR=12). The majority of Chinese immigrants preferred to use Traditional Chinese Medicine as their first treatment rather than visiting a doctor. A lower use of health services was found among Chinese immigrants in Spain compared to the native population. When using health services, they choose acute care settings. Communication and waiting times are highlighted as major barriers. Adapting these demands to the healthcare system may help immigrants to trust their healthcare providers, thus increasing their use of health services and improving their treatment.
YR 2020
FD 2020-01-31
LK http://hdl.handle.net/10668/15031
UL http://hdl.handle.net/10668/15031
LA en
DS RISalud
RD Apr 11, 2025