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首页> 外文期刊>Journal of health services research & policy >Use of secondary care in England by international immigrants.
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Use of secondary care in England by international immigrants.

机译：国际移民在英格兰使用二级保健。

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OBJECTIVE: Although over half a million migrants arrive in England each year, information about their use of health services is limited. Our aim was to describe the use of secondary care by international immigrants and compare it to people moving within England. METHODS: Routine anonymized data were used to identify people who appear as registering with a general practitioner (GP) for the first time in England, yet are aged 15 or over. We assumed that most long-term residents will have registered before the age of 15, and therefore the majority of those registering for the first time later in life will be international immigrants. The study compared hospital admissions among first registrants to the general population of England and to within-England migrants, selected using propensity scoring. RESULTS: The first registrants aged 15 or over had around half the rate of hospital admission as that of the general population of England. They were also less likely to have a hospital admission than a matched group of within-England migrants. The lower admission rates persisted over several years and were consistent in three consecutive cohorts of first registrants (each consisting of over half a million people). CONCLUSIONS: The assumption that international immigrants use more secondary care than the members of the indigenous population appears to be unfounded.
机译：目的：尽管每年有超过一百万的移民到达英格兰，但有关他们使用卫生服务的信息却很有限。我们的目的是描述国际移民对二级保健的使用，并将其与在英格兰境内流动的人们进行比较。方法：使用常规匿名数据来识别在英国首次出现在全科医生（GP）注册的人，但年龄在15岁或以上。我们假设大多数长期居民将在15岁之前进行注册，因此，人生中第一次进行首次注册的大多数将是国际移民。这项研究比较了首批登记者的住院率，英格兰的总人口和英格兰内的移民，这是通过倾向性评分选择的。结果：15岁或15岁以上的首次注册者的住院率约为英格兰总人口的一半。与匹配的一组英格兰内部移民相比，他们住院的可能性也较小。较低的录取率持续了数年，并且连续三批首次注册者（每个人都超过50万人）保持了一致。结论：国际移民使用比当地居民更多的二级保健的假设似乎没有根据。

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