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首页> 外文期刊>Scandinavian journal of public health >Ignorance is not bliss: The effect of systematic information on immigrants' knowledge of and satisfaction with the Danish healthcare system
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Ignorance is not bliss: The effect of systematic information on immigrants' knowledge of and satisfaction with the Danish healthcare system

机译:无知不是幸福:系统信息对移民对丹麦医疗保健系统的了解和满意度的影响

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Aims: Suboptimal healthcare utilisation and lower satisfaction with the patient-doctor encounter among immigrants has been documented. Immigrants' lack of familiarity with the healthcare system has been proposed as an explanation for this. This study investigated whether a systematic delivery of information affected immigrants' knowledge of and satisfaction with the Danish healthcare system. Methods: A prospective, randomised intervention study of 1158 adult immigrants attending two language schools in Copenhagen was conducted. Two intervention groups received written information or a 12-hour course on the Danish healthcare system, while a control group received nothing. Survey data included self-assessed knowledge, true/false questions on access and questions relating to satisfaction with the healthcare system. Data were linked to socioeconomic registry data. Logistic regression analyses were performed. Results: The course improved knowledge of who to contact in the event of an accident (odds ratio (OR) = 2.67, 95 confidence interval (CI) = 1.56-4.59) but not in the event of illness. Further, it positively affected correct answers for nine out of 11 questions on the healthcare system (varying from OR = 1.87, 95 CI = 1.08-3.24 to OR = 3.11, 95 CI = 1.58-6.11). Written information positively affected correct answers for three out of 11 questions, but negatively affected one out of 11 compared with the control group. Neither intervention affected immigrants' satisfaction with the healthcare system. Conclusions: Knowledge of the healthcare system is necessary for optimal healthcare-seeking behaviour. The results may form the basis of national and international changes in immigrant reception and optimise immigrants' contact with the healthcare system.
机译:目标:有记录显示,移民的医疗保健利用率欠佳,对医患关系的满意度较低。移民对医疗保健系统缺乏熟悉已被提出作为对此的解释。本研究调查了系统的信息传递是否会影响移民对丹麦医疗保健系统的了解和满意度。方法:对哥本哈根两所语言学校的 1158 名成年移民进行了一项前瞻性随机干预研究。两个干预组收到了关于丹麦医疗保健系统的书面信息或12小时的课程,而对照组则没有收到任何信息。调查数据包括自我评估的知识、关于可及性的真/假问题以及与医疗保健系统满意度有关的问题。数据与社会经济登记数据相关联。进行Logistic回归分析。结果:该课程提高了发生事故时与谁联系的知识(比值比 (OR) = 2.67,95% 置信区间 (CI) = 1.56-4.59),但在发生疾病时没有。此外,它对医疗保健系统11个问题中有9个问题的正确答案产生了积极影响(从OR=1.87,95%CI=1.08-3.24到OR=3.11,95%CI=1.58-6.11不等)。与对照组相比,书面信息对 11 个问题中 3 个问题的正确答案有积极影响,但对 11 个问题中有 1 个有负面影响。这两项干预措施都没有影响移民对医疗保健系统的满意度。结论:了解医疗保健系统对于最佳的医疗保健寻求行为是必要的。这些结果可能构成国家和国际移民接收变化的基础,并优化移民与医疗保健系统的接触。

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