%0 Journal Article
%T Impacto de la inmigraci¨®n sobre la asistencia hospitalaria: frecuentaci¨®n, casu¨ªstica y repercusi¨®n econ¨®mica
%A Hernando Arizaleta
%A Lauro
%A Palomar Rodr¨ªguez
%A Joaqu¨ªn
%A M¨¢rquez Cid
%A Mirari
%A Monteagudo Piqueras
%A Olga
%J Gaceta Sanitaria
%D 2009
%I Ediciones Doyma, S.L.
%R 10.1590/S0213-91112009000300008
%X objectives: to identify the impact of immigration on health services by comparing hospital discharges, case-mix, and economic effects between immigrants and the native population. methods: we performed a retrospective longitudinal study of acute-care hospital admissions in murcia (spain) registered in the minimum data set from 2004-2005. the groups to be compared, established on the basis of country of birth, were £¿spain£¿, £¿europe-25£¿ and £¿remaining countries£¿. diagnoses were codified using the ice-9-cm and were grouped by means of the all patient-diagnosis related groups (ap-drg) version 18. utilization rates were calculated by the time of medical insurance. economic effects were calculated through drg weights for 2004. results: there were 196,275 discharges, with 2,590,376 person-years of insurance. the frequency of discharges was 75.8¡ë among spaniards, 64.3¡ë among immigrants from europe-25 and 73.8¡ë among immigrants from the remaining countries. the most frequent causes of admission were related to pregnancy, childbirth and the puerperium. cost per admission was 3,529 ? in spaniards, 3,231 ? in persons from europe-25 and 2,423 ? in persons from the remaining countries. the average cost per year of insurance was 263 ? for spaniards, 217 ? for immigrants from europe-25 and 219 ? for those from the remaining countries. conclusions: hospital utilization and costs per admission and for person-year of insurance are higher in spaniards than in immigrants, especially the group from £¿the remaining countries£¿. in this group, case-mix is also different.
%K case-mix
%K hospitalization rates
%K immigration
%K economic impact
%K diagnosis-related groups (drg).
%U http://www.scielosp.org/scielo.php?script=sci_abstract&pid=S0213-91112009000300008&lng=en&nrm=iso&tlng=en