Accesso ai servizi di assistenza primaria e continuità assistenziale: dati preliminari di un campione di popolazione afferente al Poliambulatorio dell’Area Sanitaria della Caritas di Roma

Translated title of the contribution: [Autom. eng. transl.] Access to primary care and continuity of care services: preliminary data of a sample of the population belonging to the Polyclinic of the Caritas Health Area of Rome

Stefania Bruno, Giulia Silvestrini, Bruno Federico, Luca Morucci, Bianca Maisano, Salvatore Geraci, Gianfranco Damiani

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] Introduction It is now agreed that, for populations in conditions of social exclusion, accessibility and continuity of care to first-level services, as well as therapeutic continuity, are decisive in ensuring good health. Therefore, reducing barriers to access to services is a challenge if we address populations in socio-economically disadvantaged conditions. The Health Area Clinic of the Caritas Diocesana di Roma works to guarantee low-threshold health services for irregular migrants and homeless people. By exploiting the data of over 20 years of activity, in order to study the behavior of patients in the polyclinic and to understand the weight of the variables that impact on access and continuity, loyalty to the structure has been studied in relation to some characteristics socio-demographic, in a temporally defined population. Materials and Methods The patients who made their first access from January 1 to December 31, 2009 were selected. Based on the data from the outpatient records (socio-demographic and clinical variables) the behavior in terms of use of the service was analyzed and continuity of access, from the first contact until May 2012. Descriptive analyzes have been conducted by dividing patients by age, sex and origin. Results During 2009, 1680 patients made a first visit, 64.17% male. Romanian citizenship is the most represented (21.50%). 13.17% of patients come from West Africa instead. 5.54% of patients are Italian. The average age of the population studied is 35.51 years (DS +/- 14.00). 14.69% of the patients are homeless and 27.65% are guests of a reception center on first access. Regarding the behavior in terms of access, 50% of the sample made at least 2 visits, with an average of 3.37 visits (DS +/- 5.02) in the period considered. Women performed on average 3.8 visits in the observation period while men 3.1. Considering the age groups, patients over 45 years have a higher average number of visits (4.8) than younger patients (<25 years: 2.5; 25-34: 2.9; 35-44: 3.3). On the basis of the regions of origin, the patients who carry out the greatest number of visits are Romanians and Bulgarians, on average 4.0, and patients from South East Asia (3.8). While the lowest values are represented by subjects from East Africa (2.6). The median time between the first and second visit is 15 days and 52 between the first and third. Conclusions From the analyzed data it emerges how the therapeutic continuity for this typology of patients represents an important challenge and the study of the variables that influence this situation appears fundamental. They are to be found in the demographic and social conditions of these populations, in the legislative provisions that condition their status, in cultural reasons specific to each individual. The identification of the weight of each variable may suggest organizational indications consistent with the objective of reducing inequalities in access and health.
Translated title of the contribution[Autom. eng. transl.] Access to primary care and continuity of care services: preliminary data of a sample of the population belonging to the Polyclinic of the Caritas Health Area of Rome
Original languageItalian
Title of host publicationMigrazioni, salute e crisi. Coesione sociale, partecipazione e reti per una salute senza esclusioni
Pages233
Number of pages1
Publication statusPublished - 2012
EventXII Congresso Nazionale SIMM - Viterbo
Duration: 10 Oct 201212 Oct 2012

Conference

ConferenceXII Congresso Nazionale SIMM
CityViterbo
Period10/10/1212/10/12

Keywords

  • Assistenza primaria
  • Homeless

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