TY - JOUR T1 - Has the quality of health care for the immigrant population changed during the economic crisis in Catalonia (Spain)? Opinions of health professionals and immigrant users JO - Gaceta Sanitaria T2 - AU - Porthé,Victoria AU - Vargas,Ingrid AU - Ronda,Elena AU - Malmusi,Davide AU - Bosch,Lola AU - Vázquez,M. Luisa SN - 02139111 M3 - 10.1016/j.gaceta.2017.03.010 DO - 10.1016/j.gaceta.2017.03.010 UR - https://gacetasanitaria.org/es-has-quality-health-care-for-articulo-S0213911117301279 AB - ObjectiveTo analyse changes in health professionals’ and immigrant users’ perceptions of the quality of care provided to the immigrant population during the crisis. MethodsA qualitative descriptive-interpretative and exploratory study was conducted in two areas of Catalonia. Semi-structured individual interviews were used with a theoretical sample of medical (n=24) and administrative (n=10) professionals in primary care (PC) and secondary care (SC), and immigrant users (n=20). Thematic analysis was conducted and the results were triangulated. ResultsProblems related to technical and interpersonal quality emerged from the discourse of both professionals and immigrants. These problems were attributed to cutbacks during the economic crisis. Regarding technical quality, respondents reported an increase in erroneous or non-specific diagnoses, inappropriate use of diagnostic tests and non-specific treatments, due to reduction in consultation times as a result of cuts in human resources. With regard to interpersonal quality, professionals reported less empathy, and users also reported worse communication, due to changes in professionals’ working conditions and users’ attitudes. Finally, a reduction in the resolution capacity of the health services emerged: professionals described unnecessary repeated PC visits and limited responses in SC, while young immigrants reported an insufficient response to their health problems. ConclusionThe results indicate a deterioration in perceived technical and interpersonal quality during the economic crisis, due to cutbacks mainly in human resources. These changes affect the whole population, but especially immigrants. ER -