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"titulo" => "Enfermedad neumocócica invasiva en niños de la Región de Murcia"
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"titulo" => "Perfil de la casuística hospitalaria de la población inmigrante en Barcelona"
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"titulo" => "(Profile of the hospital case mix of the immigrant population in Barcelona, Spain)"
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2 => "Duración de la estancia"
3 => "Grupos relacionados por el diagnóstico"
4 => "Accesibilidad a los servicios sanitarios"
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"titulo" => "Resumen"
"resumen" => "<span class="elsevierStyleSectionTitle"><span class="elsevierStyleItalic">Objetivo</span></span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A pesar de que en los últimos 5 años la población inmigrante se ha triplicado en ciudades como Barcelona, hasta el momento no se ha evaluado de forma rigurosa el impacto de este colectivo en el sistema sanitario. El objetivo del presente estudio ha sido comparar el perfil de la hospitalización de la población inmigrante con la autóctona, desde el punto de vista de la casuística, gravedad, características demográficas y consumo de estancias.</p> <span class="elsevierStyleSectionTitle"><span class="elsevierStyleItalic">Material y métodos</span></span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se han analizado las 15.057 altas del Hospital del Mar de Barcelona en el año 2000. Este hospital asiste el 60% de los ingresos hospitalarios del distrito de Ciu-tat Vella, distrito que presentaba en el año 2000 un porcentaje de inmigrantes residentes del 21%. Se han comparado las características sociodemográficas y de casuística de los pacientes en razón de ser o no inmigrantes. También se ha comparado el consumo de recursos hospitalarios teniendo en cuenta la edad, la casuística (grupos relacionados por el diagnóstico) y la gravedad (severidad, complicaciones y comor-bilidades) de la patología atendida.</p> <span class="elsevierStyleSectionTitle"><span class="elsevierStyleItalic">Resultados</span></span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La población inmigrante ha presentado una casuística distinta de la autóctona por la marcada diferencia en la edad y por su mayor tasa de fecundidad. El 33% de los ingresos de inmigrantes han sido partos. El coste medio de las altas de inmigrantes de países de renta baja valorado en consumo de estancias hospitalarias, ha sido un 30% menor que el del resto de las altas. Una vez ajustadas la edad, la casuística y la severidad, el consumo de estancias hospitalarias en la población inmigrante ha sido significativamente menor. La diferencia se ha cifrado en un 5% cuando sólo se ha ajustado por patología y en un 10% cuando han sido considerados todos los factores.</p> <span class="elsevierStyleSectionTitle"><span class="elsevierStyleItalic">Conclusiones</span></span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las diferencias en la casuística vienen marcadas por la edad y por las diferencias socioculturales. La pirámide de edad de la población hospitalaria inmigrante recompone la envejecida estructura de edad de los pacientes autóctonos y plantea la necesidad de recuperar el mayor peso de los servicios de ginecología-obstetricia y pediatría.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El hecho de que exista menor consumo de recursos por alta hospitalaria en la población inmigrante de países de renta baja contradice la relación esperada de inmigrante-peor situación socioeconómica-mayor intensidad de consumo de recursos por alta hospitalaria. Deben proponerse nuevas hipótesis de trabajo y análisis que permitan explicar esta realidad.</p>"
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"en" => array:2 [
"titulo" => "Summary"
"resumen" => "<span class="elsevierStyleSectionTitle"><span class="elsevierStyleItalic">Objective</span></span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Although the immigrant population in cities such as Barcelona has tripled in the last five years, until now the impact of this group on the health system has not been rigorously evaluated. The aim of this study was to compare hospital resource utilization among the immigrant population with that among the native population through case mix, demographic characteristics and hospital day use.</p> <span class="elsevierStyleSectionTitle"><span class="elsevierStyleItalic">Material and methods</span></span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We analyzed 15,057 discharges from Hospital del Mar in Barcelona in 2000. This hospital attends 60% of admissions from the Ciutat Vella district. In 2000, 21% of the population of this district were immigrants. Socio-demographic patient characteristics and case mix were compared between the immigrant and the native population. Hospital resource use was compared according to age, case mix (diagnosis related groups) and seriousness (severity, complications and comorbidities) of the events requiring medical care.</p> <span class="elsevierStyleSectionTitle"><span class="elsevierStyleItalic">Results</span></span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The case mix of the immigrant population differed from that of the autochthonous population due to pronounced ge differences and a higher fertility rate. Thirty-three percent of immigrant admissions were for deliveries. The mean cost of discharge of immigrants from low-income countries was 30% lower than that for the remaining discharges. After adjusting for age, case mix and severity, length of stay among the immigrant population was significantly shorter. A 5% reduction was found after adjusting for case mix and a 10% reduction was found when all the factors were considered.</p> <span class="elsevierStyleSectionTitle"><span class="elsevierStyleItalic">Conclusions</span></span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Case mix differences are due to age and sociocultural factors. Immigrants are rejuvenating the ageing native population and the role of gynecology-obstetrics and pediatrics needs to be increased. The finding that resource use per discharge is lower among immigrants from low-income countries contradicts the expectation that lower socioeconomic status leads to higher hospital resource use intensity. Therefore, new hypotheses and analyses that explain this situation should be put forward.</p>"
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"titulo" => "M.N. Ciutat Vella ha pasado del 10% al 17% de la población inmigrante en cuatro meses. El País ed"
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"titulo" => "Col loqui sobre l’atenció als immigrants en els serveis d’urgéncies"
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"titulo" => "Comparación de resultados en la asistencia sanitaria"
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"titulo" => "The impact of patient socioeconomic status and other social factors on readmission: a prospective study in four Massachusetts hospitals"
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"autores" => array:3 [
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"titulo" => "Servei d’estudis IMAS, Servei d’informació sanitària de l’IMSP Informació sanitària dels districtes de Ciutat Vella i Sant Martí, 2000"
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"titulo" => "La salut dels immigrants. Anàlisi de les estadístiques vitals a la ciutat de Barcelona, 1993-1997"
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