Use of healthcare services in the region of origin among patients with an immigrant background in Denmark: a qualitative study of the motives

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Use of healthcare services in the region of origin among patients with an immigrant background in Denmark : a qualitative study of the motives. / Lokdam, Nicoline; Kristiansen, Maria; Handlos, Line Neerup; Nørredam, Marie Louise.

In: BMC Health Services Research, Vol. 16, 99, 21.03.2016, p. 1-10.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Lokdam, N, Kristiansen, M, Handlos, LN & Nørredam, ML 2016, 'Use of healthcare services in the region of origin among patients with an immigrant background in Denmark: a qualitative study of the motives', BMC Health Services Research, vol. 16, 99, pp. 1-10. https://doi.org/10.1186/s12913-016-1346-1

APA

Lokdam, N., Kristiansen, M., Handlos, L. N., & Nørredam, M. L. (2016). Use of healthcare services in the region of origin among patients with an immigrant background in Denmark: a qualitative study of the motives. BMC Health Services Research, 16, 1-10. [99]. https://doi.org/10.1186/s12913-016-1346-1

Vancouver

Lokdam N, Kristiansen M, Handlos LN, Nørredam ML. Use of healthcare services in the region of origin among patients with an immigrant background in Denmark: a qualitative study of the motives. BMC Health Services Research. 2016 Mar 21;16:1-10. 99. https://doi.org/10.1186/s12913-016-1346-1

Author

Lokdam, Nicoline ; Kristiansen, Maria ; Handlos, Line Neerup ; Nørredam, Marie Louise. / Use of healthcare services in the region of origin among patients with an immigrant background in Denmark : a qualitative study of the motives. In: BMC Health Services Research. 2016 ; Vol. 16. pp. 1-10.

Bibtex

@article{2d7368839f2546e38f64103451fbfcbf,
title = "Use of healthcare services in the region of origin among patients with an immigrant background in Denmark: a qualitative study of the motives",
abstract = "Background: In Denmark, immigrants have been found to have a higher use of healthcare services abroad. Since this use may have an impact on both the individual patient and the healthcare system in the country of residence, research into underlying reasons is of increasing relevance. This study therefore investigates what motives patients with an immigrant background have for seeking healthcare services in their region of origin.Methods: The study was based on 10 semi-structured interviews with 10 patients who had an immigrant background, primarily originating from Turkey and the Middle East, recruited at a clinic of immigrant medicine in Denmark. The interviews were analysed thematically to elucidate motives for seeking healthcare services abroad, with focus on identifying push and pull factors.Results: Four motives for seeking healthcare in the region of origin were salient in the material: the perception of availability, in terms of quantity and access; familiarity, conceptualised as feeling comfortable within the healthcare system; perception of quality of services; and finally, the perceived need for a second opinion. All motives emerged simultaneously as push factors, motivating immigrants to explore healthcare services abroad, and pull factors, attracting them to their country of origin. Affordability did not emerge as an independent motive but influenced the other factors.Conclusion: The use of healthcare services abroad by patients with an immigrant background constitutes active health-seeking behaviours shaped by a range of factors perceived to be limiting access to high-quality services in Denmark. Further research, including quantitative studies, should be initiated to investigate the importance of these motives among larger, more diverse immigrant groups, consequences for treatment regimes, and the healthcare professionals’ perspective on the use of healthcare in the region of origin among immigrant patients.",
author = "Nicoline Lokdam and Maria Kristiansen and Handlos, {Line Neerup} and N{\o}rredam, {Marie Louise}",
year = "2016",
month = "3",
day = "21",
doi = "10.1186/s12913-016-1346-1",
language = "English",
volume = "16",
pages = "1--10",
journal = "B M C Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Use of healthcare services in the region of origin among patients with an immigrant background in Denmark

T2 - a qualitative study of the motives

AU - Lokdam, Nicoline

AU - Kristiansen, Maria

AU - Handlos, Line Neerup

AU - Nørredam, Marie Louise

PY - 2016/3/21

Y1 - 2016/3/21

N2 - Background: In Denmark, immigrants have been found to have a higher use of healthcare services abroad. Since this use may have an impact on both the individual patient and the healthcare system in the country of residence, research into underlying reasons is of increasing relevance. This study therefore investigates what motives patients with an immigrant background have for seeking healthcare services in their region of origin.Methods: The study was based on 10 semi-structured interviews with 10 patients who had an immigrant background, primarily originating from Turkey and the Middle East, recruited at a clinic of immigrant medicine in Denmark. The interviews were analysed thematically to elucidate motives for seeking healthcare services abroad, with focus on identifying push and pull factors.Results: Four motives for seeking healthcare in the region of origin were salient in the material: the perception of availability, in terms of quantity and access; familiarity, conceptualised as feeling comfortable within the healthcare system; perception of quality of services; and finally, the perceived need for a second opinion. All motives emerged simultaneously as push factors, motivating immigrants to explore healthcare services abroad, and pull factors, attracting them to their country of origin. Affordability did not emerge as an independent motive but influenced the other factors.Conclusion: The use of healthcare services abroad by patients with an immigrant background constitutes active health-seeking behaviours shaped by a range of factors perceived to be limiting access to high-quality services in Denmark. Further research, including quantitative studies, should be initiated to investigate the importance of these motives among larger, more diverse immigrant groups, consequences for treatment regimes, and the healthcare professionals’ perspective on the use of healthcare in the region of origin among immigrant patients.

AB - Background: In Denmark, immigrants have been found to have a higher use of healthcare services abroad. Since this use may have an impact on both the individual patient and the healthcare system in the country of residence, research into underlying reasons is of increasing relevance. This study therefore investigates what motives patients with an immigrant background have for seeking healthcare services in their region of origin.Methods: The study was based on 10 semi-structured interviews with 10 patients who had an immigrant background, primarily originating from Turkey and the Middle East, recruited at a clinic of immigrant medicine in Denmark. The interviews were analysed thematically to elucidate motives for seeking healthcare services abroad, with focus on identifying push and pull factors.Results: Four motives for seeking healthcare in the region of origin were salient in the material: the perception of availability, in terms of quantity and access; familiarity, conceptualised as feeling comfortable within the healthcare system; perception of quality of services; and finally, the perceived need for a second opinion. All motives emerged simultaneously as push factors, motivating immigrants to explore healthcare services abroad, and pull factors, attracting them to their country of origin. Affordability did not emerge as an independent motive but influenced the other factors.Conclusion: The use of healthcare services abroad by patients with an immigrant background constitutes active health-seeking behaviours shaped by a range of factors perceived to be limiting access to high-quality services in Denmark. Further research, including quantitative studies, should be initiated to investigate the importance of these motives among larger, more diverse immigrant groups, consequences for treatment regimes, and the healthcare professionals’ perspective on the use of healthcare in the region of origin among immigrant patients.

U2 - 10.1186/s12913-016-1346-1

DO - 10.1186/s12913-016-1346-1

M3 - Journal article

VL - 16

SP - 1

EP - 10

JO - B M C Health Services Research

JF - B M C Health Services Research

SN - 1472-6963

M1 - 99

ER -

ID: 159088340