Woude, F.J.S. van der (2023) An Inequitable Healthcare System? Explaining the Differences in Healthcare Utilisation between Older Migrants and Older Non-Migrants in the Netherlands. Bachelor thesis, Sociology.
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Abstract
In the Netherlands, older migrants experience poorer physical and mental health than non-migrants. Despite their poorer health, migrants were found to utilise multiple healthcare services less than non-migrants in previous research. In an equitable healthcare system, the need for medical treatment should determine whether someone utilises the healthcare system. Differences in healthcare utilisation based on socioeconomic status or ethnicity go against this principle of equitability. In this thesis, it was investigated whether the Dutch healthcare system is equitable by looking at the determinants that influence different healthcare utilisation between older migrants and older non-migrants in the Netherlands. For this purpose, the data of the Longitudinal Internet Studies for the Social Sciences (LISS) Immigrant Panel were analysed, using logistic and linear regression models. It was examined how Western migrants and non-Western migrants differed from non-migrants in their utilisation of the general practitioner and the medical specialist. Furthermore, it was explored whether predisposing characteristics, enabling factors, and/or the need for medical treatment could explain the differences in utilisation between the populations. Migrants of Western origin were significantly less likely to have visited the general practitioner and the medical specialist than non-migrants. Migrants of non-Western migrants did not differ from non-migrants in their utilisation of the general practitioner, while they utilised the medical specialist significantly less than non-migrants. None of the predisposing and enabling resources were found to explain the differences in healthcare utilisation between migrants and non-migrants. Self-rated health also did not explain these differences. However, self-rated health was the most important determinant to explain healthcare utilisation in general. Further research is necessary to identify what causes the different patterns in healthcare utilisation between migrants and non-migrants.
| Item Type: | Thesis (Bachelor) |
|---|---|
| Supervisor name: | Bilecen, B. |
| Degree programme: | Sociology |
| Differentiation route: | None [Bachelor Sociology] |
| Date Deposited: | 18 Jul 2023 10:15 |
| Last Modified: | 18 Jul 2023 10:15 |
| URI: | http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/2412 |
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