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Cantabria Analysis of the social determinants of health and access to health services in the immigrant population in Cantabria Cantabrian

The OSPC is conducting a ANALYSIS OF THE SOCIAL DETERMINANTS OF HEALTH AND ACCESS TO HEALTH SERVICES OF THE IMMIGRANT POPULATION IN CANTABRIA on data collected through 2007, in coordination with the Directorate General of Public Health and Health Service of Cantabria.

This study consists of two components . On the one hand and given the lack of systematic information on the profiles of the diversity of the foreign population in Cantabria, as well as specific health status and access to services on the basis of gender, socioeconomic class and ethnic-cultural origin, we consider must begin by making a descriptive analysis sociodemographic and health. The purpose of it is to provide us with useful information about social determinants of health such as education, work and housing, among others, and we can identify some specific needs in collective health of the immigrant population in Cantabria. Specifically, this study intends to:

• Identify existing information sources and their possibilities and limitations in the availability of data on the health of the immigrant population and their access to health services.
  
• Gather and accessible information on the various social factors that determine health status and quality of life of the immigrant population in Cantabria.
  

The report will draw in the first module information on legislation on the right to health and access to Individual Health Insurance Card of the foreign population in the English State and the Autonomous Community of Cantabria. Also provide demographic information the presence and evolution of the foreign population and access to the card Individual Health in Cantabria.

also in the use of services of urgency and hospitalization, the report will present results of the study of the information contained OSPC in corporate databases Hospital Universitario Marqués de Valdecilla. [1]

In sum, this study is allowing us to identify and systematize the difficulties and limitations faced in collecting data, and propose concrete recommendations and actions for improvement.

The second component is a qualitative study from the approach of social research with two sect pray population and two lines of analysis : first c on the associative , key informants from various institutions and immigrants living in Cantabria in terms of perceptions and concerns on health and living conditions of the various immigrant groups living in Cantabria. On the other with health professionals and non health Primary Care Health Service Cantabria, in terms of their knowledge, attitudes and practices . [2]

During the fieldwork have been conducted interviews and focus groups with associations that provide services to the immigrant population, immigrant associations (different countries) and not associated with women migrant workers, as well as with trade unions several key informants institutions and administration. This qualitative study allows us to visualize the areas of interest, concern and health needs of the immigrant population as well as their suggestions for improvement.

Moreover, the professional study therefore seeks to investigate the perceptions and interpretations of different groups of health workers and primary care manager (AP) and specialized in terms of challenges and needs faced in caring the immigrants who use the system and analyze their suggestions and make recommendations to ensure system quality equitable services to the diverse population of Cantabria.

Fieldwork for data collection in primary care was conducted in coordination with the two managements (GAP 1 and GAP Laredo Santander-Torrelavega-Reinosa 2). This experience has involved integrating the different professional teams: coordinating center staff, medical staff, nurses, midwives, social workers, psychologists and administrative support staff. Field work in the Specialty Care will be held at the Hospital of Sierrallana of Torrelavega.

The study results will be announced in early 2009.

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[1] Study of inequalities in access and utilization of specialty care services cantabria from the perspective of gender, May 2008, funded by the Research and Training Institute Marqués de Valdecilla.
[2] external collaboration with the researcher Fernando Conde in 2008