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Contacts of general practitioners with illegal immigrants

TNO (Netherlands Organisation of Applied Scientific Research), Institute of Prevention and Health, Department of Public Health, Leiden, SA.Reijneveld{at}pg.tno.nl

Robert Verheij

NIVEL (Netherlands Institute of Primary Health Care), Utrecht, The Netherlands

Loes van Herten

TNO (Netherlands Organisation of Applied Scientific Research), Institute of Prevention and Health, Department of Public Health, Leiden

Dinny de Bakker

NIVEL (Netherlands Institute of Primary Health Care), Utrecht, The Netherlands

Aims: Violence and economic hardship cause many people to go to industrialized countries, often without obtaining a residence permit. The aim of this study is to gain insight into the factors that determine the occurrence of contacts in primary health care with such illegal immigrants. Methods: Data were analysed on contacts with illegal immigrants from a national survey among Dutch general practitioners (GPs) (n= 1,148; response: 62%). Results: GPs reported that they have on average 0.74 patient contacts with an illegal immigrant per week (95% CI: 0.56-0.92) . This probably includes some over-reporting. Contacts are more likely in practices and communities that comprise more non-Dutch-born people and more (patients with) typically urban health problems. Working experience and demography of the GP are not independently associated with the occurrence of contacts. Conclusions: Contacts of Dutch GPs with illegal immigrants mostly occur in the deprived areas of the big cities.

Key Words: health care accessibility • general practitioner • immigrant • legal status.

Scandinavian Journal of Public Health, Vol. 29, No. 4, 308-313 (2001)
DOI: 10.1177/14034948010290040301


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