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Perceived health and consultation of GPs among ethnic minorities compared to the general population in the Netherlands.

Devillé, W., Uiters, E., Westert, G., Groenewegen, P. Perceived health and consultation of GPs among ethnic minorities compared to the general population in the Netherlands. In: G.P. Westert; L. Jabaaij; F.G. Schellevis. Morbidity, performance and quality in primary care: Dutch general practice on stage. Oxon: Radcliffe Publishing, 2006. 85-96
We have studied differences between the major migrant groups and the native Dutch population related
to self-rated health and its sociodemographic determinants, the use of general practitioner (GP)
care and the incidence of diagnoses made by GPs. Self-rated health differs significantly between all
migrant groups and the natieve Dutch, and clusters in two groups: Surinamese/Antillean and
Turkish/Moroccan patients, especially in Turkish/Moroccan females. Turks rate their health worst and
a higher percentage visit the GPs at least once a year. Fewer Surinames and Antillean patients visit
their GPs than the Dutch do. People from ethnic minorities in good health visit their GPs more often
than their Dutch peers. Ethnic minorities who do visit their GPs do it more often than the Dutch.
Seven diagnoses in the top 10 of incidence rates were similar in all groups. The incidence rates of
acute respiratory infections and chest complaints were significantly higher in all migrant groups
than in the Dutch. Ethnicity is independently associated with self-rated health. The higher use of
GP care by ethnic minorities in general, especially female, and more specifically the ones in good
health, points towards possible inappropriate use of resources. The diagnoses with a higher
incidence and the use of prevention need specific attention in these migrant groups. (aut. ref.)