Healthcare demand of etnical groups in Amsterdam

Description:

Amsterdam has a large population of ethnical groups and does have large areas with a low social and economical status.
The ratio of non-western ethinicals in the population will increase from 11% in 2007 to 16% in 2050.
The relative young age structure of the first generation,
The expected high migration rate in the future,
The relatively high ammount of children (birthrate decreases but still the average is high)

The health condition of ethical’s is in general worse than of originals. More frequent seen are: death of newborn babies and prenatal death, sexual risky behavior, diabetes and depression. People from Suriname die earlier because by diabetes. The death rate of Moroccan above 40 is lower compared to originals. Cancer is not that much diagnosed in people from Morocco, Suriname and Turkish females.

The ratio of hospital admition is higher in non-western ethnicals than originals. Ethnicals sooner visit a General practitioner (GP). The differences are the highest in 55+. Turkish, Surinamers en Antilleans consult a GP more often.

The northern city area has on average a lower educational level. Life expectancy between low and high educational men and women are 6,9 respectively 5,7 years.

There are no large differences in demand of health in Social Economical Standard (SES)-groups. So, lower educational level leads to a smaller lifetime expectancy and no increased demand of healthcare.

A new way of planning capacity is required to give patients the health care they require.

Enabler:

More ethnical 65 plus
More babies born in the ethnical group compared to original
Language problems, knowledge, participation and culture differences
Differences in lifestyle (more carbohydrates)
Genetically (different diseases than autochthon)
Lesser baby care
Childcare will increase caused by high ratio children
High immigration
More elderly ethnical people
Lesser intake of medication
Lesser use of homecare, lesser use of nursing homes
Lesser use of vegetables and fruits
Worse residential
Lower educational level ager
Lower income
Job market less accessible

Inhibator:

More focus on prevention for ethnical groups
More focus on prevention in area with low income groups
More attention on low educated groups
Increasing specific support
Younger generation lesser language problem (better influenced by prevention programs)
Good integration
Differences in lifestyles (less alcohol)
National vaccination programs
More education for the younger generation

Paradigms:

Hospitals in strong multicultural areas specialize.

Experts:

Health provider, i.e. GP’s, Specialists
Insurance companies
Government
Advisors (CPB, RIVM)
Pharmaceutical companies
Schools
Department WMO of Amsterdam

Timing:

Political environment changed the regulation immigration amount.

Web resources:

www.amsterdam.nl
www.Rivm.nl
www.cpb.nl