id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ecj-1896	Zinelli, Marcello; Musetti, Valentina; Comelli, Ivan; Lippi, Giuseppe; Cervellin, Gianfranco	Emergency department utilization rates and modalities among immigrant population. A 5-year survey in a large Italian urban emergency department	2014	4	.pdf	application/pdf	3889	172	56	[page 23] lization and hospitalization by immigrants was found, even after 10 years from migration.13 In Norway, work immigrants from Germany and Poland had a considerably lower use of the ED, while asylum seekers from Somalia and Iraq use these services more than Norwegians.14 Although high rates of ED use among migrants have been related to inadequate access to other services, a German study failed to find that migrant status was a predictor of inappro- priate utilization.15 Not surprisingly, the rela- tionships between migrants and health have been considered a cultural dilemma.16 In Italy, a retrospective survey based on 2005 Italian Health Conditions Survey, carried out by the Italian National Statistical Office (Istituto Nazionale di Statistica; ISTAT), showed a higher ED utilization rate by immi- grants, most notably from those born in Morocco, other African countries and Albania.17 The aim of the present study was to compare utilization rates and modalities of presenta- tion to the large urban ED of the University Hospital of Parma, Italy, by the Italian-native and foreign-born populations. A significant difference between utilization rates by Italian-born and foreign-born was observed for all the triage- codes considered, with higher rate by foreign- born low-acuity codes (green plus white codes: 87.5 vs 73.9%, P<0.0001) and lower for high- acuity codes (yellow plus red codes: 12.5 vs 26.1%, P<0.0001).	cache/ecj-1896.pdf	txt/ecj-1896.txt