Access to healthcare is an extremely relevant indicator of integration. Many barriers can impede access, such as a general lack of knowledge about health institutions, linguistic barriers or a lack of connections. This indicator primarily examines impeded access to medical and dental care due to financial reasons. The lack of access to dental care is of particular interest as this type of service is in most cases paid for by patients. This is in contrast to general medical care, which is reimbursed by the basic health insurance.
In 2017, overall, a statistically significant difference between the population with a migration background and the population without a migration background could be observed in the percentage of people who went without access to dental care (less than 5% compared with 2%). As far as medical care was concerned, the difference between the population with a migration background and that without a migration background was not statistically significant.
From 2014 to 2017, the percentage of people with a migration background who went without medical or dental care for financial reasons declined significantly. Part of this decline, however, can be explained by a series break between 2014 and 2015 (change to the wording and structure of questions in line with Eurostat guidelines). In contrast, the percentage of people without a migration background who went without medical or dental care due to financial reasons remained stable between 2014 and 2017. Consequently, the differences between the population with and without a migration background became smaller between 2014 and 2017.
In Espace Mittelland (5% to 2%) and in Zurich (4% to 1%), the results by migration status show a statistically significant difference to the detriment of the population with a migration background, which is more likely to go without access to dental care for financial reasons.
With regards to medical care, there is no significant difference between the population without a migration background and the one with.
Percentage of people who went without dental or medical care due to financial reasons.
At the request of Eurostat the questions regarding lack of access to healthcare were revised in 2015. The main change is that persons are now questioned about the necessity of medical (or dental) treatment prior to being asked if they have always been able to have access to the necessary examinations or treatment. This means that from 2015, only people who said they really needed an examination or treatment and who did not have access to such care were asked for the main reason for not consulting. As previously, when the main reason is financial, the person is considered to be subject to a lack of access to healthcare.
Following changes to the survey framework and improvements in the weighting model, results from 2014 on can no longer be directly compared with those from previous years (series break).