Access to health care for asylum seekers in the European Union—a comparative study of country policies

Nørredam, Marie; Mygind, Anna; Krasnik, Allan

doi:10.1093/eurpub/cki191

Cited by 203 publications

(194 citation statements)

References 14 publications

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“…This is partly due to legal restrictions in the use of health services and barriers such as communication problems, poor health literacy, limited available care, and stigmatization associated with the use of mental health services (Kluge et al, 2012; Norredam, Mygind, & Krasnik, 2005). However, a study by Bozorgmehr and Razum (2015) shows that restricted access to health care is connected with higher health care costs.…”

Section: Introductionmentioning

confidence: 99%

Efficient identification of mental health problems in refugees in Germany: the Refugee Health Screener

Kaltenbach

Härdtner

Hermenau

et al. 2017

European Journal of Psychotraumatology

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Background: A substantial number of refugees present with mental disorders. This appears particularly acute in the currently increasing refugee populations in Europe. Although EU guidelines demand the identification and support of vulnerable individuals such as survivors of trauma, no adequately validated and comprehensive mental health screening instruments for refugees residing in Europe currently exist. Objective: We studied the feasibility, validity, and reliability of the Refugee Health Screener-15 (RHS-15) – a time-efficient and easy-to-implement screening developed by Hollifield et al. (2013) – as a self-rating and interview instrument. Methods: A sample of refugees from different countries (N = 86), representative of those who had arrived around the turn of the year 2015/2016 in Germany, filled in the RHS-15 on their own. A semi-structured clinical interview was later conducted with a random subsample (n = 56). Results: Fifty-two percent of the refugees examined screened positive in the RHS-15, thus indicating current mental health problems. The RHS-15 showed a good feasibility, reliability, and validity in both the self-rating and the interview version. It detected clinically relevant mental health problems when PTSD, depression, anxiety, or somatization problems were present. A shorter 13-item version proved to be equally valid. Conclusions: Together with previous research on the RHS in refugees living in the US, this suggests that the RHS is a time-efficient and accurate instrument that is able to detect common mental health problems in a wide range of refugees. Prospectively, the RHS could be used as an instrument for identifying vulnerable refugees, for example, by integrating it in the initial medical examination in the host community, thereby initiating support.

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Section: Introductionmentioning

confidence: 99%

Efficient identification of mental health problems in refugees in Germany: the Refugee Health Screener

Kaltenbach

Härdtner

Hermenau

et al. 2017

European Journal of Psychotraumatology

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“…Migrant women are less screened for cervical and breast cancer, have less access to family planning and contraception and lower uptake of gynaecological healthcare, are more at risk of unintended pregnancies, pay fewer and later antenatal care visits, have poorer pregnancy outcomes (more induced abortions and complications), and have higher infant and maternal mortality rates 3,[52][53] . Whereas, both migrant women and men are more at risk of sexually transmitted infections (STI), and sexual violence 3 .…”

Section: Sexual and Reproductive Health In Migrants In Europementioning

confidence: 99%

“…There is a scarcity of specific European legal and policy provisions related to SRH interventions in migrants. Therefore, migrants have to overcome multiple barriers to access SRH services, as in most of the EU countries the legal status remains the major determinant in accessing SRH 52 . As for undocumented migrants, current legislation in the EU does not guarantee access to SRH care and tends to become more restrictive 3,54 .…”

Section: Sexual and Reproductive Health In Migrants In Europementioning

confidence: 99%

“…As for undocumented migrants, current legislation in the EU does not guarantee access to SRH care and tends to become more restrictive 3,54 . Couple with this, migrants often lack knowledge about the health system and available SRH services in the host country 3,52 , and health care providers often lack skills in culturally competent communication and are unaware of migrants' entitlements to SRH services and support available 3 . This has been endured with the austerity measures during the economic crisis.…”

Section: Sexual and Reproductive Health In Migrants In Europementioning

confidence: 99%

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New times for migrants' health in Europe

Reyes-Urueña

Noori

Pharris

et al. 2014

Rev. esp. sanid. penit.

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Patterns of migration can change greatly over time, with the size and composition of migrant populations reflecting both, current and historical patterns of migration flows. The recent economic crisis has caused a decrease on migration flows towards the most affected areas, as well as cut offs in health interventions addressed to migrants.The objective of this paper is to review available data about interventions on migrants' health in Europe, and to describe changes in migrant health policies across Europe after the economic crisis, that can have a negative effect in their health status.Although migrants have the right to health care under legal settlements issued by the EU, there is no a standard European approach to offer health care to migrants, since; policies in each EU Member State are developed according to specific migrant experience, political climate, and attitudes towards migration.Migrants use to face greater health problems and major health care access barriers, compared with their counterparts from the EU. Therefore, migrant health policies should focus in protects this vulnerable group, especially during economic hardship, taking into account economic and socio-demographic risk factors. There is an especial need for research in the cost-effectiveness of investing in the health care of the migrant population, demonstrating the benefit of such, even in the health of the European native population, and the need for constant intervention despite of resource constraints.Keywords: Emigration and Immigration; Europe; Prisons; Communicable Diseases; Basic health services; Políticas Públicas de Salud; HIV; Tuberculosis. NuEvoS TiEmpoS pARA lA SAlud dE EmigRANTES EN EuRopA RESumENLos patrones de emigración pueden cambiar considerablemente con el paso del tiempo, y el tamaño y composición de la población de emigrantes pueden reflejar los patrones actuales e históricos de los flujos de emigración.La reciente crisis económica ha provocado un decremento en flujos de emigración hacia las zonas más afectadas y reducciones en asistencia sanitaria para emigrantes. El objetivo de este estudio es revisar la información disponible sobre intervención sobre la salud de los emigrantes en Europa y describir los cambios en políticas de salud para los mismos en el continente después de la crisis económica que pueden repercutir de forma negativa en su estado de salud.Aunque los emigrantes tienen el derecho de asistencia sanitaria bajo acuerdos legales emitidos por la UE, no existe una política común en Europa en cuanto a la provisión de asistencia sanitaria para emigrantes, ya que las políticas en cada estado miembro de la UE se han desarrollado según experiencias concretas relacionadas con los emigrantes, el clima político y las actitudes hacia la inmigración.Los emigrantes suelen encontrarse con mayores problemas de salud y barreras considerables en la asistencia sanitaria en comparación a sus co-residentes de la UE. Por tanto las políticas de salud para emigrantes deben enfocarse en proteger a este grupo vulnerab...

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“…One reason for immigration is claimed to be seeking better future (Dastjerdi, Olson, & Ogilvie, 2012). Then the mentioned transitions could be daunting, affecting social marginalization, loss of social networks (Lipsicas et al, 2012;Lipson & Meleis, 1983;Bhugra, 2005), health care access issues (Norredam, Mygind, & Krasnik, 2006), and adverse health consequences, including depression and anxiety (Grove & Zwi, 2006).…”

Section: Introduction and Statement Of The Problemmentioning

confidence: 99%

Development, Immigration, And Social Harms of Iranian Small Towns: A Case Study

Nazifi¹

2016

ACH

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Immigration is compelled by social, political and economic factors. One reason for immigration is claimed to be seeking better future. Then the mentioned transitions could be daunting, affecting social marginalization, loss of social networks, health care access issues and adverse health consequences, including depression and anxiety. It is claimed that immigrants encounter challenges while acclimatizing to their new country and a majority of them might be influenced by the process of immigration. It is claimed that the Islamic revolution, political changes, war, and sanctions from the United States of America have obliged many Iranians to flee their homeland over the last three decades and social harms of this immigration; especially through Iran was required to be studied. This research was a survey conducted in Qiamdasht which is a small town in Ghaniabad Rural District, in the Central District of Rey County, Tehran Province, Iran. In this study, systematic random sampling was applied, resulting in 245 participants to be interviewed and respond to the questionnaires. The design of this research included Survey Research and Ex-Post Facto. Since this was a survey in which the selected families were investigated in terms of economic, cultural and social aspects, interviews and questionnaires were used. To measure the dependent and independent variables through questions, a questionnaire in 8 pages containing 69 open-ended questions on 9-point Lickert scale was established. The data were transferred to SPSS version 21 for further analysis. The results revealed that Immigrants observe the codes of ethics less than the others. Immigrants have lower Socio-economic status. Immigrants play a smaller role in solving the social affairs. Immigrants own low-level desires and wishes. Immigrants apply rationality in their life affairs less than the others. By improving their socio-economic status, immigrants better observe the codes of ethics, their rationality improves, their social mobility improves, their role in social affairs improves, moreover, it was found that by improving their economic development, qualitative development increases and finally immigration rate was found to have a diverse relationship with qualitative development.

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Access to health care for asylum seekers in the European Union—a comparative study of country policies

Abstract: Health policies towards asylum seekers differ significantly between the EU countries and may result in the fact that the health needs of asylum seekers are not always adequately met.

Cited by 203 publications

References 14 publications

Efficient identification of mental health problems in refugees in Germany: the Refugee Health Screener

Efficient identification of mental health problems in refugees in Germany: the Refugee Health Screener

New times for migrants' health in Europe

Development, Immigration, And Social Harms of Iranian Small Towns: A Case Study

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