Health care provided to recent asylum-seeking and non-asylum-seeking pediatric patients in 2016 and 2017 at a Swiss tertiary hospital - a retrospective study

Brandenberger, Julia; Pohl, Christian; Vogt, Florian; Tylleskär, Thorkild; Ritz, Nicole

doi:10.1186/s12889-020-10082-z

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…Our findings did not suggest a single pattern regarding migrants' access to and use of EDs. Some studies [39,50,54] reported a higher frequency of ED visits among migrants, while others [44,57] reported a higher frequency among non-migrants. According to some studies, migrants visit the ED for more urgent conditions compared to the host populations [51], while other studies report lower triage codes among migrants than non-migrants [46,49,50].…”

Section: Discussionmentioning

confidence: 99%

“…According to some studies, migrants visit the ED for more urgent conditions compared to the host populations [51], while other studies report lower triage codes among migrants than non-migrants [46,49,50]. There is disagreement about whether migrants are at greater [39,44], or lesser [46,58,59] risk of hospitalization than non-migrants. As for discharge rates, migrants tend to leave the hospital against medical advice (AMA) more frequently than the host population [59].…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, Brandenberger et al [44] found that the proportion of asylum-seeking pediatric patients visiting the ED in Switzerland was lower than that of native patients (19% vs. 32%; p-value < 0.001). In another study, migrants' low utilization of the ED has been attributed to their fear of discrimination, denial of services, and law enforcement in the hospital in the years following the 2016 US presidential elections [38].…”

Section: Frequency Of Access To the Edmentioning

confidence: 95%

“…The studies included in this review refer to their target population as "immigrants" [46,50,[52][53][54]56], "migrants" [39,48,49,51,57,58], "asylum-seekers" [43][44][45]47 "undocumented" [38,[40][41][42], "refugees" [59,61], and "foreign workers" [60]. For studies employing interviews or surveys, migratory status was primarily based on selfreported information.…”

Section: Demographic Characteristics Of Migrantsmentioning

confidence: 99%

“…Information on migrants' age was not always reported. Pediatric patients were the focus of three studies [43,44,58], while another study included both pediatric patients and their mothers [39]. One study specifically focused on migrants aged 60 years and above [57].…”

Section: Demographic Characteristics Of Migrantsmentioning

confidence: 99%

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Exploring Inequalities between Migrant and Non-Migrant Populations in the Utilization of Emergency Departments: A Systematic Review

Acquadro-Pacera,

Valente,

Facci

et al. 2023

Preprint

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Background Migrants face several barriers when accessing care and tend to rely on emergency services to a greater extent than primary care. Comparing emergency department (ED) utilization by migrants and non-migrants can unveil inequalities affecting the migrant population and pave the way for public health strategies aimed at improving health outcomes. This systematic review aims to investigate differences in ED utilization between migrant and non-migrant populations to ultimately advance research on migrants’ access to care and inform health policies addressing health inequalities. Methods A literature search was conducted in March 2023 on Pubmed, Scopus, and Web of Science databases. The included studies were limited to those relying on data collected from 2012 and written in English or Italian. Data extracted included information on the migrant population and the ED visit, the differences in ED utilization between migrants and non-migrants, and the challenges faced by migrants prior to, during, and after the ED visit. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results After full-text review, 24 articles met the inclusion criteria. All but one adopted a quantitative methodology. Some studies reported a higher frequency of ED visits among migrants, while others a higher frequency among non-migrants. Migrants tend to leave the hospital against medical advice more frequently than the native population and present at the ED without consulting a general practitioner (GP). They are also less likely to access the ED via ambulance. Admissions for Ambulatory Care Sensitive Conditions (ACSC) were higher for migrants, while still being significant for the non-migrant population. Conclusions The comparison between migrants’ and non-migrants’ utilization of the ED does not suggest a clear pattern, yet it shows that migrants’ access to care is hindered by barriers such as language barriers, poor insurance coverage, and limited working hours of GPs. Research exploring differences in ED utilization by migrants and non-migrants adopting a qualitative methodology is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Frequency Of Access To the Edmentioning

confidence: 95%

Section: Demographic Characteristics Of Migrantsmentioning

confidence: 99%

Section: Demographic Characteristics Of Migrantsmentioning

confidence: 99%

See 3 more Smart Citations

Exploring Inequalities between Migrant and Non-Migrant Populations in the Utilization of Emergency Departments: A Systematic Review

Acquadro-Pacera,

Valente,

Facci

et al. 2023

Preprint

View full text Add to dashboard Cite

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Discriminatory, racist and xenophobic policies and practice against child refugees, asylum seekers and undocumented migrants in European health systems

Stevens,

Boukari,

English

et al. 2024

The Lancet Regional Health - Europe

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Exploring differences in the utilization of the emergency department between migrant and non-migrant populations: a systematic review

Acquadro-Pacera,

Valente,

Facci

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Background Migrants face several barriers when accessing care and tend to rely on emergency services to a greater extent than primary care. Comparing emergency department (ED) utilization by migrants and non-migrants can unveil inequalities affecting the migrant population and pave the way for public health strategies aimed at improving health outcomes. This systematic review aims to investigate differences in ED utilization between migrant and non-migrant populations to ultimately advance research on migrants’ access to care and inform health policies addressing health inequalities. Methods A systematic literature search was conducted in March 2023 on the Pubmed, Scopus, and Web of Science databases. The included studies were limited to those relying on data collected from 2012 and written in English or Italian. Data extracted included information on the migrant population and the ED visit, the differences in ED utilization between migrants and non-migrants, and the challenges faced by migrants prior to, during, and after the ED visit. The findings of this systematic review are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Results After full-text review, 23 articles met the inclusion criteria. All but one adopted a quantitative methodology. Some studies reported a higher frequency of ED visits among migrants, while others a higher frequency among non-migrants. Migrants tend to leave the hospital against medical advice more frequently than the native population and present at the ED without consulting a general practitioner (GP). They are also less likely to access the ED via ambulance. Admissions for ambulatory care-sensitive conditions, namely health conditions for which adequate, timely, and effective outpatient care can prevent hospitalization, were higher for migrants, while still being significant for the non-migrant population. Conclusions The comparison between migrants’ and non-migrants’ utilization of the ED did not suggest a clear pattern. There is no consensus on whether migrants access EDs more or less than non-migrants and on whether migrants are hospitalized at a higher or lower extent. However, migrants tend to access EDs for less urgent conditions, lack a referral from a GP and access the ED as walk-ins more frequently. Migrants are also discharged against medical advice more often compared to non-migrants. Findings of this systematic review suggest that migrants’ access to care is hindered by language barriers, poor insurance coverage, lack of entitlement to a GP, and lack of knowledge of the local healthcare system.

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Health care provided to recent asylum-seeking and non-asylum-seeking pediatric patients in 2016 and 2017 at a Swiss tertiary hospital - a retrospective study

Cited by 5 publications

References 31 publications

Exploring Inequalities between Migrant and Non-Migrant Populations in the Utilization of Emergency Departments: A Systematic Review

Exploring Inequalities between Migrant and Non-Migrant Populations in the Utilization of Emergency Departments: A Systematic Review

Discriminatory, racist and xenophobic policies and practice against child refugees, asylum seekers and undocumented migrants in European health systems

Exploring differences in the utilization of the emergency department between migrant and non-migrant populations: a systematic review

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