Health-seeking behaviour of foreign workers in Singapore: Insights from emergency department visits

Chan, Joanna Shi-En; Chia, Dennis Wen Jie; Ying, Hao; Lian, Sherman Wei Qiang; Chua, Mui Teng; Ong, Marcus Eh

doi:10.47102/annals-acadmedsg.2020484

Cited by 8 publications

(6 citation statements)

References 27 publications

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“…These statistics are generally in line with the findings of previous studies that migrant construction workers are more likely to suffer injuries than native workers (Vignoli et al, 2021;Ch avez and Altman, 2017;Grzywacz et al, 2012). However, research literature about migrant construction workers is relatively limited (Rabito et al, 2011;Teran et al, 2015;Chan et al, 2021;de Diego-Cordero et al, 2021;Lara et al, 2021;Rabito et al, 2011;Teran et al, 2015). The reasons for the lack of literature may be varied.…”

Section: Introductionsupporting

confidence: 87%

Health and safety risk of migrant construction workers–a systematic literature review

Guan

Yiu²,

Samarasinghe³

et al. 2022

ECAM

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PurposeThe aim of this paper is to review and analyze the research literature on the health and safety issues of migrant workers in the construction industry from 2000 to 2022.Design/methodology/approach5 steps method is used to conduct a systematic review to achieve the objectives. After scanning two authoritative search engines “Web of Science” and “Scope”, 60 articles are selected from 225 publications for identification and review. These identified articles are classified by research fields, countries and time span.FindingsThe review finds that with the increasing influence of migrant construction workers, the number of publications on the health and safety of migrant workers has shown a rapid upward trend. Moreover, language barriers are the most dominant safety risk factors encountered by on-site migrant workers. This systematic literature review also summarizes the definition of migrant workers and solutions to reduce safety risk factors.Originality/valueThe research data on the health and safety issues and risk factors of migrant workers in the construction industry is still limited. This literature review summarizes the research trends and contributions of the literature in this field in the past 22 years and provides theoretical support for future research on the safety management of the migration construction field.

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Section: Introductionsupporting

confidence: 87%

Health and safety risk of migrant construction workers–a systematic literature review

Guan

Yiu²,

Samarasinghe³

et al. 2022

ECAM

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“…Klukowska-Roetzler et al [46] found a higher percentage of South-East European migrants visiting the ED upon self-referral compared to Swiss patients (59.9% vs. 41.2%), which were instead referred by ambulance to a greater extent (16.2% vs. 7.7%). These findings are supported by Chan et al [60] who found that foreign workers were less likely to arrive by ambulance compared to the native population in Singapore (6.1% vs. 13.3%; p-value < 0.001).…”

Section: Modalities Of Access and Utilization Of The Edsupporting

confidence: 71%

“…As for discharge rates, migrants tend to leave the hospital against medical advice (AMA) more frequently than the host population [59]. More consistency was found regarding the mode of access: migrants are more likely to seek care at the ED without consulting a GP first [45,55], and less likely to access the ED via ambulance [46,60]. In this regard, several considerations can be made.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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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“…Higher treatment costs and returning to their country of origin, perhaps for treatment, could explain the underrepresentation. In general, foreign patients were more likely to be admitted for trauma related injuries and defaulted non-trauma conditions treatment 33 . Comparison with another similar local study 7 was not possible because it had excluded non-residents from the analysis.…”

Section: Discussionmentioning

confidence: 99%

Predictors of frequency of 1-year readmission in adult patients with diabetes

Soh,

Mukhopadhyay,

Mohankumar

et al. 2023

Sci Rep

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Diabetes mellitus (DM) is the third most common chronic condition associated with frequent hospital readmissions. Predictors of the number of readmissions within 1 year among patients with DM are less often studied compared with those of 30-day readmission. This study aims to identify predictors of number of readmissions within 1 year amongst adult patients with DM and compare different count regression models with respect to model fit. Data from 2008 to 2015 were extracted from the electronic medical records of the National University Hospital, Singapore. Inpatients aged ≥ 18 years at the time of index admission with a hospital stay > 24 h and survived until discharge were included. The zero-inflated negative binomial (ZINB) model was fitted and compared with three other count models (Poisson, zero-inflated Poisson and negative binomial) in terms of predicted probabilities, misclassification proportions and model fit. Adjusted for other variables in the model, the expected number of readmissions was 1.42 (95% confidence interval [CI] 1.07 to 1.90) for peripheral vascular disease, 1.60 (95% CI 1.34 to 1.92) for renal disease and 2.37 (95% CI 1.67 to 3.35) for Singapore residency. Number of emergency visits, number of drugs and age were other significant predictors, with length of stay fitted as a zero-inflated component. Model comparisons suggested that ZINB provides better prediction than the other three count models. The ZINB model identified five patient characteristics and two comorbidities associated with number of readmissions. It outperformed other count regression models but should be validated before clinical adoption.

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Health-seeking behaviour of foreign workers in Singapore: Insights from emergency department visits

Cited by 8 publications

References 27 publications

Health and safety risk of migrant construction workers–a systematic literature review

Health and safety risk of migrant construction workers–a systematic literature review

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

Predictors of frequency of 1-year readmission in adult patients with diabetes

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