Health Service Utilization of International Immigrants in Yiwu, China: Implication for Health Policy

Xu, Junfang; Chen, Xing; Liu, Kaijie; Guo, Guijie; Li, Youjiang

doi:10.1007/s10903-020-01066-7

Cited by 7 publications

(9 citation statements)

References 27 publications

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“…Similar to the present study, it has been shown that the immigrant population's admission to the emergency department is higher in Spain ( 16). Xu et al pointed out the relation between the utilization of healthcare services by immigrants and immigration reasons (8). As admission to the emergency department is generally associated with acute traumas, we think immigrant children were more exposed to acute trauma, similar to the findings of different studies (17,18).…”

Section: Discussionsupporting

confidence: 83%

“…Xu et al reported that outpatient visits were more frequent among international immigrants; however, the number of visits and outpatient treatment costs were lower than those of local people. They stated that this difference was related to health insurance (8). In this study, no significant difference was found between the number of admission to O&T in one year in either group.…”

Section: Discussioncontrasting

confidence: 64%

“…In addition, 40% of surgical treatment patients in the pediatric emergency department were associated with O&T (7). In China, researchers reported that international immigrants admission to most frequently with orthopedic diseases, otolaryngological diseases in the second, and pediatric diseases related in the thirdly (8). In Turkey, it was reported that 38.2% of the immigrants admitted to orthopedic health services were patients under the age of 18 (9).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Orhan

Kaptan

Çetin

et al. 2023

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: The number of immigrant children admitted to public sector healthcare facilities is increasing. However, comparatively few studies investigated its effects on health systems, especially in the orthopedics discipline. This research investigates if there is a significant difference in admission to orthopedics and traumatology outpatient clinics (O&T) between immigrants and local children. Materials and Methods: Immigrant (IP) and local patients (LP) under 18 admitted to the O&T of a tertiary hospital between 2019-2021 were included in this retrospective study. Demographic data of patients, number of admission in a year, place of admission, the reason for admission, treatment method, radiological imaging, and diagnoses (soft tissue trauma (STT), developmental hip dysplasia (DDH), etc.) were evaluated for both groups. Results: 1009 patients were included (n=481 LP, n=528 IP). The number of admissions was higher in IP between 1 and 2 years (p=0.02). The consultations of IP from the emergency department and other departments were statistically higher than those of LP (p<0.001). Fracture/complications and STT are the most common diagnoses in local and immigrant groups. The third most common diagnosis was DDH in LP and general examination in IP. Examinations with MRI and no radiological imaging were more frequent in IP than in LP. Conclusions: It is noteworthy that the number of admissions to O&T and consultations from other services is higher in IP than the LP. Increasing physicians' awareness of cultural differences and expectations and providing health education to immigrant families through professional translators in their preferred language can diminish the load on healthcare.

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Section: Discussionsupporting

confidence: 83%

Section: Discussioncontrasting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

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Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Orhan

Kaptan

Çetin

et al. 2023

Harran Üniversitesi Tıp Fakültesi Dergisi

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“…On the other hand, migrant populations are struggling to navigate health systems to access information and services [24,25]. Consequently, increasing access to health care for migrant populations to improve utilisation of care has been a continuing challenge for the health system [9,10,[25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Too long to wait: South Asian migrants’ experiences of accessing health care in Australia

et al. 2021

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Background Migrants settling in a new country experience multiple complexities in navigating health care systems and adapting to a new way of life in the host country. In South Asia, migrating to another country for better life opportunities has been an ongoing trend and migration to Australia has significantly increased in recent years. Lower utilisation of health services and higher risks of chronic diseases among South Asian migrants poses a continuing challenge for the Australian health care system and little is known about why this demographic group does not access health services at the same rate. This study aimed to explore factors influencing access to health care by South Asian migrants in Australia. Methods Using a mixed-method design, we conducted 62 online survey and 14 in-depth interviews with participants from four South Asian countries: Nepal, India, Bhutan, and Sri Lanka. Participants were recruited using a purposive snowball sampling approach following a standard ethical approval process. Survey data were analysed descriptively in SPSS and interview data were recorded, transcribed, and analysed thematically. Results South Asian migrants experienced various complexities while accessing health services in Australia. The findings of this study highlighted a number of negative factors influencing their experiences of accessing health care: long waiting times for public health care, the expense of private health care, and communication problems due to socio-cultural differences. South Asian migrants also expressed their concern for a greater investment of resources into public health care to enable them to access quality and affordable care in these settings. Conclusions Given limited evidence available to help understand factors leading to the lower utilisation of health care and higher risks of chronic diseases among South Asian migrants, this study plays an important role in highlighting social, cultural, financial, and institutional factors that are critical to designing appropriate health-care strategies. This study recommends incorporating a collaborative and culturally competent model of care to increase access to health care and thereby help reduce existing disparities in health outcomes among South Asian migrant populations.

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“…On the other hand, the migrant populations are struggling to navigate the health systems to access information and services (24,25). As a result, the health service utilization among the migrant population remains a challenge for the health system (9,10,(25)(26)(27).…”

mentioning

confidence: 99%

Too Long to Wait: South Asian Migrants’ Experiences of Accessing Health Services in Australia

Adhikari

Kaphle

Dhakal

et al. 2021

Preprint

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Background: Migrants settling in a new country experience multiple complexity to navigate health systems and ways of living. In South Asia, migrating to developed countries for better life opportunities has been the ongoing trend and migration to Australia has significantly increased in recent years. The lower utilisation services and higher risks of chronic diseases among South Asian migrants has been an ongoing challenge for the health system to tackle and little is known why these groups of population do not access services. This study aimed to explore the factors influencing experiences of accessing health services by South Asian migrants in Australia. Methods: Using mixed method design, 62 online surveys and 14 in-depth interviews were conducted with participants from four countries of South Asia - Nepal, India, Bhutan, and Sri Lanka. Participants were recruited using a purposive snowball sampling approach following the standard ethical process. Survey data were analysed descriptively in SPSS to derive relationships between variables. Interview data were recorded, transcribed, and analysed thematically. Results: South Asian migrants experienced various complexities while accessing health services in Australia. Experiences of accessing health services highlighted a number of factors; long waiting periods to access public health services, expensive nature of private health services and communication problems due to socio-cultural differences. While these migrants have comparatively better experiences about the services in Australia than in their home country, they have expectations for affordable, timely, respectful, and culturally friendly services. South Asian migrants shared the possibility of making services accessible to them by investing more resources in the health sectors, so they can receive the expected quality of care in public settings. Conclusions: Limited evidence is available to understand the factors leading to lower utilisation of services and higher risks of chronic diseases among South Asian migrants. So, this study highlighted numbers of social, cultural, financial, and institutional factors that are critical to design appropriate health service strategies. This study recommended incorporating a collaborative and culturally competent model of care to increase access to services which can further help to reduce existing disparities in health outcomes among migrant populations.

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Health Service Utilization of International Immigrants in Yiwu, China: Implication for Health Policy

Cited by 7 publications

References 27 publications

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Immigrant Child Health Through the Eyes of Orthopedics: Is There a Difference Between Local Children

Too long to wait: South Asian migrants’ experiences of accessing health care in Australia

Too Long to Wait: South Asian Migrants’ Experiences of Accessing Health Services in Australia

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