International migrants’ use of emergency departments in Europe compared with non-migrants’ use: a systematic review

Crede, Sarah; Such, Elizabeth; Mason, Suzanne

doi:10.1093/eurpub/ckx057

Cited by 79 publications

(88 citation statements)

References 35 publications

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“…Also consistent with the present findings, two studies that accounted for system criteria found higher rates of non-urgent use among migrants, 12,18 and another that considered only patient criteria reported lower rates of non-urgent use by migrants. 15 In a systematic review, a higher rate of gynecologic consultations and more ED use for low-acuity presentations was found among migrants than among non-migrants in Europe, 12 The reference group was non-migrants. b P<0.05.…”

Section: Acculturation Of Migrantssupporting

confidence: 91%

“…Researchers have used varying definitions of urgency and non‐urgency, which makes an appraisal of the present findings difficult. Nonetheless, studies with a similar approach have reported comparable results . For example, our research group previously developed an inappropriateness index for ED or GED utilization that combined both patient and system perspectives, reporting that ethnicity was not a significant predictor for inappropriate use of EDs, analogous to the current findings based on a composite index.…”

Section: Discussionsupporting

confidence: 69%

“…For example, our research group previously developed an inappropriateness index for ED or GED utilization that combined both patient and system perspectives, reporting that ethnicity was not a significant predictor for inappropriate use of EDs, analogous to the current findings based on a composite index. Also consistent with the present findings, two studies that accounted for system criteria found higher rates of non‐urgent use among migrants, and another that considered only patient criteria reported lower rates of non‐urgent use by migrants…”

Section: Discussionmentioning

confidence: 99%

“…One of the crucial dimensions in assessing healthcare equity is the utilization of healthcare services . Specifically, the non‐urgent utilization of emergency departments (EDs) is a growing problem . Overuse and overcrowding of EDs has been identified as a worldwide concern for both patient safety and quality of care, and Germany is no exception .…”

Section: Introductionmentioning

confidence: 99%

“…10 Specifically, the non-urgent utilization of emergency departments (EDs) is a growing problem. 11,12 Overuse and overcrowding of EDs has been identified as a worldwide concern 13 for both patient safety and quality of care, 14 and Germany is no exception. 15,16 A nationwide survey recently reported a substantial increase in hospital visits during non-business hours over the course of the previous 11 years, from a third of survey participants in 2006 to almost a half in 2017.…”

mentioning

confidence: 99%

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The role of acculturation in migrants’ use of gynecologic emergency departments

Schwachenwalde

Sauzet

Razum

et al. 2020

Intl J Gynecology & Obste

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Objective To examine whether acculturation of migrant patients is a predictor of non‐urgent use of gynecologic emergency departments (GEDs). Methods A cross‐sectional study based on standardized questionnaire interviews among migrant (n=477) and non‐migrant (n=246) women attending a GED in Berlin, Germany, between 2017 and 2018. Non‐urgent GED use was defined by health system (e.g., no hospital admission) or patient (e.g., low subjective urgency) criteria. Acculturation was assessed by the Frankfurt Acculturation Scale. Logistic regressions were calculated with non‐migrants as the reference. Results Relative to migrants, low acculturation of migrants had no significant effect on overall non‐urgent GED use. However, low acculturation was a significant predictor of non‐urgent use if defined only by health system criteria (adjusted odds ratio [AOR], 1.58; 95% confidence interval [CI], 1.02–2.44; P=0.041). Inversely, low acculturation had a significant negative effect on non‐urgent use if defined only by patient criteria (AOR, 0.58; 95% CI, 0.38–0.90; P=0.014). Conclusion Low‐acculturated migrants were more prone to non‐urgent GED use as defined by health system criteria, and might have a distorted perception of urgency. According to their perception, however, low‐acculturated patients showed appropriate GED use for urgent complaints, indicating that they are insufficiently cared for by the healthcare system.

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Section: Acculturation Of Migrantssupporting

confidence: 91%

Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

The role of acculturation in migrants’ use of gynecologic emergency departments

Schwachenwalde

Sauzet

Razum

et al. 2020

Intl J Gynecology & Obste

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Emergency calls from migrants to an emergency call centre: A retrospective epidemiological study

Kalanlar

Öner

2023

Health Planning & Management

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Objective The study aims to evaluate migrants' inclination to call emergency call centres. Records of calls made to an emergency call centre by migrants of different age groups and nationalities were reviewed retrospectively. Materials and methods A total of 4481 emergency call records from migrants of 33 different nationalities was evaluated between 2017 and 2021. Results Migrants called the emergency call centres mostly for medical reasons, and most of their calls resulted in referrals to hospitals. Pain, fever, nausea, and vomiting were among the most common medical reasons for emergency calls. The majority of the calls were in the green triage category, and the calls spread over the week. Conclusion The results showed that migrants use emergency call services in non‐emergency situations. The study recommended enhancing migrants' knowledge of when and how to utilise emergency call centres and making health planning to meet their specific needs.

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“IT's too much to do alone”: A mixed‐methods exploration of patient experiences implementing emergency department management plans for chronic pain

Brady,

Pang,

Dennis

et al. 2024

Musculoskeletal Care

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ObjectivesTo explore the experiences of socio‐culturally diverse community members attempting to manage their chronic pain and enact evidence‐based management plans following an index Emergency Department (ED) visit.MethodsA convergent parallel mixed‐methods design with qualitative interviews and descriptive analysis was undertaken in two public hospitals in a multicultural region in Sydney, Australia. Consecutive adults were recruited from culturally and linguistically diverse (CALD: n = 45) or Australian‐born (n = 45) backgrounds, who presented to the ED for a chronic neuromusculoskeletal pain condition. Consenting participants were prescribed an individualised chronic pain management plan following examination by a physiotherapist, who collected standardised measures of pain and health literacy. Six months later, participants underwent a structured phone survey regarding their pain status and whether they had actioned management plans. Participants were invited to participate in a semi‐structured interview.ResultsSix‐month data were available for 82 of 90 participants who attended the ED and consented to the baseline assessment (40 CALD and 42 Australian‐born). Participants were 52% females, predominately middle‐aged (mean age 54.7 years), with an overall mean symptom duration of 10 years (SD 9.0). At 6 months, there were nine representations by six CALD participants and 23 by nine Australian‐born participants. Overall, 52% reported unchanged pain, 24% were worse and 23% improved, with similar action plan progress for CALD (58%) and Australian‐born (53%) participants. Pain features and health literacy were similar, irrespective of progress with pain management plans. From 41 participants who consented to phone interviews, three themes emerged to explain their progress with recommendations: ‘illness model’, ‘urgency’ and ‘control orientation’.ConclusionsPatients presenting to the ED with chronic pain might be more likely to action discharge recommendations if primary care providers identify patient‐specific and contextual barriers to implementation.

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International migrants’ use of emergency departments in Europe compared with non-migrants’ use: a systematic review

Cited by 79 publications

References 35 publications

The role of acculturation in migrants’ use of gynecologic emergency departments

The role of acculturation in migrants’ use of gynecologic emergency departments

Emergency calls from migrants to an emergency call centre: A retrospective epidemiological study

“IT's too much to do alone”: A mixed‐methods exploration of patient experiences implementing emergency department management plans for chronic pain

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