Le recours aux soins en France : une analyse des mécanismes qui génèrent les inégalités de recours aux soins liées à l’immigration

Health and mortality patterns among migrants in France

“…One study suggested similar utilization of general practitioner care and lower utilization of specialist care among migrants than among native-born (Attias-Donfut and Tessier, 2005), while another one provided evidence for lower utilization of general practitioner care and higher utilization of specialist and hospital care (Mizrahi and Mizrahi, 2008). For equivalent health needs, a more recent study demonstrated that migrants had lower demand for both general practitioner and specialist care (Berchet, 2013). Lastly, migrants from southern Europe and northern Africa were found to be less likely to report preventive health care utilization (for vaccines, blood pressure tests, health check-ups) than their French peers (Wanner, Khlat, and Bouchardy, 1995), and foreign women as a whole to be much less likely to have undergone breast or cervical cancer screening (Grillo, Soler, and Chauvin, 2012;Rondet et al, 2014).…”

“…Regarding access to health care, health economists have demonstrated that, for the same level of need, migrants present lower access to general practitioners and to specialists, partly due to lower health care coverage (Berchet, 2013;Mizrahi and Mizrahi, 2008). Migrants were also found to more frequently give up health care seeking for financial reasons (Boisguerin and Haury, 2008), and their disadvantage was compounded by less frequent recourse to preventive medicine, including vaccination and screening (Grillo, Soler, and Chauvin, 2012;Rondet et al, 2014, Wanner, Khlat, and.…”

Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis

“…However, this immigrant population has lower use of specialist care and higher use of emergency services. Explaining these differences requires a specific analysis of the determinants of health services use, which is a topic that has been scarcely addressed in national [ 8 , 13 ] and European [ 14 ] literature. At the international level, no studies were found that show the specific determinants for each group, although one study shows that differences in health service use between the two groups is due to the relatively worse social and economic situation of immigrants [ 14 ].…”

Self-Perceived Health among Migrants Seen in Médecins du Monde Free Clinics in Europe: Impact of Length of Stay and Wealth of Country of Origin on Migrants’ Health

“…The Healthy Migrant Effect (HME)-which describes an empirically observed lower morbidity and/or mortality of migrants from certain countries of origin, relative to the majority population in the host countries (usually in the industrialized world)-remains a debatable question. Inconsistent evidence shows that migrants can be either in better or worse health than the population of their host country [4][5][6][7][8][9][10][11]. Many factors can contribute to these inconsistent results, such as the host country itself (migrants in North America and southern Europe are in better health than migrants in northern Europe [12]), migrants' social integration in the host country (migrants living in host countries where they are more easily integrated tend to be in better health [7]), or their length of residence (migrants' health worsens over time [4,13]).…”