Migrants' utilization of somatic healthcare services in Europe--a systematic review

Nørredam, Marie; Nielsen, Sebastian R.; Krasnik, Allan

doi:10.1093/eurpub/ckp195

Cited by 239 publications

(246 citation statements)

References 34 publications

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“…The discrepancy in utilization was also found in Norredam, Nielsen & Krasnik (2010). The results of the review suggest diverging utilization patterns between migrants and non-migrants in European literature.…”

Section: Results Of the Literature Search Not Previously Described (Imentioning

confidence: 66%

“…Those categories emerged within the interviews as they were also found in the works of Norredam et al (2010).…”

Section: It Is Perceived As Difficult That Not All Ews Send Informatimentioning

confidence: 69%

“…Measuring how migrants are succeeding in the Norwegian health-care system will require disaggregated data and diversity in categorization of migrants (20) for years to come. This study suggests areas in which data collection could focus and help distinguish subpopulations of particular interest.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, a Spanish study (Buron, Cots, Garcia, Vall & Castells, 2008) concludes that the overall utilization rate on the primary care level was lower due to the "healthy migrant effect," valid for voluntary migration because population increase by immigrants in the hospitals catchment area did not correspond directly with an equivalent increase in emergency contacts, which is an effect that may diminish over time (Willams, 1993;Halli & Anchan, 2005). The discrepancy in utilization was also found in Norredam, Nielsen & Krasnik (2010). The results of the review suggest diverging utilization patterns between migrants and non-migrants in European literature.…”

Section: (Migrant Representative From Iraq)mentioning

confidence: 99%

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The Intercultural Challenges of General Practitioners in Norway with Migrant Patients

Goth

Berg

Akman

2010

Intl J of Migration, H and SC

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Migrants to Norway disproportionately use emergency medical services while under-using primary care, obviating the medical and cost advantages of the Regular General Practitioner (RGP) scheme. Little is known about migrants' use of the RGP scheme and the obstacles that affect ability and motivation to obtain or comply with treatment. The authors questioned 12 GPs around Oslo who serve migrants, using a semi-structured interview guide. GPs defined migrants in terms of socio-cultural difference rather than legal status, these differences often obstructing doctor-patient communication and understanding. GPs reported that migrants often seem helpless in dealing with the public health service owing to language difficulties, differences in expectations and a systemic failure to co-ordinate care. The findings suggest the importance of providing information about health services in a migrant's mother tongue upon arrival in Norway, of GPs taking detailed patient histories from the beginning to identify obstacles to communication and treatment, and of co-ordinating emergency services with other care

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Section: Results Of the Literature Search Not Previously Described (Imentioning

confidence: 66%

“…Those categories emerged within the interviews as they were also found in the works of Norredam et al (2010).…”

Section: It Is Perceived As Difficult That Not All Ews Send Informatimentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: (Migrant Representative From Iraq)mentioning

confidence: 99%

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The Intercultural Challenges of General Practitioners in Norway with Migrant Patients

Goth

Berg

Akman

2010

Intl J of Migration, H and SC

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“…Consequently, the emergency departments (EDs) are the first, if not the only, reference healthcare settings, especially for irregular immigrants; although scarce and often controversial data are available on utilization of the EDs by immigrants, some reports seem to confi rm higher rates of access. [3][4][5][6][7][8][9][10] In 2011, the Regional Health and Social Care Agency published a dossier on the health status immigrants in the Emilia Romagna Region, that is the region where our Hospital is located, confirming that despite hospitalization is overall lower among immigrants than among the native population (after excluding obstetric causes), immigrants, especially irregular immigrants, tend to undergo urgent hospitalization more frequently. [11] A successful management of patient needs is largely dependent on bridging the gap in the mutual expectations between patients and physicians, with communicative aspects being one of the most crucial issues.…”

Section: Introductionmentioning

confidence: 99%

Emergency physician's perception of cultural and linguistic barriers in immigrant care: results of a multiple-choice questionnaire in a large Italian urban emergency department

Numeroso

Benatti

Pizzigoni

et al. 2015

World Journal of Emergency Medicine

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BACKGROUND: A poor communication with immigrants can lead to inappropriate use of healthcare services, greater risk of misdiagnosis, and lower compliance with treatment. As precise information about communication between emergency physicians (EPs) and immigrants is lacking, we analyzed difficulties in communicating with immigrants in the emergency department (ED) and their possible associations with demographic data, geographical origin and clinical characteristics. METHODS:In an ED with approximately 85 000 visits per year, a multiple-choice questionnaire was given to the EPs 4 months after discharge of each immigrant in 2011.RESULTS: Linguistic comprehension was optimal or partial in the majority of patients. Signifi cant barriers were noted in nearly one fourth of patients, for only half of them compatriots who were able to translate. Linguistic barriers were mainly found in older and sicker patients; they were also frequently seen in patients coming from western Africa and southern Europe. Non-linguistic barriers were perceived by EPs in a minority of patients, more frequently in the elderly and frequent attenders. Factors independently associated with a poor fi nal comprehension led to linguistic barriers, non-linguistic obstacles, the absence of intermediaries, and the presence of patient's fear and hostility. The latter probably is a consequence, not the cause, of a poor comprehension.CONCLUSION: Linguistic and non-linguistic barriers, although quite infrequent, are the main factors that compromise communication with immigrants in the ED, with negative effects especially on elderly and more seriously ill patients as well as on physician satisfaction and appropriateness in using services.

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Migration

Greenwood

Bourgeault

2014

The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society

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Migration is defined as the movement of people across international borders or the internal borders of a state resulting in a change of residence. At any one point, approximately 3.1 percent of the world's population is residing in a country in which they were not born. Changes and challenges posed by migration may include language and cultural barriers, changes in food, lifestyle, and health habits, social exclusion, and restricted access to employment opportunities and health services. The coping strategies adopted by migrants to adapt to their new environments, such as creating links to social networks, are also of relevance. We consider six key issues: the healthy immigrant effect; health service utilization among immigrants; gender, migration, and health; the vulnerability of temporary migrants; migration, food, and health; and diaspora and health.

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Migrants' utilization of somatic healthcare services in Europe--a systematic review

Cited by 239 publications

References 34 publications

The Intercultural Challenges of General Practitioners in Norway with Migrant Patients

The Intercultural Challenges of General Practitioners in Norway with Migrant Patients

Emergency physician's perception of cultural and linguistic barriers in immigrant care: results of a multiple-choice questionnaire in a large Italian urban emergency department

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