Use of health care services by Afghan, Iranian, and Somali refugees and asylum seekers living in The Netherlands

Gerritsen, Annette; Bramsen, I.; Devillé, W.L.J.M.; Willigen, Loes H. M. van; Hovens, Johannes E.; Ploeg, Henk M. van der

doi:10.1093/eurpub/ckl046

Cited by 83 publications

(76 citation statements)

References 14 publications

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“…27 Asylum seekers' annual primary care attendance averaged 5.8 visits per year in Switzerland, 28 5.2 in the UK (double that of the host population) 38 and 3.4 in Australia. 31 Annualised hospitalisation rates reported in two studies, as measured by the number of admissions in the previous 12 months, varied from 12 46 to 20% 42 compared with 7% reported in the general population. 46 Medication prescriptions (any type) were a frequent outcome of primary care visits, with over half of encounters involving the recommendation or prescription of medication.…”

Section: Health Service Utilisationmentioning

confidence: 99%

“…31 Annualised hospitalisation rates reported in two studies, as measured by the number of admissions in the previous 12 months, varied from 12 46 to 20% 42 compared with 7% reported in the general population. 46 Medication prescriptions (any type) were a frequent outcome of primary care visits, with over half of encounters involving the recommendation or prescription of medication. 31,38 The proportion of asylum seekers reporting recent medication use ranged from 39 to 72%.…”

Section: Health Service Utilisationmentioning

confidence: 99%

“…Of the 23 quantitative studies included in the review, 11 provided data on asylum seekers' utilisation of health services, of which five were based on self-reported measures, 29,36,41,42,46 and six studies used objective measures (medical records or clinical data). 27,28,31,38,47,48 The proportion of asylum seekers accessing primary care services (facilitated by a nurse or general practitioner) ranged from 55 to 73% in the last 2 months 36,42,46 to 81% over a 3-year timeframe.…”

Section: Health Service Utilisationmentioning

confidence: 99%

“…27,28,31,38,47,48 The proportion of asylum seekers accessing primary care services (facilitated by a nurse or general practitioner) ranged from 55 to 73% in the last 2 months 36,42,46 to 81% over a 3-year timeframe. 27 Asylum seekers' annual primary care attendance averaged 5.8 visits per year in Switzerland, 28 5.2 in the UK (double that of the host population) 38 and 3.4 in Australia.…”

Section: Health Service Utilisationmentioning

confidence: 99%

“…31,38 The proportion of asylum seekers reporting recent medication use ranged from 39 to 72%. 36,42,46 Asylum seekers' utilisation of preventative health services, such as screening, health education and immunisation, as well as dental care, allied health and other specialist services were limited or not commonly measured. The few available data suggest that less than 25% of female asylum seekers in Blackwell et al and Rogstad and Dale reported having undergone a cervical pap screening test (v. 62% reported in the host population), 29,41 and overall preventative assessment, including general check-up and health education, occurred in 1 out of 20 encounters in CorreaVelez et al's study in Australia.…”

Section: Health Service Utilisationmentioning

confidence: 99%

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The physical health status, service utilisation and barriers to accessing care for asylum seekers residing in the community: a systematic review of the literature

Hadgkiss

Renzaho

2014

Aust. Health Review

140

118

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Objective. To document physical health problems that asylum seekers experience on settlement in the community and to assess their utilisation of healthcare services and barriers to care, in an international context. Methods.A systematic review of quantitative and qualitative studies was undertaken according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. MEDLINE, PsycINFO, Embase and CINAHL databases were searched from 2002 to October 2012, focusing on adult asylum seekers residing in the community in high-income countries.Results. The search yielded 1499 articles, of which 32 studies met the inclusion criteria -23 quantitative and nine qualitative. Asylum seekers had complex health profiles spanning a range of infectious diseases, chronic non-communicable conditions, and reproductive-health issues. They appeared to utilise health services at a higher rate than the host population, yet faced significant barriers to care.Conclusion. The findings of this study highlight the health inequities faced by asylum seekers residing in the communities of host countries, internationally. National data on asylum seekers' health profiles, service utilisation and barriers to care, as well as cross-country policy comparisons, are urgently required for the development of effective Australian health programs and evidence-based policy. What is known about the topic?The clinical and political focus of asylum seekers' health has largely been on the higher incidence of mental disorders and the impact of immigration detention. Since policy changes made in late 2011, an increasing number of asylum seekers have been permitted to live in the community while their claims are processed. There is a paucity of research exploring the physical health needs of asylum seekers residing in the community. What does this paper add? The international literature highlights the complexity of asylum seekers' health profiles. Although they appear to utilise health services at a higher rate than the host population, they continue to face many barriers to care. What are the implications for practitioners? Studies that explore policy options, including cross-country comparisons of health policy and guidelines that improve health outcomes, to foster equity of access and reduce health inequalities between asylum seekers and the host population are urgently required.

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Section: Health Service Utilisationmentioning

confidence: 99%

Section: Health Service Utilisationmentioning

confidence: 99%

Section: Health Service Utilisationmentioning

confidence: 99%

Section: Health Service Utilisationmentioning

confidence: 99%

Section: Health Service Utilisationmentioning

confidence: 99%

See 3 more Smart Citations

The physical health status, service utilisation and barriers to accessing care for asylum seekers residing in the community: a systematic review of the literature

Hadgkiss

Renzaho

2014

Aust. Health Review

140

118

View full text Add to dashboard Cite

show abstract

WhatsApp supervision for a lay‐led Islamic trauma‐focused intervention in Somaliland: Qualitative content analysis

Klein

Egeh²,

Bowling

et al. 2022

Journal of Traumatic Stress

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Clinical supervision is critical for the uptake of psychotherapy but difficult to facilitate in countries with limited providers, resources, and internet infrastructure. Innovative supervision approaches are needed to increase access to mental health treatments in low-to-middle income countries (LMICs). This study examined the content and feasibility of remote WhatsApp text supervision conducted as part of an open clinical trial in Somaliland. Islamic Trauma Healing ITH) is a brief, group, lay-lead, trauma-focused, mosque-based intervention that has demonstrated initial efficacy in pilot studies in the United States and Somaliland.After a 2-day, in-person training, lay leaders led four groups of five to seven members focused on trauma-related psychopathology and community reconciliation. Somali lay leaders trained in ITH (n = 9) and the research team (n = 6) attended weekly WhatsApp supervision during the intervention. Content was logged and subjected to qualitative analysis by two coders. Comments related to intervention implementation indicated that lay leaders understood the treatment rationale, adhered to treatment procedures, and believed the intervention components to be helpful and culturally relevant. Themes related to engagement suggested perfect attendance across groups and high levels of participation.Lay leader psychoeducation and skill development; supervisor praise, support, and encouragement; and supervisee gratitude emerged as additional themes. Remote text supervision conducted via WhatsApp was technologically feasible and may have facilitated skill development and the effective implementation of This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Patterns of medication use in the immigrant population resident in Spain: associated factors

Carrasco‐Garrido

Jiménez‐García

Hernández-Barrera

et al. 2009

Pharmacoepidemiology and Drug

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Use of health care services by Afghan, Iranian, and Somali refugees and asylum seekers living in The Netherlands

Abstract: Asylum seekers and refugees seem to have equal access to the Dutch health care system in general. However, there are differences in the self-reported use of health care services by the different ethnic groups.

Cited by 83 publications

References 14 publications

The physical health status, service utilisation and barriers to accessing care for asylum seekers residing in the community: a systematic review of the literature

The physical health status, service utilisation and barriers to accessing care for asylum seekers residing in the community: a systematic review of the literature

WhatsApp supervision for a lay‐led Islamic trauma‐focused intervention in Somaliland: Qualitative content analysis

Patterns of medication use in the immigrant population resident in Spain: associated factors

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