Use of Health Services and Unmet Need among Adults of Russian, Somali, and Kurdish Origin in Finland

Çilenti, Katja; Rask, Shadia; Elovainio, Marko; Lilja, Eero; Kuusio, Hannamaria; Koskinen, Seppo; Koponen, Päivikki; Castaneda, Anu E.

doi:10.3390/ijerph18052229

Cited by 12 publications

(12 citation statements)

References 67 publications

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“…Previous studies demonstrated that the lack of a common language between staff and patients is associated with decreased symptom reporting and fewer referrals to secondary and specialist care [ 41 ]. The lack of language skills to navigate the healthcare systems seems to be the prevalent barrier mentioned by researchers [ 61 , 62 , 63 , 92 , 93 , 94 , 95 , 96 ].…”

Section: Discussionmentioning

confidence: 99%

Experiences and Perceived Barriers of Asylum Seekers and People with Refugee Backgrounds in Accessing Healthcare Services in Romania

et al. 2022

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Traditionally a country of emigration, Romania recently experienced an increased migration influx, although it is more a country of transit than a destination for refugees and irregular migrants. Refugees often face difficulties when trying to meet their needs and access essential services. This study aims to explore the experiences and barriers of asylum seekers and people with refugee backgrounds in accessing healthcare services in Romania. It is an exploratory study with a qualitative research design, which uses an inductive and deductive approach, with thematic analysis being applied in order to grasp the difficulties and barriers that asylum seekers and people with refugee backgrounds experience in accessing essential social services. The research was based on seven in-depth interviews with representatives of significant national or international non-governmental organisations assisting refugees and asylum seekers in Romania and 129 semi-structured interviews with different categories of people with refugee backgrounds from Southwest Asia, Eastern Africa and Ukraine. One of the most salient themes we identified relates to accessing the healthcare system. Participants talked about what information they needed to access medical services, where they looked for this information, and what barriers they faced in the process. Cultural, linguistic, structural, and financial barriers were perceived as the most significant. Improved public awareness, a better understanding of asylum issues, and stronger community support are essential to addressing inequalities experienced by this vulnerable population.

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Section: Discussionmentioning

confidence: 99%

Experiences and Perceived Barriers of Asylum Seekers and People with Refugee Backgrounds in Accessing Healthcare Services in Romania

et al. 2022

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“…Results with similar trends have been obtained from an earlier Finnish study. 35 As the models were adjusted for these sociodemographic variables, the observed differences in satisfaction with treatment were independent from them. Still, it is worth noting that there are significant differences in the providers of services used by different population groups, which should be taken into account when planning the services.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction With Primary Care Among the Foreign-Born and the General Population in Finland: A Survey-Based study

Kieseppä,

García Velázquez,

Vehko

et al. 2024

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Foreign-born people have been found to be less satisfied with health care than native populations across countries. However, studies on differences in satisfaction with treatment between different foreign-born groups are lacking. This study explores differences in satisfaction with primary health care between the foreign-born population from different regions of origins and the general population of Finland. The study uses survey data on foreign-born population (n = 2708) and general population (n = 6671) living in Finland who report using health services. Satisfaction with experienced respect for privacy during treatment, benefit of treatment and smoothness of treatment are predicted by region of origin using logistic regression. Almost all foreign-born groups were less likely to consider treatment appointments beneficial as compared to the general population. Some foreign-born groups (people from Southeast Asia and South and Central Asia) were more satisfied with smoothness of care compared to general population. People from East Asia were less likely than the general population to consider that their privacy had been respected during the examinations and treatment. While we made the positive finding of high overall satisfaction with treatment, we also found important differences between groups. In particular, appointments were found less useful among the foreign-born population. Perceived unusefulness of treatment might lead to underuse of health care, which might result in accumulation of untreated health problems. The results point toward potential development points in the health care system. Addressing these issues might help decrease health disparities between population groups.

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“…As a result, immigrants had a higher risk of avoidable hospitalization (150). Referring to the site of healthcare, immigrants were found to be more likely to use healthcare services from public health facilities, while the general population also used private healthcare (151). However, IMs in some countries are more likely to visit private providers (33,37), traditional healers (37), and pharmacies (72) because of the lower costs associated with these healthcare service formats.…”

Section: Choice Of Types/sitesmentioning

confidence: 99%

Health service behaviors of migrants: A conceptual framework

Peng

2023

Front. Public Health

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Universal health coverage is vital to the World Health Organization’s (WHO’s) efforts to ensure access to health as a human right. However, it has been reported that migrants, including both international immigrants and internal migrants, underuse health services. Establishing a conceptual framework to facilitate research on the health service behaviors (HSB) of migrants is particularly important. Many theoretical frameworks explaining the general population’s HSB have been published; however, most theoretical frameworks on migrants’ HSB only focus on international immigrants without the inclusion of internal migrants. Of note, internal migrants are much more abundant than immigrants, and this group faces similar barriers to HSB as immigrants do. Based on theoretical frameworks of immigrants’ HSB and Anderson’s behavior model, the author proposes a new conceptual framework of migrants’ HSB that includes both immigrants and internal migrants. The new conceptual framework divides the determinants into macro-structural or contextual factors, health delivery system characteristics, and characteristics of the population at risk and describes subgroup-specific factors. The author added some variables and reclassified variables in some dimensions, including characteristics of health delivery systems and access to healthcare. The characteristics of health delivery systems comprise the volume, organization, quality, and cost of the health delivery system, while the characteristics of access to healthcare include time accessibility, geographic accessibility, and information accessibility. The outcomes of HSB have been expanded, and relationships between them have been reported. The mediating effects of some variables have also been described. This conceptual framework can facilitate a deep and comprehensive understanding of the HSB determination process for migrants, including internal migrants.

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Use of Health Services and Unmet Need among Adults of Russian, Somali, and Kurdish Origin in Finland

Cited by 12 publications

References 67 publications

Experiences and Perceived Barriers of Asylum Seekers and People with Refugee Backgrounds in Accessing Healthcare Services in Romania

Experiences and Perceived Barriers of Asylum Seekers and People with Refugee Backgrounds in Accessing Healthcare Services in Romania

Satisfaction With Primary Care Among the Foreign-Born and the General Population in Finland: A Survey-Based study

Health service behaviors of migrants: A conceptual framework

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