Gesundheitliche Versorgung von Geflüchteten in 2015 – Evaluation einer Ambulanz für Geflüchtete in einer Kölner Notunterkunft (Kölner Modell)

Borgschulte, Hannah S.; Bunte, Anne; Neuhann, Florian; Weber, Lutz T.; Wiesmüller, Gerhard Andreas

doi:10.1055/s-0042-121251

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…30 According to the Asylum Law in Germany, newly arrived refugees must receive a health insurance card that provides them with screening services for some communicable diseases. 31 Another study illustrated significant problems among undocumented migrants, asylum seekers and refugees as they might not be fully entitled to receive primary and secondary care through different parts of national health systems across 28 countries of the European Union. 32 The refugees' right to healthcare services is rooted in the law because it is firstly a human right and is secondly crucial to maintain refugees' health and improve the entire community's health.…”

Section: Discussionmentioning

confidence: 99%

Refugees and Sustainable Health Development in Iran

et al. 2021

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Background: Refugees’ access to quality healthcare services might be compromised, which can in turn hinder universal health coverage (UHC), and achieving Sustainable Development Goal (SDG), ultimately. Objective: This article aims to illustrate the status of refugees’ access to healthcare and main initiatives to improve their health status in Iran. Methods: This is a mixed-method study with two consecutive phases: qualitative and quantitative. In the qualitative phase, through a review of documents and semi-structured interviews with 40 purposively-selected healthcare providers, the right of refugees to access healthcare services in the Iranian health system was examined. In the quantitative phase, data on refugees’ insurance coverage and their utilization from community-based rehabilitation (CBR) projects were collected and analyzed. Results: There are international and upstream policies, laws and practical projects that support refugees’ health in Iran. Refugees and immigrants have free access to most healthcare services provided in the PHC network in Iran. They can also access curative and rehabilitation services, the costs of which depend on their health insurance status. In 2015, the government allowed the inclusion of all registered refugees in the Universal Public Health Insurance (UPHI) scheme. Moreover, the mean number of disabled refugees using CBR services was 786 (±389.7). The mean number of refugees covered by the UPHI scheme was 112,000 (±30404.9). Conclusion: The United Nations’ SDGs ask to strive for peace and reducing inequity. Along its pathway towards UHC, despite limited resources received from the international society, the government of Iran has taken some fundamental steps to serve refugees similar to citizens of Iran. Although the initiative looks promising, more is still required to bring NGOs on board and fulfill the vision of leaving no one behind.

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Section: Discussionmentioning

confidence: 99%

Refugees and Sustainable Health Development in Iran

et al. 2021

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“…Für zukünftige tiefer gehende Analysen ist insbesondere eine verbesserte Datenlage auf Basis von Längsschnittstudien notwendig. Zudem könnten Detailstudien zu spezifischen Migrationsgruppen, wie etwa zur Gruppe der geflüchteten Personen [26], dabei helfen, den Kenntnisstand hinsichtlich des Zusammenhangs von Migration und Gesundheit zu erhöhen.…”

Section: Hkl-erkrankung/diabetesunclassified

Die Bedeutung des Migrationshintergrunds für die Gesundheit. Ergebnisse der österreichischen Gesundheitsbefragung (ATHIS 2014)

et al. 2017

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Previous research has shown migrants to have a poorer health status than those without a migration background in many respects. So far, it is not completely clear whether the poorer health results of migrants are mainly the cause of their socioeconomic status (SES), which on average is lower than the SES of people without a migration background. The present study explores the question whether the fact of having a migration background has an impact on health, even though SES and health-related behavior are taken into account. Based on data from the current Austrian Health Interview Survey (ATHIS 2014) multiple linear regression models, adjusted for age and stratified by gender, were conducted. The dependent variables were physical quality of life, psychological quality ofZ life, self-perceived health, body-mass-index (BMI), headaches/musculoskeletal pain, and diabetes/cardiovascular diseases (n=15,748). We found differences in health between men and women with migration background and men and women without migration background. After adjusting for age, SES and health-related behavior, almost all of the revealed differences got smaller. The strongest link between migrant status and health status was detected for migrants from countries with a lower Inequality-adjusted Human Development Index (IHDI) in comparison to Austria. The results lead to the conclusion that although SES and health-related behavior do not fully explain health differences between people with migration background and those without, they can explain the differences to a large extent. However, for the health status of migrants who stem from countries with a lower standard of living and a weaker distributive justice in comparison to Austria, further factors might play a role. With respect to this group of migrants, differences in health compared to non-migrants are not solely attributable to SES and health-related behavior.

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“…A significant proportion of this adaptation effort was initially provided by civil society, non-government organisations and volunteers [ 13 ]. Institutional adaptations to the first arrivals were common, and some of these have now been described [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Health care utilisation of asylum seekers and refugees in the South-West of Germany

Bockey,

Braun,

Camp

et al. 2024

PLoS ONE

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Background Limited evidence on utilisation of health care by recently arrived asylum seekers and refugees in high-income countries is available. This study aims to describe the implementation of an integrated care facility (ICF) in an initial reception centre and measure the utilisation of care and the influence of operational parameters. Methods In a retrospective cohort study design, using medical records, we followed inhabitants of a reception centre in Germany between 11.10.2015 and 30.05.2018. We assessed frequency of visits and revisits to a newly established integrated care facility (ICF), and the effects of the ICF on visits to the local emergency department (LED) in the regional tertiary hospital using survival analysis and time series regression. We also explore the influence of operational parameters on the different implementation phases; phase 1: provisional clinic with 1–2 hours of physician presence daily, phase 2: implementation of ICF with 2–4 hours of care by a team of doctors and nurses daily, phase 3: routine running of ICF with daily operational hours of 10am–2pm with care provided by an interdisciplinary team of doctors and nurses. Results 14,419 total medical visits were recorded from 1,883 persons seeking health care in the ICF. The absolute number of visits per day remained similar over the study period (19·9/day), yet the relative number of visits changed from 2·2 to 15 per 100 inhabitants from phase 2 to 3, respectively. Most visits were due to respiratory infections (612/3080, 20%), and trauma and musculoskeletal conditions (441/3080, 14%). The rate of revisits to ICF was 2·9 per person per month (95%CI 2·9–3), more for those older, female, from North Africa and those with a translator present. The ratio of visits to the LED changed from 0·3/100 inhabitants per day to 0·14/100 inhabitants after implementation of the ICF and back to 0·3/100 inhabitants during the routine running. Conclusions Though seasonal variation and referral practices must be considered, a high rate of revisits to the ICF were recorded. While visits to the LED decreased after the implementation of the ICF, visits returned to the pre-ICF levels during the routine running of the ICF. The results show that AS&R require reliable access to health care, yet the needs of specific groups of migrants may be different, especially those with language barriers, minority groups or those from certain regions. As such, care should be migrant sensitive and adapt to the changing needs of the population. Though more research is required to better understand the differing needs of migrants, this study may help to inform guidelines surrounding migrant sensitive standards of care in Germany.

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Gesundheitliche Versorgung von Geflüchteten in 2015 – Evaluation einer Ambulanz für Geflüchtete in einer Kölner Notunterkunft (Kölner Modell)

Cited by 5 publications

References 5 publications

Refugees and Sustainable Health Development in Iran

Refugees and Sustainable Health Development in Iran

Die Bedeutung des Migrationshintergrunds für die Gesundheit. Ergebnisse der österreichischen Gesundheitsbefragung (ATHIS 2014)

Health care utilisation of asylum seekers and refugees in the South-West of Germany

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