2019
DOI: 10.1136/bmjopen-2018-027357
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Abstract: IntroductionIn many countries, including Germany, newly arriving refugees face specific entitlement restrictions and access barriers to healthcare. While entitlement restrictions apply to all refugees who seek protection in Germany during the first months, the barriers to access depend on the model that the states and the municipalities implement locally. Currently, two different models exist: the healthcare voucher model (HcV) and the electronic health card model (eHC). The aim of the study is to analyse the … Show more

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Cited by 9 publications
(10 citation statements)
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“…We chose the federal state of North Rhine-Westphalia (NRW), the largest federal state, for our empirical study as it is the only one with a mix of access models implemented within the same state legislation in a sufficiently large number of municipalities [22]. The detailed study protocol has been published elsewhere [23]. We considered our study to be a natural quasi-experiment because refugees are obliged to reside in particular federal state and are subsequently assigned to municipalities shortly after their arrival.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…We chose the federal state of North Rhine-Westphalia (NRW), the largest federal state, for our empirical study as it is the only one with a mix of access models implemented within the same state legislation in a sufficiently large number of municipalities [22]. The detailed study protocol has been published elsewhere [23]. We considered our study to be a natural quasi-experiment because refugees are obliged to reside in particular federal state and are subsequently assigned to municipalities shortly after their arrival.…”
Section: Methodsmentioning
confidence: 99%
“…We included six municipalitiesthree using each of the modelsin our study to reach the necessary sample size [23]. In all municipalities, the local SWO had to agree to participate in our project.…”
Section: Methodsmentioning
confidence: 99%
“…Previous studies applied quantitative cross-sectional study designs [20][21][22] ; that is, some of them rely on comparisons across different settings, which implies certain limitations (see, eg, Wenner et al). 23 While these studies have generated valuable evidence, quantitative methodologies can be limited in their capacity to address a multifaceted research question; for instance, to produce insights into the whys and hows of complex systems and processes, or into their meaning for different stakeholders. 18,19 Our study's examination of one setting through a combination of quantitative and qualitative methods contributes to filling this gap.…”
Section: Methodsmentioning
confidence: 99%
“…Different studies consistently report high utilization rates of inpatient services among asylum-seekers, including avoidable hospitalizations. 12,20,21,23,26 Some authors have suggested that improved accessibility of outpatient services could help bring these rates down through early detection and treatment of ambulatory care sensitive conditions in the outpatient sector, and thus decrease costs in the inpatient sector. However, this alternative hypothesis is neither supported by our findings: In our study, expenses for inpatient services appear to be on the rise.…”
Section: Does the Hic Compromise Cost Control And Containment?mentioning
confidence: 99%
“…More than 72% (62) of parents referred to their child's general health status as very good or good (Table 3), about 26% (22) declared that the child had a long-lasting illness or health problem (a condition lasting six months or more), and 37% (29) said the child has been limited because of a health problem in the past 12 months. For 48% (42) of children, their parents reported that they had some bodily pain during the previous year. Almost 62% (45) declared having visited a Paediatrician in the previous 12 months and 16 participants reported a visit to a Specialist (for the child) in the previous 12 months.…”
Section: Description Of Children Health Status and Healthcare Access (Utilization And Unmet Needs)mentioning
confidence: 99%