Limited midwifery care for undocumented women in the Netherlands

Jonge, Ank de; Rijnders, Marlies; Agyemang, Charles; Stouwe, R. van der; Otter, J. den; Muijsenbergh, Maria van den; Buitendijk, S. E.

doi:10.3109/0167482x.2011.589016

Cited by 27 publications

(35 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Late referral of undocumented-immigrants to medical treatments with the risk of worse outcome and lower quality of care is not unique to CKD and ESRD. Previous reports have shown similar patterns of late referral of undocumented-immigrants in other fields of medicine such as antenatal care [25-27] and primary care [28,29]. Importantly, lack of health-services utilization was reported even when access to these services was not denied [27,29].…”

Section: Discussionmentioning

confidence: 68%

Care of undocumented-uninsured immigrants in a large urban dialysis unit

et al. 2012

View full text Add to dashboard Cite

BackgroundMedical, ethical and financial dilemmas may arise in treating undocumented-uninsured patients with end-stage renal disease (ESRD). Hereby we describe the 10-year experience of treating undocumented-uninsured ESRD patients in a large public dialysis-unit.MethodsWe evaluated the medical files of all the chronic dialysis patients treated at the Tel-Aviv Medical Center between the years 2000–2010. Data for all immigrant patients without documentation and medical insurance were obtained. Clinical data were compared with an age-matched cohort of 77 insured dialysis patients.ResultsFifteen undocumented-uninsured patients were treated with chronic scheduled dialysis therapy for a mean length of 2.3 years and a total of 4953 hemodialysis sessions, despite lack of reimbursement. All undocumented-uninsured patients presented initially with symptoms attributed to uremia and with stage 5 chronic kidney disease (CKD). In comparison, in the age-matched cohort, only 6 patients (8%) were initially evaluated by a nephrologist at stage 5 CKD. Levels of hemoglobin (8.5 ± 1.7 versus 10.8 ± 1.6 g/dL; p < 0.0001) and albumin (33.8 ± 4.8 versus 37.7 ± 3.9 g/L; p < 0.001) were lower in the undocumented-uninsured dialysis patients compared with the age-matched insured patients at initiation of hemodialysis therapy. These significant changes were persistent throughout the treatment period. Hemodialysis was performed in all the undocumented-uninsured patients via tunneled cuffed catheters (TCC) without higher rates of TCC-associated infections. The rate of skipped hemodialysis sessions was similar in the undocumented-uninsured and age-matched insured cohorts.ConclusionsUndocumented-uninsured dialysis patients presented initially in the advanced stages of CKD with lower levels of hemoglobin and worse nutritional status in comparison with age-matched insured patients. The type of vascular access for hemodialysis was less than optimal with regards to current guidelines. There is a need for the national and international nephrology communities to establish a policy concerning the treatment of undocumented-uninsured patients with CKD.

show abstract

Section: Discussionmentioning

confidence: 68%

Care of undocumented-uninsured immigrants in a large urban dialysis unit

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Two qualitative studies in a Berlin clinic reported infrequent prenatal care, as most undocumented women only appeared in the third trimester. They also found that the overall quality and quantity of maternal care is limited compared to documented migrants [ 23 , 24 ], whilst two Dutch studies reported that, compared to documented women, undocumented women came for consultations later in their pregnancy, received care elsewhere [ 25 ], and had high abortion rates [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

A systematic review on the use of healthcare services by undocumented migrants in Europe

Winters

Rechel

Jong

et al. 2018

BMC Health Serv Res

108

View full text Add to dashboard Cite

BackgroundUndocumented migrants face particular challenges in accessing healthcare services in many European countries. The aim of this study was to systematically review the academic literature on the utilization of healthcare services by undocumented migrants in Europe.MethodsThe databases Embase, Medline, Global Health and Cinahl Plus were searched systematically to identify quantitative, qualitative and mixed methods studies published in 2007–2017.ResultsA total of 908 articles were retrieved. Deletion of duplicates left 531. After screening titles, abstracts and full texts according to pre-defined inclusion and exclusion criteria, 29 articles were included in the review. Overall, quantitative studies showed an underutilization of different types of healthcare services by undocumented migrants. Qualitative studies reported that, even when care was received, it was often inadequate or insufficient, and that many undocumented migrants were unfamiliar with their entitlements and faced barriers in utilizing healthcare services.ConclusionsAlthough it is difficult to generalize findings from the included studies due to methodological differences, they provide further evidence that undocumented migrants in Europe face particular problems in utilizing healthcare services.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-2838-y) contains supplementary material, which is available to authorized users.

show abstract

“…Research that has been done on healthcare utilisation by child and adult undocumented migrants suggests lower use of health services than host populations, and in many cases worse health outcomes 10–12. Importantly, in the UK entitlement is complex13 and poorly understood, and individuals have even been refused care they are entitled to, likely influenced by ID checking based on racial profiling, although most reported examples so far have been adults.…”

Section: Concerns For Child Healthmentioning

confidence: 99%

“…As well as newborn care being chargeable, pregnant women confronted by charging are less likely to engage with maternity care, which although classed as immediately necessary, is still charged at 150% of the NHS tariff. Mothers face increasing destitution with unaffordable bills (eg, £6000 per delivery, but much higher should complications occur), and are still charged if the baby dies 12 15 16. National statistics reveal disparities in maternal mortality and concerning increases in stillbirths and neonatal deaths among ethnic minority groups, but charging regulations have not been explored as an exacerbating factor 18…”

Section: Concerns For Child Healthmentioning

confidence: 99%