Utilization of health care services by migrants in Europe—a systematic literature review

Graetz, V.; Rechel, Bernd; Groot, Wim; Nørredam, Marie; Pavlova, Milena

doi:10.1093/bmb/ldw057

Cited by 127 publications

(123 citation statements)

References 43 publications

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“…In the present study, the system‐defined non‐urgent GED use observed among low‐acculturated women might be interpreted as inappropriate GED use due to a lack of knowledge about outpatient alternatives for gynecologic care. A systematic review of utilization of healthcare services by Graetz et al . found that, although ED use was higher, outpatient visits for specialized care were less frequent among migrants in Europe.…”

Section: Discussionmentioning

confidence: 99%

“…Migrants are a vulnerable population with lower average levels of health and increased disease prevalence . They routinely face organizational and individual barriers to healthcare services …”

Section: Introductionmentioning

confidence: 99%

“…Specific research should examine what improves migrant health and how to implement the findings in the healthcare system . Unfortunately, there is an underrepresentation of migrants in health research, and the studies that are available are often hard to compare owing to differing or unclear definitions of migrant status …”

Section: Introductionmentioning

confidence: 99%

“…7,8 Unfortunately, there is an underrepresentation of migrants in health research, 2 and the studies that are available are often hard to compare owing to differing or unclear definitions of migrant status. 3 To account for heterogeneity in the migrant population caused by differing adaptation and integration processes, the concept of "acculturation" has been used in research. The concept was originally introduced by Berry 9 to depict an individual's orientation toward the society of their origin and the society of their settlement.…”

mentioning

confidence: 99%

“…observed among low-acculturated women might be interpreted as inappropriate GED use due to a lack of knowledge about outpatient alternatives for gynecologic care. A systematic review of utilization of healthcare services by Graetz et al3 found that, although ED use was higher, outpatient visits for specialized care were less frequent among migrants in Europe. As suggested by Rechel et al, 2 possible access barriers to healthcare for migrants include limited language proficiency, "unfamiliarity with [the] overall health system, health literacy, social exclusion," and "direct and indirect discrimination."…”

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confidence: 99%

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The role of acculturation in migrants’ use of gynecologic emergency departments

Schwachenwalde

Sauzet

Razum

et al. 2020

Intl J Gynecology & Obste

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Objective To examine whether acculturation of migrant patients is a predictor of non‐urgent use of gynecologic emergency departments (GEDs). Methods A cross‐sectional study based on standardized questionnaire interviews among migrant (n=477) and non‐migrant (n=246) women attending a GED in Berlin, Germany, between 2017 and 2018. Non‐urgent GED use was defined by health system (e.g., no hospital admission) or patient (e.g., low subjective urgency) criteria. Acculturation was assessed by the Frankfurt Acculturation Scale. Logistic regressions were calculated with non‐migrants as the reference. Results Relative to migrants, low acculturation of migrants had no significant effect on overall non‐urgent GED use. However, low acculturation was a significant predictor of non‐urgent use if defined only by health system criteria (adjusted odds ratio [AOR], 1.58; 95% confidence interval [CI], 1.02–2.44; P=0.041). Inversely, low acculturation had a significant negative effect on non‐urgent use if defined only by patient criteria (AOR, 0.58; 95% CI, 0.38–0.90; P=0.014). Conclusion Low‐acculturated migrants were more prone to non‐urgent GED use as defined by health system criteria, and might have a distorted perception of urgency. According to their perception, however, low‐acculturated patients showed appropriate GED use for urgent complaints, indicating that they are insufficiently cared for by the healthcare system.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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