Migrants' utilization of somatic healthcare services in Europe - a systematic review
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Migrants' utilization of somatic healthcare services in Europe - a systematic review. / Nørredam, Marie Louise; Nielsen, Signe Smith; Krasnik, Allan.
I: European Journal of Public Health, Bind 20, Nr. 5, 2010, s. 555-63.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Migrants' utilization of somatic healthcare services in Europe - a systematic review
AU - Nørredam, Marie Louise
AU - Nielsen, Signe Smith
AU - Krasnik, Allan
N1 - Paper id:: http://eurpub.oxfordjournals.org/cgi/reprint/ckp195v1
PY - 2010
Y1 - 2010
N2 - Background: Utilization of services is an important aspect of migrants' access to healthcare. The aim wasto review the European literature on utilization of somatic healthcare services related to screening,general practitioner, specialist, emergency room and hospital by adult first-generation migrants. Ourstudy question was: ‘Are there differences in migrants' utilization of somatic healthcare servicescompared to non-migrants?' Methods: Publications were identified by a systematic search ofPUBMED and EMBASE. Appropriateness of the studies was judged independently by two researchersbased on the abstracts. Additional searches were conducted via the references of the selected articles.The final number of studies included was 21. Results: The results suggested a diverging pictureregarding utilization of somatic healthcare services by migrants compared to non-migrants in Europe.Overall, migrants tended to have lower attendance and referral rates to mammography and cervicalcancer screening, more contacts per patient to general practitioner but less use of consultation bytelephone, and same or higher level of use of specialist care as compared to non-migrants.Emergency room utilization showed both higher, equal and lower levels of utilization for migrantscompared to non-migrants, whereas hospitalization rates were higher than or equal to non-migrants.Conclusion: Our review illustrates lack of appropriate epidemiological data and diversity in thecategorization of migrants between studies, which makes valid cross-country comparisons mostchallenging. After adjusting for socio-economic factors and health status, the existing studies stillshow systematic variations in somatic healthcare utilization between migrants and non-migrants.
AB - Background: Utilization of services is an important aspect of migrants' access to healthcare. The aim wasto review the European literature on utilization of somatic healthcare services related to screening,general practitioner, specialist, emergency room and hospital by adult first-generation migrants. Ourstudy question was: ‘Are there differences in migrants' utilization of somatic healthcare servicescompared to non-migrants?' Methods: Publications were identified by a systematic search ofPUBMED and EMBASE. Appropriateness of the studies was judged independently by two researchersbased on the abstracts. Additional searches were conducted via the references of the selected articles.The final number of studies included was 21. Results: The results suggested a diverging pictureregarding utilization of somatic healthcare services by migrants compared to non-migrants in Europe.Overall, migrants tended to have lower attendance and referral rates to mammography and cervicalcancer screening, more contacts per patient to general practitioner but less use of consultation bytelephone, and same or higher level of use of specialist care as compared to non-migrants.Emergency room utilization showed both higher, equal and lower levels of utilization for migrantscompared to non-migrants, whereas hospitalization rates were higher than or equal to non-migrants.Conclusion: Our review illustrates lack of appropriate epidemiological data and diversity in thecategorization of migrants between studies, which makes valid cross-country comparisons mostchallenging. After adjusting for socio-economic factors and health status, the existing studies stillshow systematic variations in somatic healthcare utilization between migrants and non-migrants.
KW - Faculty of Health and Medical Sciences
KW - migrants
KW - migration
KW - utilization
KW - general practice
KW - Hospitalization
KW - emergency room
KW - specialist doctor
KW - inequalities
KW - Europe
KW - Review
U2 - http://eurpub.oxfordjournals.org/cgi/reprint/ckp195v1
DO - http://eurpub.oxfordjournals.org/cgi/reprint/ckp195v1
M3 - Journal article
VL - 20
SP - 555
EP - 563
JO - European Journal of Public Health
JF - European Journal of Public Health
SN - 1101-1262
IS - 5
ER -
ID: 17270007