scholarly journals Barriers and facilitators to dental care access among asylum seekers and refugees in highly developed countries: a systematic review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Martha Paisi ◽  
Rebecca Baines ◽  
Lorna Burns ◽  
Anastasios Plessas ◽  
Philip Radford ◽  
...  
Keyword(s):  
Systematic Review ◽  
Dental Care ◽  
Asylum Seekers ◽  
Grey Literature ◽  
Treatment Needs ◽  
Host Countries ◽  
Care Access ◽  
Health And Social Care ◽  
Access To Dental Care ◽  
Asylum Seekers And Refugees

Abstract Background Dental diseases are prevalent among asylum seekers and refugees (ASRs). Despite significant treatment needs, access to dental care in host countries is often limited. The aim of this systematic review was to identify the barriers and enablers to dental care access for ASRs in host countries of very high development. Methods Five health and social care databases and eight grey literature sources of information were searched. The Critical Appraisal Skills Programme tool was used to critically appraise included studies. Thematic analysis was undertaken to identify common themes. These were then deductively organised according to Penchansky and Thomas’s modified access model. All review stages were conducted by two independent reviewers. Results Nine papers were included in the review. ASRs encounter significant challenges to accessing dental care in their host countries. These include affordability, communication difficulties, insufficient interpretation, limited knowledge of the healthcare systems and healthcare rights, and negative encounters with healthcare teams. The views and experiences of dental care teams providing care to ASRs were explored in only one study. Conclusions Both population and healthcare characteristics influence access to dental care for ASRs. Affordability, awareness and accommodation are most frequently described as barriers to dental access for this population. The diverse needs of this population need to be recognised by policy makers, commissioners and practitioners alike. Cultural competence needs to be incorporated into dental services and any interventions to improve access to dental care for this population. Registration PROSPERO- International prospective register of systematic reviews (CRD42019145570).

scholarly journals Asylum Seekers, Violence and Health: A Systematic Review of Research in High-Income Host Countries

2013 ◽  
Vol 103 (3) ◽  
pp. e30-e42 ◽  
Author(s):  
Anne Kalt ◽  
Mazeda Hossain ◽  
Ligia Kiss ◽  
Cathy Zimmerman
Keyword(s):  
Systematic Review ◽  
Asylum Seekers ◽  
High Income ◽  
Host Countries

scholarly journals Perinatal health outcomes and care among asylum seekers and refugees: a systematic review of systematic reviews

BMC Medicine ◽  
2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Nicola Heslehurst ◽  
Heather Brown ◽  
Augustina Pemu ◽  
Hayley Coleman ◽  
Judith Rankin
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Systematic Reviews ◽  
Asylum Seekers ◽  
Perinatal Health ◽  
Asylum Seekers And Refugees

scholarly journals Systematic review of factors associated with quality of life of asylum seekers and refugees in high-income countries

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Catharina F. van der Boor ◽  
Rebekah Amos ◽  
Sarah Nevitt ◽  
Christopher Dowrick ◽  
Ross G. White
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Asylum Seekers ◽  
High Income ◽  
Factors Associated ◽  
Asylum Seekers And Refugees

scholarly journals Exploring different methods to evaluate the impact of basic income interventions: a systematic review

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Andrew D. Pinto ◽  
Melissa Perri ◽  
Cheryl L. Pedersen ◽  
Tatiana Aratangy ◽  
Ayu Pinky Hapsari ◽  
...  
Keyword(s):  
Systematic Review ◽  
Evaluation Method ◽  
Grey Literature ◽  
Primary Data ◽  
Multiple Time ◽  
Basic Income ◽  
Team Members ◽  
Health And Social Care ◽  
Multiple Time Points ◽  
The Impact

Abstract Background Persistent income inequality, the increase in precarious employment, the inadequacy of many welfare systems, and economic impact of the COVID-19 pandemic have increased interest in Basic Income (BI) interventions. Ensuring that social interventions, such as BI, are evaluated appropriately is key to ensuring their overall effectiveness. This systematic review therefore aims to report on available methods and domains of assessment, which have been used to evaluate BI interventions. These findings will assist in informing future program and research development and implementation. Methods Studies were identified through systematic searches of the indexed and grey literature (Databases included: Scopus, Embase, Medline, CINAHL, Web of Science, ProQuest databases, EBSCOhost Research Databases, and PsycINFO), hand-searching reference lists of included studies, and recommendations from experts. Citations were independently reviewed by two study team members. We included studies that reported on methods used to evaluate the impact of BI, incorporated primary data from an observational or experimental study, or were a protocol for a future BI study. We extracted information on the BI intervention, context and evaluation method. Results 86 eligible articles reported on 10 distinct BI interventions from the last six decades. Workforce participation was the most common outcome of interest among BI evaluations in the 1960–1980 era. During the 2000s, studies of BI expanded to include outcomes related to health, educational attainment, housing and other key facets of life impacted by individuals’ income. Many BI interventions were tested in randomized controlled trials with data collected through surveys at multiple time points. Conclusions Over the last two decades, the assessment of the impact of BI interventions has evolved to include a wide array of outcomes. This shift in evaluation outcomes reflects the current hypothesis that investing in BI can result in lower spending on health and social care. Methods of evaluation ranged but emphasized the use of randomization, surveys, and existing data sources (i.e., administrative data). Our findings can inform future BI intervention studies and interventions by providing an overview of how previous BI interventions have been evaluated and commenting on the effectiveness of these methods. Registration This systematic review was registered with PROSPERO (CRD 42016051218).

scholarly journals A Systematic Review of Factors Affecting Mental Health and Well-Being of Asylum Seekers and Refugees in Germany

2021 ◽  
Vol 12 ◽  
Author(s):  
Vivien L. Hajak ◽  
Srishti Sardana ◽  
Helen Verdeli ◽  
Simone Grimm
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Psychological Distress ◽  
Asylum Seekers ◽  
Contextual Factors ◽  
Well Being ◽  
German Studies ◽  
Psychological Well Being ◽  
Health And Well Being ◽  
Asylum Seekers And Refugees

Background: Since the onset of the 2015 European refugee crisis, ~4. 46 million people have sought asylum in the European Union, with Germany logging the largest share of all asylum applications. In addition to the severe adversities before and during flight, the process of settling into a new environment involves stressors that affect psychological well-being and mental health. The aim of this systematic review was to examine contextual factors during post-migration that influence the mental health and well-being of asylum seekers and refugees (ASRs) in Germany.Methods: Following PRISMA guidelines, a systematic review was conducted across multiple databases for English and German studies published between 2015 and 2020 with index keywords.Results: From a total of 303 articles, 156 duplicates were removed and, after title review, another 87 were excluded for not meeting the inclusion criteria. After assessing the abstracts of the remaining 60 articles, 39 were excluded. Full texts of 21 articles were assessed for eligibility and after excluding 8 articles, 13 articles were included in the review. The results demonstrate high rates of psychological distress among ASRs in Germany and the significant influence of contextual factors on their mental health and psychological well-being. The risk factors for poor mental health include an uncertain asylum status, living in shared asylum accommodations, separation from the nuclear family, lack of German language skills, integration issues and discrimination, while employment is a protective factor.Conclusion: Asylum seekers and refugees have high prevalence rates of psychological distress directly influenced by contextual factors in Germany. Based on these findings, policy makers are strongly recommended to apply preventive strategies to reduce mental health problems of ASRs in Germany.

scholarly journals Impact of multimorbidity on healthcare costs and utilisation: a systematic review of the UK literature

2020 ◽  
Vol 71 (702) ◽  
pp. e39-e46
Author(s):  
Marina Soley-Bori ◽  
Mark Ashworth ◽  
Alessandra Bisquera ◽  
Hiten Dodhia ◽  
Rebecca Lynch ◽  
...  
Keyword(s):  
Systematic Review ◽  
Dental Care ◽  
Healthcare Costs ◽  
Assessment Tool ◽  
Meta Analysis ◽  
Grey Literature ◽  
Healthcare Utilisation ◽  
Future Research ◽  
Healthcare Provision ◽  
The Uk

BackgroundManaging multimorbidity is complex for both patients and healthcare systems. Patients with multimorbidity often use a variety of primary and secondary care services. Country-specific research exploring the healthcare utilisation and cost consequences of multimorbidity may inform future interventions and payment schemes in the UK.AimTo assess the relationship between multimorbidity, healthcare costs, and healthcare utilisation; and to determine how this relationship varies by disease combinations and healthcare components.Design and settingA systematic review.MethodThis systematic review followed the bidirectional citation searching to completion method. MEDLINE and grey literature were searched for UK studies since 2004. An iterative review of references and citations was completed. Authors from all articles selected were contacted and asked to check for completeness of UK evidence. The National Institutes of Health National Heart, Lung, and Blood Institute quality assessment tool was used to assess risk of bias. Data were extracted, findings synthesised, and study heterogeneity assessed; meta-analysis was conducted when possible.ResultsSeventeen studies were identified: seven predicting healthcare costs and 10 healthcare utilisation. Multimorbidity was found to be associated with increased total costs, hospital costs, care transition costs, primary care use, dental care use, emergency department use, and hospitalisations. Several studies demonstrated the high cost of depression and of hospitalisation associated with multimorbidity.ConclusionIn the UK, multimorbidity increases healthcare utilisation and costs of primary, secondary, and dental care. Future research is needed to examine whether integrated care schemes offer efficiencies in healthcare provision for multimorbidity.

scholarly journals Yield of active screening for tuberculosis among asylum seekers in Germany: a systematic review and meta-analysis

2017 ◽  
Vol 22 (12) ◽  
Author(s):  
Kayvan Bozorgmehr ◽  
Oliver Razum ◽  
Daniel Saure ◽  
Brigitte Joggerst ◽  
Joachim Szecsenyi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Asylum Seekers ◽  
Meta Analysis ◽  
Empirical Studies ◽  
Grey Literature ◽  
Federal States ◽  
German Federal States ◽  
Targeted Screening ◽  
National Estimates ◽  
Publication Time

All asylum seekers in Germany undergo upon-entry screening for tuberculosis TB, but comprehensive evidence on the yield is lacking. We compared the national estimates with the international literature in a systematic review and meta-analysis of studies reporting the yield of TB, defined as the fraction of active TB cases detected among asylum seekers screened in Germany upon entry. We searched 11 national and international databases for empirical studies and the internet for grey literature published in English or German without restrictions on publication time. Among 1,253 screened articles, we identified six articles reporting the yield of active TB based on German data, ranging from 0.72 (95% confidence interval (CI): 0.45–1.10) to 6.41 (95% CI: 4.19–9.37) per 1,000 asylum seekers. The pooled estimate across all studies was 3.47 (95% CI: 1.78–5.73; I2 = 94.9%; p < 0.0001) per 1,000 asylum seekers. This estimate was in line with international evidence (I2 = 0%; p for heterogeneity 0.55). The meta-analysis of available international estimates resulted in a pooled yield of 3.04 (95% CI: 2.24–3.96) per 1,000. This study provides an estimate across several German federal states for the yield of TB screening in asylum seekers. Further research is needed to develop more targeted screening programmes.

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