scholarly journals Access to Healthcare for Migrant Patients in Europe: Healthcare Discrimination and Translation Services

2021 ◽  
Vol 18 (15) ◽  
pp. 7901
Author(s):  
Alejandro Gil-Salmerón ◽  
Konstantinos Katsas ◽  
Elena Riza ◽  
Pania Karnaki ◽  
Athena Linos
Keyword(s):  
Small Sample Size ◽  
Healthcare Access ◽  
Linguistically Diverse ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Small Sample ◽  
Multivariable Regression ◽  
Translation Services ◽  
Barriers To Healthcare Access ◽  
The Eu

Background: Discrimination based on ethnicity and the lack of translation services in healthcare have been identified as main barriers to healthcare access. However, the actual experiences of migrant patients in Europe are rarely present in the literature. Objectives: The aim of this study was to assess healthcare discrimination as perceived by migrants themselves and the availability of translation services in the healthcare systems of Europe. Methods: A total of 1407 migrants in 10 European Union countries (consortium members of the Mig-HealthCare project) were surveyed concerning healthcare discrimination, access to healthcare services, and need of translation services using an interviewer-administered questionnaire. Migrants in three countries were excluded from the analysis, due to small sample size, and the new sample consisted of N = 1294 migrants. Descriptive statistics and multivariable regression analyses were conducted to investigate the risk factors on perceived healthcare discrimination for migrants and refugees in the EU. Results: Mean age was 32 (±11) years and 816 (63.26%) participants were males. The majority came from Syria, Afghanistan, Iraq, Nigeria, and Iran. Older migrants reported better treatment experience. Migrants in Italy (0.191; 95% CI [0.029, 0.352]) and Austria (0.167; 95% CI [0.012, 0.323]) scored higher in the Discrimination Scale to Medical Settings (DMS) compared with Spain. Additionally, migrants with better mental health scored lower in the DMS scale (0.994; 95% CI [0.993, 0.996]), while those with no legal permission in Greece tended to perceive more healthcare discrimination compared with migrants with some kind of permission (1.384; 95% CI [1.189, 1.611]), as opposed to Austria (0.763; 95% CI [0.632, 0.922]). Female migrants had higher odds of needing healthcare assistance but not being able to access them compared with males (1.613; 95% CI [1.183, 2.199]). Finally, migrants with chronic problems had the highest odds of needing and not having access to healthcare services compared with migrants who had other health problems (3.292; 95% CI [1.585, 6.837]). Conclusions: Development of culturally sensitive and linguistically diverse healthcare services should be one of the main aims of relevant health policies and strategies at the European level in order to respond to the unmet needs of the migrant population.

scholarly journals Barriers to healthcare access for Arabic-speaking population in an English-speaking country

2020 ◽  
Vol 18 (2) ◽  
pp. 1809
Author(s):  
Ali A. Al Jumaili ◽  
Kawther K. Ahmed ◽  
Dave Koch
Keyword(s):  
Health Insurance ◽  
Health Literacy ◽  
Focus Group ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Preventive Healthcare ◽  
Physician Visits ◽  
Barriers To Healthcare ◽  
Arabic Speaking ◽  
Barriers To Healthcare Access

Objective: To identify barriers to healthcare access, to assess the health literacy levels of the foreign-born Arabic speaking population in Iowa, USA and to measure their prevalence of seeking preventive healthcare services. Methods: A cross-sectional study of native Arabic speaking adults involved a focus group and an anonymous paper-based survey. The focus group and the Andersen Model were used to develop the survey questionnaire. The survey participants were customers at Arabic grocery stores, worshippers at the city mosque and patients at free University Clinic. Chi-square test was used to measure the relationship between the characteristics of survey participants and preventive healthcare services. Thematic analysis was used to analyze the focus group transcript. Results: We received 196 completed surveys. Only half of the participants were considered to have good health literacy. More than one-third of the participants had no health insurance and less than half of them visit clinics regularly for preventive measures. Two participant enabling factors (health insurance and residency years) and one need factor (having chronic disease(s)) were found to significantly influence preventive physician visits. Conclusions: This theory-based study provides a tool that can be used in different Western countries where Arabic minority lives. Both the survey and the focus group agreed that lacking health insurance is the main barrier facing their access to healthcare services. The availability of an interpreter in the hospital is essential to help those with inadequate health literacy, particularly new arriving individuals. More free healthcare settings are needed in the county to take care of the increasing number of uninsured Arabic speaking patients.

scholarly journals Visual Impairment Prevalence, Causes, and Role of Healthcare Access: A Systematic Review and Meta-Analysis in Iran

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Mehrdad Afarid ◽  
Hossein Molavi Vardanjani ◽  
Hamideh Mahdaviazad ◽  
Marzieh Alamolhoda ◽  
Saman Farahangiz
Keyword(s):  
Systematic Review ◽  
Visual Impairment ◽  
Low Vision ◽  
Meta Analysis ◽  
Healthcare Access ◽  
Random Effect ◽  
Public Health Problem ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Pooled Prevalence

Purpose. Healthcare access is one of the determinants of visual impairment (VI), as a public health problem. The objective of this study was to estimate VI prevalence, related causes, and its correlation with access to physicians in Iran. Methods: This systematic review and meta-analysis include observational studies published in Iran. PubMed, Web of Science, Scopus, Google Scholar, and local databases were systematically searched by using the MeSH headings. Data on the provincial distribution of physicians, as an index of access to healthcare, was retrieved. A random-effect meta-analysis was performed to assess. Results. Eight articles were included. The pooled prevalence of blindness, low vision, and VI was 0.80% (95% CI: 0.61–0.99%), 2.92% (95% CI: 2.40–3.44%), and 5.57% (95% CI: 4.71–6.43%). Refractive errors were the most common causes of VI based on PVA with the pooled prevalence of 54.6% (95% CI: 43.4–65.8%). Based on BCVA, we found that the pooled prevalence of cataracts was 37.4% (95% CI: 29.5–45.3%) as the most common cause of VI. The results of metaregression showed that the greater number of general practitioners (GPs) ( P   value = 0.01 ) and pharmacists ( P   value = 0.024 ) per population were associated with a lower prevalence of blindness. Conclusion. Some of the main causes of visual impairment in Iran are preventable. Access to healthcare services may lead to early diagnosis of preventable causes of VI. Further well-designed studies and national surveys should be conducted to provide accurate data from different regions of Iran.

scholarly journals Migrants’ and refugees’ health status and healthcare in Europe: A scoping literature review

2020 ◽  
Author(s):  
Adele Lebano ◽  
Sarah Hamed ◽  
Hannah Bradby ◽  
Alejandro Gil-Salmerón ◽  
Estella Durá-Ferrandis ◽  
...  
Keyword(s):  
Health Status ◽  
Emergency Services ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
European Countries ◽  
Term Care ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs ◽  
The Eu

Abstract Background There is increasing attention paid to the arrival of migrants from outwith the EU region to the European countries. Healthcare that is universally and equably accessible needs to be provided for these migrants throughout the range of national contexts and in response to complex and evolving individual needs. It is important to look at the evidence available on provision and access to healthcare for migrants to identify barriers to accessing healthcare and better plan necessary changes. Methods This review scoped seventy seven papers from nine European countries (Austria, Cyprus, France, Germany, Greece, Italy, Malta, Spain, and Sweden) in English and in country-specific languages in order to provide an overview of migrants’ access to healthcare. The review aims at identifying what is known about access to healthcare and healthcare use of migrants and refugees in the EU member states. The evidence included documents from 2011 onward. Results The literature reviewed confirms that despite the aspiration to ensure equality of access to healthcare, there is persistent inequalities between migrants and non-migrants in access to healthcare services. The evidence shows unmet healthcare needs, especially when it comes to mental and dental health as well as the existence of legal barriers in accessing healthcare. Language and communication barriers, overuse of emergency services and underuse of primary healthcare services as well as discrimination are described. Conclusions The European situation concerning migrants’ and refugees’ health status and access to healthcare is heterogenous and it is difficult to compare and draw any firm conclusions due to the scant evidence. Different diseases are prioritised by different countries, although these priorities do not always correspond to the expressed needs or priorities of the migrants. Mental healthcare, preventive care (immunization) and long term care in the presence of a growing migrant older population are identified as priorities that deserve greater attention. There is a need to improve the existing data on migrants’ health status, needs and access to healthcare to be able to tailor care to the needs of migrants. To conduct research that highlights migrants’ own views on their health and barriers to access to healthcare is key.

scholarly journals Investigating and Improving Access to Reproductive Healthcare for Vulnerable Migrant Women in France

2019 ◽  
Vol 2 ◽  
pp. 1-13 ◽  
Author(s):  
Lorraine Poncet ◽  
Armelle Andro ◽  
Mireille Eberhard ◽  
Marion Fleury ◽  
Francoise Riou ◽  
...  
Keyword(s):  
Sexual Health ◽  
Healthcare Access ◽  
Healthcare Services ◽  
High Response Rate ◽  
Health Interventions ◽  
Housing Instability ◽  
Migrant Women ◽  
Host Countries ◽  
The Eu

Background: Homelessness and housing instability in the host countries are central features of the experience of migration to the EU. Although migrant women across the EU encounter obstacles in accessing healthcare services, little is known on the health and access to healthcare services for unstably housed migrant women. The DSAFHIR project aims to better describe the risks faced by migrant women in situations of administrative and social vulnerability, to analyze the barriers to access healthcare and to test specific health interventions. Methods: The DSAFHIR project consists of a two-wave mixed-method survey and the implementation of two tailored sexual health interventions. 474 migrant women aged 18 to 77 years housed in social hotels were surveyed at inclusion. After the implementation of sexual health interventions, respondents were contacted for the follow-up survey (n=284). Discussion: The project provides needed data on migrant women’s health and healthcare access, including non-French speakers. It allows to draw lessons on feasibility and acceptability of quantitative and qualitative surveys on this hard-to-reach population. A high response rate in both waves of the survey (84% and 85%) suggests good acceptability. The attrition is comparable to other migrant longitudinal surveys (60% of the original sample completed the follow-up survey, or 40% of attrition), suggesting that relying on cell phones is possible for follow-up even in contexts of housing instability.

scholarly journals Comparison of Association Between Divorce and Access to Healthcare Services Among Married Immigrants

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 514-514
Author(s):  
Suyeong Bae ◽  
James Graham ◽  
Sanghun Nam ◽  
Ickpyo Hong
Keyword(s):  
Propensity Score ◽  
Propensity Score Matching ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Minority Population ◽  
Service Access ◽  
Family Dissolution ◽  
History Of ◽  
Multicultural Family

Abstract The number of married immigrants is increasing in Korea, and family dissolution is also growing in this population. Although divorce could impact immigrants' health status, it is unclear whether they have difficulties accessing healthcare and medical services. Thus, we examined whether divorce in married immigrants is independently associated with access to healthcare services. A retrospective analysis of 11,778 adults who participated in the 2018 National Multicultural Family Survey. We used three different covariate adjustment methods (multivariate logistic regression, inverse probability of treatment weighting, 1:1 greedy propensity score matching) to examine the association between divorce and access to healthcare services after accounting for various demographic and clinical characteristics. Overall, 5.8% (n = 691) of married immigrants reported a history of divorce. The divorce group included 107 (15.5%) males and 584 (84.5%) females, with an average age of 45.17 years (SD = 10.9). The non-divorced group included 1992 males (18.0%) and 9095 (82.0%) females, with an average age of 39.1 years (SD = 10.5). After propensity score matching, all variables were balanced (all p>0.05). Individuals who experienced divorce were more likely to have difficulties in healthcare service access than those who did not experience divorce (adjusted odds ratio 1.423, 95% CI [1.075, 1.882]). Our findings revealed that divorce increased the risk of limited healthcare services among immigrants in Korea. Healthcare policymakers should be aware of the healthcare access issues in this minority population. In addition, to improve the lifestyles of minority populations, it is necessary to study their overall lives.

Not a Problem at All or Excluded by Oneself, Doctors and the Law? Healthcare Workers’ Perspectives on Access to HIV-Related Healthcare Among Same-Sex Attracted Men in Tanzania

2021 ◽  
Author(s):  
Alexander Ishungisa Mwijage ◽  
Mucho Michael Mizinduko ◽  
Samuel Lazarus Likindikoki ◽  
Dan Dan Wolf Meyrowitsch ◽  
Elia John Mmbaga ◽  
...  
Keyword(s):  
Focus Group ◽  
Work Experience ◽  
Healthcare Workers ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Structural Barriers ◽  
Same Sex ◽  
Focus Group Discussions ◽  
Group Discussions

Abstract Background: Same-sex attracted men in Tanzania are disproportionately affected by HIV. Drawing on qualitative research, the present study explores healthcare providers’ perspectives on access to HIV-related healthcare services among same-sex attracted men. Methods: A qualitative study was carried out among healthcare workers in in the cities of Dar es Salaam and Tanga in Tanzania between August 2018 and October 2019. Fieldwork entailed qualitative interviewing, focus group discussions and participant observation. A purposive sampling strategy was used to select study participants who varied with respect to age, education level, work experience, and the type and location of the facilities they worked in. Twenty-four interviews and six focus group discussions were conducted.Results: This paper describes four different discourses that were identified among healthcare workers with respect to their perception of access to healthcare services for SSAM. One held that access to healthcare was not a major problem at all, another that some SSAM did not utilize healthcare services although they were available, a third that some healthcare workers prevented SSAM from gaining access to healthcare and a fourth that healthcare for gender and sexual minority persons was made difficult by structural barriers. Conclusion: Although these are four rather different takes on the prevailing circumstances with respect to healthcare access for SSAM, we suggest that they may all be ‘true’ in the sense that they grasp and highlight different aspects of the same realities.

scholarly journals Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin

2021 ◽  
Vol 18 (2) ◽  
pp. 750
Author(s):  
Betregiorgis Zegeye ◽  
Ziad El-Khatib ◽  
Edward Kwabena Ameyaw ◽  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
...  
Keyword(s):  
Low Income ◽  
Economic Status ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Community Level ◽  
Low Income Countries ◽  
Outcome Variable ◽  
National Education ◽  
Individual Level

Background: In low-income countries such as Benin, most people have poor access to healthcare services. There is scarcity of evidence about barriers to accessing healthcare services in Benin. Therefore, we examined the magnitude of the problem of access to healthcare services and its associated factors. Methods: We utilized data from the 2017–2018 Benin Demographic and Health Survey (n = 15,928). We examined the associations between the demographic and socioeconomic characteristics of women using multilevel logistic regression. The outcome variable for the study was problem of access to healthcare service. Adjusted odds ratios (AORs) with 95% confidence intervals (95% CI) were estimated. Results: Overall, 60.4% of surveyed women had problems in accessing healthcare services. Partner’s education (AOR = 0.70; 95% CI; 0.55–0.89), economic status (AOR = 0.59; 95% CI; 0.47–0.73), marital status (AOR = 0.44; 95% CI; 0.39–0.51), and parity (AOR = 1.85; 95% CI; 1.45–2.35) were significant individual-level factors associated with problem of access to healthcare. Region (AOR = 5.24; 95% CI; 3.18–8.64) and community literacy level (AOR = 0.69; 95% CI; 0.51–0.94) were the main community-level risk factors. Conclusions: Enhancing husband education through adult education programs, economic empowerment of women, enhancing national education coverage, and providing priority for unmarried and multipara women need to be considered. Additionally, there is the need to ensure equity-based access to healthcare services across regions.

scholarly journals Addressing barriers to healthcare access for Roma: A community development approach

2016 ◽  
Vol 64 (2) ◽  
pp. 157-177 ◽  
Author(s):  
Gloria Kirwan ◽  
Deirdre Jacob
Keyword(s):  
Community Development ◽  
Service Providers ◽  
Healthcare Access ◽  
Access To Healthcare ◽  
Social Solidarity ◽  
New Destination ◽  
Education And Employment ◽  
Development Approach ◽  
Integration Project ◽  
Barriers To Healthcare Access

Abstract The Roma community in Europe has experienced persistent marginalisation and disadvantage over many generations, with Roma regularly experiencing problems of access to healthcare, accommodation, education and employment within the European context. Ireland is a relatively new destination for Roma migration and, as yet, the experiences of Roma in Ireland are under-researched. However, problematic access to healthcare has emerged as an issue faced by the Roma community in Ireland. With reference to the work of the Tallaght Roma Integration Project (TRIP), this article aims to illuminate some of the challenges faced by Roma in this regard. The work of TRIP is informed by community development principles, including concepts of participation and social solidarity. This article explores how community development can offer a framework through which the Roma community can engage collaboratively with service providers in order to highlight need and mobilise change in service provision.

scholarly journals Association Between Divorce and Access to Healthcare Services Among Married Immigrants: Propensity Score Approaches

2021 ◽  
Author(s):  
Suyeong Bae ◽  
James E. Graham ◽  
Sangun nam ◽  
Ickpyo Hong
Keyword(s):  
Propensity Score ◽  
Minority Groups ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Social Determinant ◽  
Access To Healthcare ◽  
Multivariable Logistic Regression Analysis ◽  
Minority Population ◽  
Health Providers ◽  
Data Set

Abstract Background: Research is needed to improve access to healthcare services by minority groups. The population of married immigrants is increasing rapidly in Korea. While divorce is a social determinant of health among married immigrans, it is not clear about its association with access to healthcare services. Therefore, we examined healthcare services utilization in married immigrants.Methods: We retrieved data from 11,778 adults in the 2018 Korea National Multicultural Family Survey. We used propensity score matching methods. We analyzed whether the sex of divorced immigrants is associated with healthcare access using multivariable logistic regression analysis. Further, we analyzed the association between divorce and access to healthcare services among married immigrants. Results: There were 691 (5.8%) divorced immigrants in the data set. The married male immigrants had no association between divorce status and healthcare access (adjusted odds ratio = 1.059, 95% confidence interval [CI]=0.552–2.033, p = 0.8620). Divorced immigrants were less likely to receive healthcare services than married immigrants (adjusted OR=1.42, 95% CI=1.06–1.88). Conclusion: Our findings revealed that divorce increased the risk of limited healthcare services among immigrants. Policymakers and health providers should be aware of these potential disparities in this vulnerable minority population.

scholarly journals Cost, Quality, and Access of Healthcare in Piura, Peru

2019 ◽  
Vol 16 (2) ◽  
pp. 17-30 ◽  
Author(s):  
Julia Griffin ◽  
Elaina Osterbur
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Small Sample Size ◽  
Healthcare Services ◽  
Small Sample ◽  
Medical Providers ◽  
Care Services ◽  
Care Workers ◽  
The Cost ◽  
To Receive

The aim of the study is to investigate the patient perceptions on the cost, quality, and access of health care services in Piura, Peru. Although one of the largest cities in Peru, Piura has one of the lowest densities of health care workers in the country which greatly impacts the population’s ability to receive medical treatment. Lack of financial resources and health literacy, among other health disparities exist. Modeled after CAHPS Health Plan Adult Commercial Survey 5.0 and the Patient Satisfaction Survey, a forty-four question English and Spanish survey was created with questions to study healthcare variables. As a correlational study with convenience sampling, the survey was administered to both patients and medical providers in eight city health centers. Over a period of twelve days, 107 surveys were collected. After eliminating subjects who did not meet the study criteria, 92 patients and 13 medical providers were included in the study. Findings from medical providers are not reported because of the small sample size. The results of this study suggests that 32% of subjects do not have health insurance, 24% of subjects rated their healthcare received as average, 18% of participants rated their healthcare as the best possible on a scale of zero to ten, and 29% of subjects had to wait an average of seven days for access to healthcare services when care is urgent. The results of this analysis can be used to better understand the Peruvian healthcare system and educate the Piura community and the Parish Santísimo Sacramento as they continue to improve and expand their health care services. KEYWORDS: Cost; Quality; Access; Healthcare; Piura; Peru; Satisfaction; Parroquia Santísimo Sacramento; EsSalud; SIS; MINSA

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