Final published version
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Reducing the health care burden for marginalised migrants
T2 - the potential role for primary care in Europe
AU - O'Donnell, Catherine Agnes
AU - Burns, Nicola
AU - Mair, Frances Susanne
AU - Dowrick, Christopher
AU - Clissmann, Ciaran
AU - van den Muijsenbergh, Maria
AU - van Weel-Baumgarten, Evelyn
AU - Lionis, Christos
AU - Papadakaki, Maria
AU - Saridaki, Aristoula
AU - de Brun, Tomas
AU - MacFarlane, Anne
AU - RESTORE Team
N1 - Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.
PY - 2016/5
Y1 - 2016/5
N2 - There is a growing interest in the health of migrants worldwide. Migrants, particularly those in marginalised situations, face significant barriers and inequities in entitlement and access to high quality health care. This study aimed to explore the potential role of primary care in mitigating such barriers and identify ways in which health care policies and systems can influence the ability of primary care to meet the needs of vulnerable and marginalised migrants. The study compared routinely available country-level data on health system structure and financing, policy support for language and communication, and barriers and facilitators to health care access reported in the published literature. These were then mapped to a framework of primary care systems to identify where the key features mitigating or amplifying barriers to access lay. Reflecting on the data generated, we argue that culturally-sensitive primary care can play a key role in delivering accessible, high-quality care to migrants in vulnerable situations. Policymakers and practitioners need to appreciate that both individual patient capacity, and the way health care systems are configured and funded, can constrain access to care and have a negative impact on the quality of care that practitioners can provide to such populations. Strategies to address these issues, from the level of policy through to practice, are urgently needed.
AB - There is a growing interest in the health of migrants worldwide. Migrants, particularly those in marginalised situations, face significant barriers and inequities in entitlement and access to high quality health care. This study aimed to explore the potential role of primary care in mitigating such barriers and identify ways in which health care policies and systems can influence the ability of primary care to meet the needs of vulnerable and marginalised migrants. The study compared routinely available country-level data on health system structure and financing, policy support for language and communication, and barriers and facilitators to health care access reported in the published literature. These were then mapped to a framework of primary care systems to identify where the key features mitigating or amplifying barriers to access lay. Reflecting on the data generated, we argue that culturally-sensitive primary care can play a key role in delivering accessible, high-quality care to migrants in vulnerable situations. Policymakers and practitioners need to appreciate that both individual patient capacity, and the way health care systems are configured and funded, can constrain access to care and have a negative impact on the quality of care that practitioners can provide to such populations. Strategies to address these issues, from the level of policy through to practice, are urgently needed.
KW - Migrant access
KW - Primary care
KW - Health care policy
KW - Entitlement
KW - Equity
U2 - 10.1016/j.healthpol.2016.03.012
DO - 10.1016/j.healthpol.2016.03.012
M3 - Journal article
C2 - 27080344
VL - 120
SP - 495
EP - 508
JO - Health Policy
JF - Health Policy
SN - 0168-8510
IS - 5
ER -