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A systematic literature review of reported challenges in health care delivery to migrants and refugees in high-income countries – the 3C model

Posted on:
June 14, 2019

Julia Brandenberger (University of Basel), Thorkild Tylleskär (University of Bergen), Katrin Sontag (University of Basel), Bernadette Peterhans (Swiss Tropical and Public Health Institute) & Nicole Ritz (University of Basel)
BMC Public Health, 19, article 755
Open Access Journal | Revue en libre accès
June 14, 2019 | Le 14 juin 2019

Abstract | Résumé

“Background

Migrants and refugees have important health needs and face inequalities in their health status. Health care delivery to this patient group has become a challenging public health focus in high income countries. This paper summarizes current knowledge on health care delivery to migrants and refugees in high-income countries from multiple perspectives.

Methods

We performed a systematic literature review including primary source qualitative and quantitative studies between 2000 and 2017. Articles were excluded if the study setting was in low- or middle-income countries or focused on skilled migration. Quality assessment was done for qualitative and quantitative studies separately. Predefined variables were extracted in a standardized form. Authors were approached to provide missing information.

Results

Of 185 identified articles, 35 were included in the final analysis. We identified three main topics of challenges in health care delivery: communication, continuity of care and confidence. All but one study included at least one of the three main topics and in 21/35 (60%) all three topics were mentioned. We further developed the 3C model and elaborated the interrelatedness of the three topics. Additional topics identified showed that the specific regional context with legal, financial, geographical and cultural aspects is important and further influences the 3C model.

Conclusions

The 3C model gives a simple and comprehensive, patient-centered summary of key challenges in health care delivery for refugees and migrants. This concept is relevant to support clinicians in their day to day practice and in guiding stakeholders in priority setting for refugee and migrant health policies.”

Read or download the full article | Consulter ou télécharger l’article complet (en anglais) :

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7049-x

Source:

Research at a Glance is designed to inform the Immigration, Refugees and Citizenship Canada (IRCC) community and other interested parties about recently published, policy-relevant research from government, academic and NGO sources. The views expressed in the documents described do not necessarily reflect those of IRCC.

Summary

Migrants and refugees have important health needs and face inequalities in their health status. Health care delivery to this patient group has become a challenging public health focus in high income countries. This paper summarizes current knowledge on health care delivery to migrants and refugees in high-income countries from multiple perspectives.
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