Reducing the health care burden for marginalised migrants: The potential role for primary care in Europe

O'Donnell, C. A. et al. (2016) Reducing the health care burden for marginalised migrants: The potential role for primary care in Europe. Health Policy, 120(5), pp. 495-508. (doi:10.1016/j.healthpol.2016.03.012) (PMID:27080344)

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Abstract

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.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Burns, Dr Nicola and Mair, Professor Frances and O'Donnell, Professor Catherine
Authors: O'Donnell, C. A., Burns, N., Mair, F. S., Dowrick, C., Clissmann, C., van den Muijsenbergh, M., van Weel-Baumgarten, E., Lionis, C., Papadakaki, M., Saridaki, A., de Brun, T., and MacFarlane, A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
Journal Name:Health Policy
Publisher:Elsevier
ISSN:0168-8510
ISSN (Online):1872-6054
Copyright Holders:Copyright © 2016 The Authors
First Published:First published in Health Policy 120(5):495-506
Publisher Policy:Reproduced under a Creative Commons License

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