Graetz V, Rechel B, Groot W, Norredam M, Pavlova M
Department of Health Services Research, CAPHRI, Maastricht University Medical Centre, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, UK.
Br Med Bull. 2017 Jan 1;121(1):5-18. doi: 10.1093/bmb/ldw057.
Our study reviewed the empirical evidence on the utilization of health care services by migrants in Europe, and on differences in health service utilization between migrants and non-migrants across European countries.
A systematic literature review was performed, searching the databases Medline, Cinahl and Embase and covering the period from January 2009 to April 2016. The final number of articles included was 39.
Utilization of accident and emergency services and hospitalizations were higher among migrants compared with non-migrants in most countries for which evidence was available. In contrast, screening and outpatient visits for specialized care were generally used less often by migrants.
Utilization of general practitioner services among migrants compared with non-migrants presents a diverging picture.
Compared with previous systematic reviews, the results indicate a clearer picture of the differences in health service utilization between migrants and non-migrants in Europe.
A comprehensive comparison across European countries is impossible because the number of studies is still limited. Further research should also help to identify barriers regarding the utilization of health care services by migrants.
我们的研究回顾了欧洲移民使用医疗保健服务的实证证据，以及欧洲各国移民与非移民在医疗服务利用方面的差异。
进行了一项系统的文献综述，检索了Medline、Cinahl和Embase数据库，涵盖2009年1月至2016年4月期间。纳入的文章最终数量为39篇。
在大多数有证据的国家，移民使用急诊服务和住院治疗的比例高于非移民。相比之下，移民通常较少使用专科护理的筛查和门诊就诊。
与非移民相比，移民使用全科医生服务的情况呈现出不同的情况。
与之前的系统综述相比，结果表明欧洲移民与非移民在医疗服务利用方面的差异情况更加清晰。
由于研究数量仍然有限，无法对欧洲各国进行全面比较。进一步的研究还应有助于确定移民使用医疗保健服务的障碍。
