Winters Marjolein, Rechel Bernd, de Jong Lea, Pavlova Milena
Department of Health Services Research, Maastricht University, PO Box 616, 6200, MD, Maastricht, The Netherlands.
European Observatory on Health Systems and Policies, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, England.
BMC Health Serv Res. 2018 Jan 18;18(1):30. doi: 10.1186/s12913-018-2838-y.
Undocumented migrants face particular challenges in accessing healthcare services in many European countries. The aim of this study was to systematically review the academic literature on the utilization of healthcare services by undocumented migrants in Europe.
The databases Embase, Medline, Global Health and Cinahl Plus were searched systematically to identify quantitative, qualitative and mixed methods studies published in 2007-2017.
A total of 908 articles were retrieved. Deletion of duplicates left 531. After screening titles, abstracts and full texts according to pre-defined inclusion and exclusion criteria, 29 articles were included in the review. Overall, quantitative studies showed an underutilization of different types of healthcare services by undocumented migrants. Qualitative studies reported that, even when care was received, it was often inadequate or insufficient, and that many undocumented migrants were unfamiliar with their entitlements and faced barriers in utilizing healthcare services.
Although it is difficult to generalize findings from the included studies due to methodological differences, they provide further evidence that undocumented migrants in Europe face particular problems in utilizing healthcare services.
在许多欧洲国家，无证移民在获取医疗服务方面面临特殊挑战。本研究的目的是系统回顾欧洲无证移民利用医疗服务的学术文献。
系统检索Embase、Medline、Global Health和Cinahl Plus数据库，以识别2007年至2017年发表的定量、定性和混合方法研究。
共检索到908篇文章。删除重复项后剩下531篇。根据预先定义的纳入和排除标准筛选标题、摘要和全文后，29篇文章被纳入综述。总体而言，定量研究表明无证移民对不同类型医疗服务的利用不足。定性研究报告称，即使获得了医疗服务，往往也不充分或不足，而且许多无证移民不熟悉自己应享有的权利，在利用医疗服务时面临障碍。
尽管由于方法上的差异，很难将纳入研究的结果进行概括，但这些研究提供了进一步的证据，表明欧洲的无证移民在利用医疗服务方面面临特殊问题。
