Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium
Department of Public Health, Institute of Tropical Medicine, Antwerpen, Belgium.
BMJ Open. 2022 Dec 9;12(12):e068917. doi: 10.1136/bmjopen-2022-068917.
Migration creates new health vulnerabilities and exacerbates pre-existing medical conditions. Migrants often face legal, system-related, administrative, language and financial barriers to healthcare, but little is known about factors that specifically influence migrants' access to medicines and vaccines. This scoping review aims to map existing evidence on access to essential medicines and vaccines among asylum seekers, refugees and undocumented migrants who aim to reach Europe. We will consolidate existing information and analyse the barriers that limit access at the different stages of the migratory phases, as well as policies and practices undertaken to address them.
We follow the Arksey and O'Malley framework for knowledge synthesis of research, as updated by Levac . For reporting the results of our search and to synthetise evidence, we will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extended reporting guideline for scoping reviews. This scoping review consists of five iterative stages. Bibliographic databases (PubMed, CINAHL, Cochrane Database of Systematic Reviews and Scopus) and grey literature databases (Open Grey, Grey Literature Report and Google Scholar, Web of Science Conference Proceedings, non-governmental organisations and United Nations agency websites) will be searched for relevant studies.
This review will be disseminated through a peer-reviewed article in a scientific open-access journal and conference presentations. Furthermore, findings will be shared at workshops of research and operational stakeholders for facilitating translation into research and operational practices. Since it consists of reviewing and collecting data from publicly available materials, this scoping review does not require ethics approval.
移民会带来新的健康风险，并使先前存在的医疗状况恶化。移民在获得医疗保健方面常常面临法律、制度相关、行政、语言和财务方面的障碍，但对于具体影响移民获得药品和疫苗的因素知之甚少。本范围综述旨在绘制寻求进入欧洲的寻求庇护者、难民和无证件移民获得基本药物和疫苗的现有证据。我们将整合现有信息，并分析在移民各个阶段限制获得药物和疫苗的障碍，以及为解决这些障碍而采取的政策和做法。
我们遵循阿特赛和奥马利的知识综合研究框架，并由列瓦克更新。为了报告我们搜索的结果并综合证据，我们将遵守系统评价和荟萃分析扩展报告准则用于范围综述。本范围综述包括五个迭代阶段。将在文献数据库（PubMed、CINAHL、Cochrane 系统评价数据库和 Scopus）和灰色文献数据库（Open Grey、灰色文献报告和 Google Scholar、Web of Science 会议论文集、非政府组织和联合国机构网站）中搜索相关研究。
本综述将通过在科学开放获取期刊上发表同行评议的文章和会议报告进行传播。此外，研究和运营利益相关者的研讨会将分享研究结果，以促进将研究和运营实践转化为实践。由于它包括审查和收集来自公开可用材料的数据，因此本范围综述不需要伦理批准。
