BACKGROUND: Health services in Europe face the challenge of delivering care to a heterogeneous group of irregular migrants (IM). There is little empirical evidence on how health professionals cope with this challenge. This study explores the experiences of health professionals providing care to IM in three types of health care service across 16 European countries. RESULTS: Semi-structured interviews were conducted with health professionals in 144 primary care services, 48 mental health services, and 48 Accident & Emergency departments (total n =240). Although legal health care entitlement for IM varies across countries, health professionals reported facing similar issues when caring for IM. These issues include access problems, limited communication, and associated legal complications. Differences in the experiences with IM across the three types of services were also explored. Respondents from Accident & Emergency departments reported less of a difference between the care for IM patients and patients in a regular situation than did respondents from primary care and mental health services. Primary care services and mental health services were more concerned with language barriers than Accident & Emergency departments. Notifying the authorities was an uncommon practice, even in countries where health professionals are required to do this. CONCLUSIONS: The needs of IM patients and the values of the staff appear to be as important as the national legal framework, with staff in different European countries adopting a similar pragmatic approach to delivering health care to IM. While legislation might help to improve health care for IM, more appropriate organisation and local flexibility are equally important, especially for improving access and care pathways.
Castañeda Heide, Illegality as risk factor: A survey of unauthorized migrant patients in a Berlin clinic, 10.1016/j.socscimed.2009.01.024
Dorn Tina, Ceelen Manon, Tang Ming-Jan, Browne Joyce L, de Keijzer Koos JC, Buster Marcel CA, Das Kees, Health care seeking among detained undocumented migrants: a cross-sectional study, 10.1186/1471-2458-11-190
Wolff Hans, Epiney Manuella, Lourenco Ana P, Costanza Michael C, Delieutraz-Marchand Jacqueline, Andreoli Nicole, Dubuisson Jean-Bernard, Gaspoz Jean-Michel, Irion Olivier, Undocumented migrants lack access to pregnancy care and prevention, 10.1186/1471-2458-8-93
Sebo Paul, Jackson Yves, Haller Dagmar M., Gaspoz Jean-Michel, Wolff Hans, Sexual and Reproductive Health Behaviors of Undocumented Migrants in Geneva: A Cross Sectional Study, 10.1007/s10903-010-9367-z
Pikhart Hynek, Drbohlav Dusan, Dzurova Dagmar, The self-reported health of legal and illegal/irregular immigrants in the Czech Republic, 10.1007/s00038-010-0156-1
Ruiz-Casares Mónica, Rousseau Cécile, Derluyn Ilse, Watters Charles, Crépeau François, Right and access to healthcare for undocumented children: Addressing the gap between international conventions and disparate implementations in North America and Europe, 10.1016/j.socscimed.2009.10.013
Priebe Stefan, Sandhu Sima, Dias Sónia, Gaddini Andrea, Greacen Tim, Ioannidis Elisabeth, Kluge Ulrike, Krasnik Allan, Lamkaddem Majda, Lorant Vincent, Riera Rosa Puigpinósi, Sarvary Attila, Soares Joaquim JF, Stankunas Mindaugas, Straßmayr Christa, Wahlbeck Kristian, Welbel Marta, Bogic Marija, Good practice in health care for migrants: views and experiences of care professionals in 16 European countries, 10.1186/1471-2458-11-187
Devillé Walter, Greacen Tim, Bogic Marija, Dauvrin Marie, Dias Sónia, Gaddini Andrea, Jensen Natasja Koitzsch, Karamanidou Christina, Kluge Ulrike, Mertaniemi Ritva, i Riera Rosa Puigpinós, Sárváry Attila, Soares Joaquim JF, Stankunas Mindaugas, Straßmayr Christa, Welbel Marta, Priebe Stefan, Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study, 10.1186/1471-2458-11-699
Bischoff Alexander, Bovier Patrick A, Isah Rrustemi, Françoise Gariazzo, Ariel Eytan, Louis Loutan, Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral, 10.1016/s0277-9536(02)00376-3
Scheppers E., Potential barriers to the use of health services among ethnic minorities: a review, 10.1093/fampra/cmi113
Schoevers Marianne A., Loeffen Maartje J., van den Muijsenbergh Maria E., Lagro-Janssen Antoine L. M., Health care utilisation and problems in accessing health care of female undocumented immigrants in the Netherlands, 10.1007/s00038-010-0151-6
van Doorslaer Eddy, Wagstaff Adam, van der Burg Hattem, Christiansen Terkel, De Graeve Diana, Duchesne Inge, Gerdtham Ulf-G, Gerfin Michael, Geurts José, Gross Lorna, Häkkinen Unto, John Jürgen, Klavus Jan, Leu Robert E, Nolan Brian, O'Donnell Owen, Propper Carol, Puffer Frank, Schellhorn Martin, Sundberg Gun, Winkelhake Olaf, Equity in the delivery of health care in Europe and the US, 10.1016/s0167-6296(00)00050-3
Grimm Jason W., Wells Jeffrey L., Illegal Immigrants in the Emergency Department: An Ethical Dilemma for Nurses?, 10.1016/j.jen.2008.08.018
Paez Kathryn A., Allen Jerilyn K., Carson Kathryn A., Cooper Lisa A., Provider and clinic cultural competence in a primary care setting, 10.1016/j.socscimed.2007.11.027
Hajjaj FM, Salek MS, Basra MKA, Finlay AY, Non-clinical influences on clinical decision-making: a major challenge to evidence-based practice, 10.1258/jrsm.2010.100104
Strech Daniel, Persad Govind, Marckmann Georg, Danis Marion, Are physicians willing to ration health care? Conflicting findings in a systematic review of survey research, 10.1016/j.healthpol.2008.10.013
Washington Donna L., Bowles Jacqueline, Saha Somnath, Horowitz Carol R., Moody-Ayers Sandra, Brown Arleen F., Stone Valerie E., Cooper Lisa A., , Transforming Clinical Practice to Eliminate Racial–Ethnic Disparities in Healthcare, 10.1007/s11606-007-0481-0
Watt Susan, Sword Wendy, Krueger Paul, Implementation of a health care policy: An analysis of barriers and facilitators to practice change, 10.1186/1472-6963-5-53
Weiner Saul J., Laporte Margaret, Abrams Richard I., Moswin Arthur, Warnecke Richard, Rationing Access to Care to the Medically Uninsured : The Role of Bureaucratic Front-Line Discretion at Large Healthcare Institutions, 10.1097/01.mlr.0000118706.49341.49
Harmsen J.A.M. (Hans), Bernsen R.M.D. (Roos), Bruijnzeels M.A. (Marc), Meeuwesen L. (Ludwien), Patients’ evaluation of quality of care in general practice: What are the cultural and linguistic barriers?, 10.1016/j.pec.2008.03.018
Nierkens Vera, Krumeich Anja, de Ridder Ri, van Dongen Martien, The future of intercultural mediation in Belgium, 10.1016/s0738-3991(01)00161-6
Jensen Natasja K, Norredam Marie, Draebel Tania, Bogic Marija, Priebe Stefan, Krasnik Allan, Providing medical care for undocumented migrants in Denmark: what are the challenges for health professionals?, 10.1186/1472-6963-11-154
Hsieh Hsiu-Fang, Shannon Sarah E., Three Approaches to Qualitative Content Analysis, 10.1177/1049732305276687
Dauvrin, Marie ; Lorant, Vincent ; Sandhu, Sima ; Devillé, Walter ; Dia, Hamidou ; et. al. Health care for irregular migrants : pragmatism across Europe. A qualitative study. In: BMC Research Notes, Vol. 5, no. 1, p. 99 (2012)
Sandhu, Sima
Devillé, Walter
Dia, Hamidou
Priebe, Stefan
