Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland

Bibliographic Data

ID15444575
AuthorsS Buser (University of Basel), Julia Brandenberger (0000-0001-7169-8184, University Hospital of Bern), Myriam Gmünder (0000-0003-1323-9232, University Children’s Hospital Basel), Christian Pohl (0000-0002-7935-464X, King Edward Memorial Hospital), Nicole Ritz (0000-0002-1498-1685, University of Basel, corresponding author)
Year2020
Volume23
Issue4
Pages669-679
Publication date2020-10-20
Open AccessYes
TypeARTICLE
VenueJournal of Immigrant and Minority Health (JOURNAL)
Journal identifiersISSN: 1557-1912 • E-ISSN: 1557-1920
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10903-020-01100-8
PMID33083944
OpenAlexW3093669089
LanguageEN
Citations received1
References cited30

The aim of this study was to assess the characteristics of asylum-seeking children with medical complexity visiting a tertiary care hospital in Switzerland, detailing their underlying medical conditions and management. Asylum-seeking patients with frequent visits between January 2016 and December 2017 were identified using administrative and electronic health records. Of 462 patients, 19 (4%) fulfilled the inclusion criteria with 811 (45%) visits. The age of the 19 patients ranged from 0 to 16.7 years (median of 7 years) with two main age groups identified: 12 years. Nine (47%) patients originated from Syria. A total of 34/811(4%) visits were hospital admissions, 66/811 (8%) emergency department visits and 320/811(39%) outpatient department visits. In children < 2 years genetic diseases (5/8; 63%) and nutritional problems (6/8; 75%) were most common; in adolescents, orthopedic diseases (4/8; 50%) and mental health problems (4/8; 50%). Asylum-seeking children with medical complexity represent a small but important group of patients requiring frequent medical consultations. The high proportion of young patients with genetic diseases and severe nutritional problems suggests that new strategies are required in the management of this specific group of asylum-seeking children. This could be achieved by improved co-ordination between hospital and non-hospital care exploring options for integrated care

Emergency department · Family medicine · Health care · Medical record · Psychiatry · Public health · Adolescent and Pediatric Healthcare · Child and Adolescent Health · Healthcare Policy and Management · Medicine · Nursing · Pediatrics

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