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Differential Probability in Unmet Healthcare Needs Among Migrants in Four European Countries

Bibliographic Data

ID7852544
AuthorsHani Fares (0000-0001-7085-8457, Office of the United Nations High Commissioner for Refugees, corresponding author), Jaime Pinilla Domínguez (0000-0002-7126-4236, Universidad de Las Palmas de Gran Canaria), Jaume Puig-Junoy (0000-0003-1695-3108, Universitat Pompeu Fabra)
Year2023
Volume24
Issue4
Pages1523-1546
Publication date2023-12-01
Open AccessYes
TypeARTICLE
VenueJournal of International Migration and Integration / Revue de l integration et de la migration internationale (JOURNAL)
Journal identifiersISSN: 1488-3473 • E-ISSN: 1874-6365
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s12134-023-01024-w
OpenAlexW4327713698
LanguageEN
References cited68

Migrants and refugees try to reach Europe to seek protection and a better life. The responsiveness and stewardship of the European countries health system have an impact on the ability to access healthcare. This study aims to investigate the differential probability of healthcare unmet needs among migrants living in four European countries. We used a 2019 cross-sectional data from the European Union Income and Living Conditions survey. We performed a two-stage probit model with sample selection, first to identify the respondents with need for care, then those who need it but have not received it. We analysed reasons for unmet needs through accessibility, availability and acceptability. We then performed country studies assessing the national health systems, financing mechanisms and migration policies. Bringing together data on financial hardship and unmet needs reveals that migrants living in Europe have a higher risk of facing unmet healthcare needs compared to native citizens, and affordability of care remains a substantial barrier. Our results showed the country heterogeneity in the differential migrants’ unmet needs according to the place where they live, and this disparity seems attributed to the health system and policies applied. Given the diversity of socioeconomic conditions throughout the European countries, the health of migrants depends to a large degree on the integration and health policies in place. We believe that EU policies should apply further efforts to respect core health and protection ethics and to acknowledge, among others, principles of ‘do-no-harm’, equity and the right to health

Business · Economic growth · Economics · Environmental health · European union · Harm · Health care · Health equity · Political science · Population · Socioeconomic status · Employment and Welfare Studies · Global Health Care Issues · Medicine · Migration, Health and Trauma

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