Medical Aspects of Care in Host Countries: Embedding Refugees in Healthcare Systems

  • Maria van den MuijsenberghEmail author


Health of refugees and other migrants tends to deteriorate upon arrival in a host country. Also, outcomes of care are less favourable for this in comparison with a host population. Hereby, social determinants of health, such as a lack of social participation, poverty, discrimination and a lack of accessible, good quality of healthcare, play a decisive role.

Access to and good quality of healthcare are hampered by limited health literacy and lack of resources in migrant patients; lack of cultural competency in healthcare providers, resulting in inadequate communication and care which is not tailored to the needs of the patient; and financial, organisational and informational barriers in healthcare systems.

In order to realise the universal right to access affordable, good quality healthcare and to establish equity in healthcare, migrants should receive information on local healthcare systems and on health promotion. Further, healthcare providers should be trained in providing compassionate, person-centred culturally competent healthcare, interpreter services and cultural mediation services should be available, and financial and organisational barriers should be limited. Besides, probably the most important is to create jobs, good housing and a migrant-friendly environment for all refugees.


Health disparities Social determinants of health Cultural competency Healthcare systems Equity 


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Authors and Affiliations

  1. 1.Pharos, Centre of Expertise on Health DisparitiesUtrechtThe Netherlands
  2. 2.Department of Primary and Community CareRadboud University Medical CentreNijmegenThe Netherlands

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