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Health Policies, Patterns and Barriers to Migrants’ Access to Primary Health Care

  • Sonia DiasEmail author
  • Inês Fronteira
  • Ana Gama
  • Andrea Pita Gróz
  • Deniz Mardin
  • Jorge Simões
  • Luis Roxo
  • Pedro Pita Barros
Chapter
Part of the SpringerBriefs in Public Health book series (BRIEFSPUBLIC)

Abstract

Primary health care (PHC) should be a preferential way to access healthcare. Access to PHC is fundamental in terms of preventive medicine and an important health equity indicator. In Portugal, PHC has been continuously strengthened with an ongoing reform initiated in 2006. Although migrants are recognized as a group that tend to underuse preventive healthcare services, knowledge about patterns, determinants and barriers to migrants’ access and use PHC is still scarce. Using data from the National Health Survey we compare migrants’ access and utilization of PHC in 2005 and 2014. For the same time period, we explore the existing policies regarding migrants’ access to healthcare services and, more specifically to PHC. Through document analysis, we describe the main barriers to migrants’ access to PHC. Based on the results, we discuss how policies on migration and health, the economic crisis and PHC reform can explain access to PHC by migrants in Portugal. Resulting recommendations will inform policies and strategies that will promote access to PHC by migrants and reinforce preventive and health promotion initiatives among this population.

Keywords

Migrants Primary health care Health policies Access Barriers Economic crisis 

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Copyright information

© The Author(s), under exclusive licence to Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sonia Dias
    • 1
    Email author
  • Inês Fronteira
    • 1
  • Ana Gama
    • 1
  • Andrea Pita Gróz
    • 1
  • Deniz Mardin
    • 2
  • Jorge Simões
    • 1
  • Luis Roxo
    • 1
  • Pedro Pita Barros
    • 1
  1. 1.Universidade Nova de LisboaLisbonPortugal
  2. 2.Istanbul UniversityIstanbulTurkey

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