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

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An Uncertain Safety

Abstract

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.

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References

  1. Kennedy S, McDonald JT, Biddle N. The healthy immigrant effect and immigrant selection: evidence from four countries. In: Social and economic dimensions of an aging population research papers 164; 2006. Hamilton: McMaster University. http://ideas.repec.org/p/mcm/sedapp/164.html.

  2. Razum O, Zeeb H, Rohrmann S. The ‘healthy migrant effect’- not merely a fallacy of inaccurate denominator figures. Int J Epidemiol. 2000;21:199–200.

    Google Scholar 

  3. Nielsen SS, Krasnik A. Poorer self-perceived health among migrants and ethnic minorities versus the majority population in Europe: a systematic review. Int J Public Health. 2010;55:357–71.

    Article  PubMed  Google Scholar 

  4. Rechel B, Mladovsky P, Ingleby D, Mackenbach JP, McKee M. Migration and health in an increasingly diverse Europe. Lancet. 2013;381:1235–45.

    Article  PubMed  Google Scholar 

  5. Hadgkiss EJ, Renzaho AM. The physical health status, service utilisation and barriers to accessing care for asylum seekers residing in the community: a systematic review of the literature. Aust Health Rev. 2014;38:142–59.

    PubMed  Google Scholar 

  6. Laban CJ, Komproe IH, Gernaat HB, de Jong JT. The impact of a long asylum procedure on quality of life, disability and physical health in Iraqi asylum seekers in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2008;43(7):507.

    Article  PubMed  Google Scholar 

  7. Gerritsen AA, Bramsen I, Deville W, van Willigen LH, Hovens JE, van der Ploeg HM. Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2006;41(1):18–26. https://doi.org/10.1007/s00127-0050003-5.

    Article  PubMed  Google Scholar 

  8. Schellingerhout R. Self-experienced Health, lifestyle and healthcare use (Ervaren gezondheid, leefstijl en zorggebruik). In: Dourleijn E, Dagevos J, editors. Refugees groups in the Netherlands (Vluchtelingengroepen in Nederland). Den Haag: Dutch Social Cultural Planning Agency (SCP); 2011.

    Google Scholar 

  9. Bhopal R, Rafnsson S, Agyemang C, Fagot-Campagna A, Giampaoli S, Hammar N, Harding S, Hedlund E, Juel K, Wild S, Kunst A. Mortality from circulatory diseases by specific country of birth across six European countries: test of concept. Eur J Public Health. 2012;22(3):353–9.

    Google Scholar 

  10. Rafnsson SB, Bhopal RS, Agyemang C, Fagot-Campagna A, Giampaoli S, Hammar N, Hedlund E, Juel K, Primatesta P, Wild S, Mackenbach JP. Sizable variations in cardiovascular mortality by country of birth in five European countries: implications for measuring health inequalities in the region. Migrant and Ethnic Health Observatory. 2009. http://www.meho.eu.com/Upload/15WP6%20-%20annex%20deliverable%206.4c%20sizeable%20variations%20in%20cardiovascular%20mortality.pdf.

  11. European Centre for Disease Prevention and Control. Communicable disease risks associated with the movement of refugees in Europe during the winter season. Stockholm: ECDC; 2015.

    Google Scholar 

  12. Vandenheede H, Deboosere P, Kunst AE. Migrant mortality from diabetes mellitus across Europe. Migrant and Ethnic Health Observatory. 2009. http://www.meho.eu.com/Upload/7WP5%20-20annex%20deliverable%205.1%20mortality%20diabetes.pdf.

  13. Schulz AJ, House JS, Israel BA, Mentz G, Dvonch JT, Miranda PY, Kannan S, Koch M. Relational pathways between socioeconomic position and cardiovascular risk in a multi-ethnic urban sample: complexities and their implications for improving health in economically disadvantaged populations. J Epidemiol Community Health. 2008;62:638–46. https://doi.org/10.1136/jech.2007.063222.

    Article  PubMed  CAS  Google Scholar 

  14. Pyykkönen AJ, Räikkönen K, Tuomi T, Eriksson JG, Groop L, Isomaa B. Stressful life events and the metabolic syndrome. The Prevalence. Prediction and Prevention of Diabetes PPP: Botnia Study. Diabetes Care. 2010;33(2):378–84.

    Article  PubMed  Google Scholar 

  15. Agyemang C, Goosen S, Anujo K, Ogedegbe G. Relationship between post-traumatic stress disorder and diabetes among 105.180 asylum seekers in the Netherlands. Eur J Pub Health. 2011: 1–5. https://doi.org/10.1093/eurpub/ckr138.

  16. Murray KE, Davidson GR. Review of refugee mental health interventions following resettlements: best practices and recommendations. Am J Orthopsychiatry. 2010;80(4):576–85.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Hirani K, Payne D, Mutch R, et al. Health of adolescent refugees resettling in high-income countries. Arch Dis Child. 2015;101:670–6. https://doi.org/10.1136/archdischild-2014-307221.

    Article  PubMed  Google Scholar 

  18. O’Donnell CA, Burns N, Mair F, Dowrick C, Clissmann C, Van den Muijsenbergh M, Van Weel-Baumgarten E, Lionis C, Papadaki M, Saridaki A, de Brun T, O’Reilly de Brun M, MacFarlane A. Reducing the health care burden for marginalised migrants: the potential role for primary care in Europe. Health Policy. 2016;120:495–508. https://doi.org/10.1016/j.healthpol.2016.03.012.

    Article  PubMed  Google Scholar 

  19. Stanciole AE, Huber M. Access to health care for migrants. Ethnic minorities and asylum seekers in Europe. Policy Brief May 2009. European Centre for Social Welfare Policy and Research, Vienna; 2009.

    Google Scholar 

  20. Ingleby D. Ethnicity, migration and the “Social Determinants of Health” agenda. Psychosoc Interv. 2012;21(3):331–41.

    Article  Google Scholar 

  21. Pascoe EA, Smart Richman L. Perceived discrimination and health: a meta-analytic review. Psychol Bull. 2009;135(4):531–54.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Ikram UZ, Snijder MB, Agyemang C, Schene A, Peters RJ, Stronks K, Kunst AE. Perceived ethnic discrimination and the metabolic syndrome in ethnic minority groups: the Healthy Life in an Urban Setting study. Psychosom Med. 2017;79:101–11.

    Article  PubMed  Google Scholar 

  23. Lamkaddem M. Explaining health and healthcare utilisation of ethnic minorities in the Netherlands. Thesis. Amsterdam University; 2013.

    Google Scholar 

  24. Lanting LC, Joung IM, Mackenbach JP, Lamberts SW, Bootsma AH. Ethnic differences in mortality, end-stage complications, and quality of care among diabetic patients: a review. Diabetes Care. 2005;28:2280–8.

    Article  PubMed  Google Scholar 

  25. Hynes M, Sheik M, Wilson HG, Spiegel P. Reproductive health indicators and outcomes among refugee and internally displaced persons in postemergency phase camps. JAMA. 2002;288(5):595–603.

    Article  PubMed  Google Scholar 

  26. Aptekman M, et al. Unmet contraceptive needs among refugees. Can Fam Physician Med Fam Can. 2014;60(12):e613–9.

    Google Scholar 

  27. Philibert M, Deneux-Tharaux C, Bouvier Colle M. Can excess maternal mortality among women of foreign nationality be explained by suboptimal obstetric care? BJOG. 2008;115:1411–8.

    Article  CAS  PubMed  Google Scholar 

  28. Centre for Maternal and Child Enquiries. Saving Mothers’ lives: reviewing death to make motherhood safer: 2006–2008. BJOG. 2011;118(s1):1–203.

    Google Scholar 

  29. Boerleider AW. Non-western women in maternity care in the Netherlands. Thesis. Amsterdam University; 2015.

    Google Scholar 

  30. Alderliesten ME, Stronks K, van Lith JM, Smit BJ, van der Wal MF, Bonsel GJ, Bleker OP. Ethnic differences in perinatal mortality: a perinatal audit on the role of substandard care. Eur J Obstet Gynecol Reprod Biol. 2008;138(2):164–70.

    Article  PubMed  Google Scholar 

  31. Pace P. The right to health of migrants in Europe. In: Rechel B, Mladovsky P, Deville W, Petrova-Benedict R, McKee M, editors. Migration and health in the European Union. 1st ed. Maidenhead: McGraw Hill; 2011. p. 55–66.

    Google Scholar 

  32. O’Donnell CA, Higgins M, Chauhan R, Mullen K. “They think we’re OK and we know we’re not”. A qualitative study of asylum seekers’ access, knowledge and views to health care in the UK. BMC Health Serv Res. 2007;7:75.

    Article  PubMed  PubMed Central  Google Scholar 

  33. O’Donnell CA, Higgins M, Chauhan R, Mullen K. Asylum seekers’ expectations of and trust in general practice: a qualitative study. Br J Gen Pract. 2008;58(12):870–6.

    Google Scholar 

  34. Bischoff A. Do language barriers increase inequalities? Do interpreters decrease inequalities? In: Ingleby D, Chiarenza A, Deville W, Kotsioni I, editors. Inequalities in health care for migrants and ethnic minorities. 1st ed. Antwerp: Garant; 2012. p. 128–43.

    Google Scholar 

  35. Cooper M, Harding S, Mullen K, O’Donnell C. ‘A chronic disease is a disease which keeps coming back?…?it is like the flu’: chronic disease risk perception and explanatory models among French- and Swahili-speaking African migrants. Ethn Health. 2012;17(6):597–613.

    Article  PubMed  Google Scholar 

  36. Wangdahl J, et al. Health literacy among refugees in Sweden – a cross-sectional study. BMC Public Health. 2014;14:1030.

    Article  PubMed  PubMed Central  Google Scholar 

  37. UN economic saCRC. 2000: General comment No. 14. The right to the highest attainable standard of health. UN Doc E/C. 12/2000/4. 2000; 2000.

    Google Scholar 

  38. World Medical Association WMA. International code of medical ethics; 2006.

    Google Scholar 

  39. Chauvin P, Parizot I, Simonnot N. Access to health care for undocumented migrants in 11 European countries. Medicins de Monde Observatory on Access to Health Care. Medicins du Monde; 2009.

    Google Scholar 

  40. Cuadra CB. Right of access to health care for undocumented migrants in the EU: a comparative study of national policies. Eur J Pub Health. 2011;22(2):267–71.

    Article  Google Scholar 

  41. Suess A, et al. The right of access to health care for undocumented migrants: a revision of comparative analysis in the European context. Eur J Pub Health. 2014;24(5):712–20.

    Google Scholar 

  42. Nørredam M, Nielsen S, Krasnik A. Migrants’ utilization of somatic healthcare services in Europe – a systematic review. Eur J Pub Health. 2010;20(5):555–63.

    Article  Google Scholar 

  43. Berens E-M, Spallek J, Razum O. Breast cancer screening among immigrant women: do we need specific approaches in risk communication? In: Ingleby D, Krasnik A, Lorant V, Razum O, editors. Health and health inequalities and risk factors among migrants and ethnic minorities. COST series diversity, vol. I. Antwerp: Garant; 2012. p. 304–18.

    Google Scholar 

  44. Alderliesten ME, Vrijkotte TG, van der Wal MF, Bonsel GJ. Late start of antenatal care among ethnic minorities in a large cohort of pregnant women. Int J Obstet Gynaecol. 2007;114(10):1232–9.

    Article  CAS  Google Scholar 

  45. Denktaş S, Koopmans G, Birnie E, Foets M, Bonsel G. Ethnic background and differences in health care use: a national cross-sectional study of native Dutch and immigrant elderly in the Netherlands. Int J Equity Health. 2009;8:35.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Teunissen E, Sherally J, van den Muijsenbergh M, Dowrick C, van Weel-Baumgarten E, van Weel C. Mental health problems of undocumented migrants (UM) in the Netherlands: a qualitative exploration of help-seeking behaviour and experiences with primary care. BMJ Open. 2014;4(11):e005738.

    Article  PubMed  PubMed Central  Google Scholar 

  47. McMahon J, MacFarlane A, Avalos G, Cantillon P, Murphy AW. A survey of asylum seekers’ general practice GP: service utilisation and morbidity patterns. Ir Med J. 2009;1005:461–4.

    Google Scholar 

  48. Uiters E, Devillé W, Foets M, Spreeuwenberg P, Groenewegen PP. Differences between immigrant and non-immigrant groups in the use of primary medical care; a systematic review. BMC Health Serv Res. 2009;9:76.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Huber M, Stanciole A, Bremner J, Wahlbeck K. Quality in and equality of access to healthcare services: HealthQUEST.Brussels: DG Employment. Social affairs and equal opportunities. 2008. http://www.euro.centre.org/detail.php?xml:id=866.

  50. Lanting LC, Joung IM, Vogel I, Bootsma AH, Lamberts SW, Mackenbach JP. Ethnic differences in outcomes of diabetes care and the role of self-management behavior. Patient Educ Couns. 2008;72(1):146–54.

    Article  CAS  PubMed  Google Scholar 

  51. Smedley B, Stith A, Nelson A. Assessing potential sources of racial and ethnic disparities in care: the clinical encounter. In:Unequal treatment: confronting racial and ethnic disparities in health care. Washington DC: The National Academies Press; 2003. p. 160–79.

    Google Scholar 

  52. Sievers E. Perinatal morbidity and mortality among migrants in Europe. In: Ingleby D, Krasnik A, Lorant V, Razum O, editors. Cost series on health and diversity 2012. Volume 1. Health inequalities and risk factors among migrants and ethnic minorities. Antwerp: Garant; 2012. p. 180–92.

    Google Scholar 

  53. Fundamental Rights Agency FRA. Inequalities and multiple discrimination in access to and quality of health care. Vienna: Fundamental Rights Agency; 2013.

    Google Scholar 

  54. Otoukesh S, Mojtahedzadeh M, Figlin RA, Rosenfelt FP, Behazin A, Sherzai D, et al. Literature review and profile of cancer diseases among Afghan refugees in Iran: referrals in six years of displacement. Med Sci Monit Int Med J Exp Clin Res. 2015;21:3622.

    Google Scholar 

  55. Wagner J, Berthold SM, Buckley T, Kong S, Kuoch T, Scully M. Diabetes among refugee populations: what newly arriving refugees can learn from resettled Cambodians. Curr Diab Rep. 2015;15(8):1–14.

    Article  CAS  Google Scholar 

  56. Modesti PA, Bianchi S, Borghi C, Cameli M, Capasso G, Ceriello A, et al. Cardiovascular health in migrants: current status and issues for prevention. A collaborative multidisciplinary task force report. J Cardiovasc Med. 2014;15(9):683–92.

    Article  Google Scholar 

  57. Shannon P, O’Dougherty M, Mehta E. Refugees’ perspectives on barriers to communication about trauma histories in primary care. Ment Health Fam Med. 2012;9:47–55.

    PubMed  PubMed Central  Google Scholar 

  58. Schoevers MA, Loeffen MJ, van den Muijsenbergh M, Lagro-Janssen AL. Health care utilisation and problems in accessing health care of female undocumented immigrants in the Netherlands. Int J Public Health. 2010;55:421–8.

    Article  PubMed  Google Scholar 

  59. Casey SE, Chynoweth SK, Cornier N, Gallagher MC, Wheeler EE. Progress and gaps in reproductive health services in three humanitarian settings: mixed-methods case studies. Confl Heal. 2015;9(1):S3.

    Article  Google Scholar 

  60. Krause S, Williams H, Onyango MA, Sami S, Doedens W, Giga N, Stone E, Tomczyk B. Reproductive health services for Syrian refugees in Zaatri Camp and Irbid City, Hashemite Kingdom of Jordan: an evaluation of the minimum initial services package. Confl Heal. 2015;9(1):S4.

    Article  Google Scholar 

  61. Boerleider AW, Francke AL, van de Reep M, Manniën J, Wiegers TA, et al. “Being flexible and creative”: a qualitative study on maternity care assistants’ experiences with non-western immigrant women. PLoS One. 2014;9:3.

    Article  CAS  Google Scholar 

  62. van den Muijsenbergh M, van Weel-Baumgarten E, Burns N, O’Donnell C, Mair F, Spiegel W, Lionis C, Dowrick C, O’Reilly-de Brún M, de Brun T, MacFarlane A. Communication in cross-cultural consultations in primary care in Europe: the case for improvement. The rationale for the RESTORE FP 7 project. Prim Health Care Res Dev. 2014;15:122–33.

    Article  PubMed  Google Scholar 

  63. Correa-Velez I, Ryan J. Developing a best practice model of refugee maternity care. Women Birth. 2012;25:13–22.

    Article  PubMed  Google Scholar 

  64. Hoogenboom G, Thwin MM, Velink K, Baaijens M, Charrunwatthana P, Nosten F, McGready R. Quality of intrapartum care by skilled birth attendants in a refugee clinic on the ThaiMyanmar border: a survey using WHO Safe Motherhood Needs Assessment. BMC Pregnancy Childbirth. 2015;15:17.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Teunissen E, Gravenhorst K, Dowrick C, Van Weel-Baumgarten E, Van den Driessen Mareeuw F, de Brún T, Burns N, Lionis C, Mair FS, O’Donnell C, O’Reilly-de Brún M. Implementing guidelines and training initiatives to improve cross-cultural communication in primary care consultations: a qualitative participatory European study. Int J Equity Health. 2017;16(1):32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Mock-Muñoz de Luna C, Ingleby D, Graval E, Krasnik A. Synthesis report Work- package 1. Training packages for health professionals to improve access and quality of health services for migrants and ethnic minorities, including the Roma. MEM-TP. Kopenhagen: Europese Unie; 2015.

    Google Scholar 

  67. Kringos D, Boerma W, Bourgueil Y, et al. The strength of primary care in Europe: an international comparative study. Br J Gen Pract. 2013;63(616):e742–e50.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Kärki T, Napoli C, Riccardo F, Fabiani M, Dente MG, Carballo M, Declich S. Screening for infectious diseases among newly arrived migrants in EU/EEA countries – varying practices but consensus on the utility of screening. Int J Environ Res Public Health. 2014;11(10):11004–14.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Mollica RF, Brooks RT, Ekblad S, McDonald L. The new H5 model of refugee trauma and recovery. In: Lindert J, Levav I, editors. Violence and mental health. Dordrecht: Springer Science+ Business Media; 2015. p. 341.

    Google Scholar 

  70. Garcia Ramirez M, Hatzidimitriadou E. User involvement and empowerment in health care. Practices with ethnic minority groups. A community approach. Int J Migr Health Soc Care. 2009;5:2–5.

    Article  Google Scholar 

  71. Van den Muijsenbergh M, Teunissen E, van Weel-Baumgarten E, van Weel C. “Giving voice to the voiceless.” How to involve vulnerable migrants in healthcare research. Br J Gen Pract. 2016;16:284–5.

    Article  Google Scholar 

  72. O’Reilly-de Brún M, de Brún T, Okonkwo E, Bonsenge-Bokanga JS, De Almeida Silva MM, Ogbebor F, Mierzejewska A, Nnadi L, van Weel-Baumgarten E, van Weel C, van den Muijsenbergh M, MacFarlane A. Using participatory learning & action research to access and engage with ‘hard to reach’ migrants in primary healthcare research. BMC Health Serv Res. 2016;16:25. https://doi.org/10.1186/s12913-015-1247-8.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Zandbelt LC, Smets EM, Oort FJ, Godfried MH, de Haes HC. Patient participation in the medical specialist encounter: does physicians’ patient-centred communication matter? Patient Educ Couns. 2007;653:396–406.

    Article  Google Scholar 

  74. Saha S, Beach MC, Cooper LA. Patient centeredness, cultural competence, and healthcare quality. J Natl Med Assoc. 2009;100(11):1275–85.

    Article  Google Scholar 

  75. Seeleman C. Cultural competence and diversity responsiveness: how to make a difference in healthcare? Thesis Amsterdam University; 2014.

    Google Scholar 

  76. Pottie K, Greenaway C, Hassan G, Hui C, Kirmayer LJ. Caring for a newly arrived Syrian refugee family. Can Med Assoc J. 2016;188:207–11.

    Article  Google Scholar 

  77. Andrulis DP, Brach C. Integrating literacy, culture and language to improve health care quality for diverse populations. Am J Health Behav. 2007;31(1):S122–33.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Van Melle M, Lamkaddem M, Stuiver MM, Gerritsen AAM, Devillé WLJM, Essink-Bot ML. Quality of primary care for resettled refugees in the Netherlands with chronic mental and physical health problems: a cross-sectional analysis of medical records and interview data. BMC Fam Pract. 2014;15:160.

    Article  PubMed  PubMed Central  Google Scholar 

  79. de Maesschalck S. Linguistic and cultural diversity in the consultation room: a tango between physicians and their ethnic minority patients. (Academisch Proefschrift). Gent: Ghent University, Department of Family Medicine and Primary Health Care; 2012.

    Google Scholar 

  80. Karliner LS, Jacobs EA, Hm Chen A, Mutha S. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. HSR Health Serv Res. 2007;42:727–54.

    Article  PubMed  Google Scholar 

  81. Bischoff A, Denhaerynck K. What do language barriers cost? An exploratory study among asylum seekers in Switzerland. BMC Health Serv Res. 2010;10:248. https://doi.org/10.1186/1472-6963-10-248.

    Article  PubMed  PubMed Central  Google Scholar 

  82. Rosenberg E, Seller R, Leanza Y. Through interpreters’ eyes: comparing roles of professional and family interpreters. Patient Educ Couns. 2008;70:87–93.

    Article  PubMed  Google Scholar 

  83. Green J, Free C, Bhavnani V, Newman T. Translators and mediators: bilingual young people’s accounts of their interpreting work in health care. Soc Sci Med. 2005;60:2097–110.

    Article  PubMed  Google Scholar 

  84. Aranguri C, Davidson B, Ramirez R. Patterns of communication through interpreters: a detailed sociolinguistic analysis. J Gen Intern Med. 2006;21(6):623–9. https://doi.org/10.1111/j.1525-1497.2006.00451.x.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev. 2005;62(3):255–99. https://doi.org/10.1177/1077558705275416.

    Article  PubMed  Google Scholar 

  86. Messias DKH, McDowell L, Estrada RD. Language interpreting as social justice work: perspectives of formal and informal healthcare interpreters. Adv Nurs Sci. 2009;32(2):128–43.

    Article  Google Scholar 

  87. Schoevers MA, van den Muijsenbergh M, Lagro-Janssen AL. Illegal female immigrants in The Netherlands have unmet needs in sexual and reproductive health. J Psychosom Obstet Gynecol. 2010;31(4):256–64.

    Article  Google Scholar 

  88. Razavi MF, Falk L, Wilhelmsson S. Experiences of the Swedish healthcare system: an interview study with refugees in need of long-term health care. Scand J Public Health. 2011;39:319–25.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Pharos, Centre of Expertise on Health Disparities, Utrecht, The Netherlands

    Maria van den Muijsenbergh

  2. Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands

    Maria van den Muijsenbergh

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  1. World Psychiatric Association Scientific Section, Psychological Aspects of Persecution and Torture, Geneva, Switzerland

    Thomas Wenzel

  2. PsyQ/Parnassia Group, Rosmalen/Eindhoven, The Netherlands

    Boris Drožđek

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van den Muijsenbergh, M. (2019). Medical Aspects of Care in Host Countries: Embedding Refugees in Healthcare Systems. In: Wenzel, T., Drožđek, B. (eds) An Uncertain Safety. Springer, Cham. https://doi.org/10.1007/978-3-319-72914-5_17

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