Exploring the Significance of Legal Status on Refugees' and Asylum Seekers' Access to Health Care in Germany-A Mixed-Method Study

被引：2

作者：

Nowak, Anna Christina ^{[1
,2
]}

Razum, Oliver ^{[2
]}

Hornberg, Claudia ^{[3
]}

机构：

[1] Bielefeld Univ, Sch Publ Hlth, Bielefeld, Germany

[2] Bielefeld Univ, Sch Publ Hlth, Dept Epidemiol & Int Publ Hlth, Bielefeld, Germany

[3] Bielefeld Univ, Med Sch OWL, Dept Sustainable Environm Hlth Sci, Bielefeld, Germany

来源：

INTERNATIONAL JOURNAL OF PUBLIC HEALTH | 2023年 / 68卷

关键词：

health care; utilization; refugee; mixed-methods study; postmigration stress; asylum seeker;

D O I：

10.3389/ijph.2023.1605578

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objectives: The study aims to investigate the significance of legal status for well-being and access to and use of needs-based health care by asylum seekers and refugees in Germany.Methods: Using a mixed-method-design, we first conducted a cross-sectional study to explore access to health care and unmet needs of refugees and asylum seekers and legal status. Data were analysed using descriptive statistics. For the qualitative study a heterogeneous sample was recruited from the quantitative data. Interviews were analysed using a deductive-inductive approach.Results: Quantitative results showed that health care utilisation was associated with an unsecure legal status but not with unmet care needs. The in-depth qualitative study revealed that the legal status determines experiences of structural violence that can negatively affect well-being and associated access to health care.Conclusion: An insecure legal status can affect access to health care for refugees and asylum seekers. In order to improve health, changes in living conditions and the removal of access barriers are necessary.

引用

页数：7

共 34 条

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