Barriers to health care access and service utilization of refugees in Austria: Evidence from a cross-sectional survey

被引:79
作者
Kohlenberger, Judith [1 ]
Buber-Ennser, Isabella [2 ]
Rengs, Bernhard [2 ]
Leitner, Sebastian [3 ]
Landesmann, Michael [3 ,4 ]
机构
[1] Vienna Univ Econ & Business, Dept Socioecon, Inst Social Policy, Welthandelspl 2, A-1020 Vienna, Austria
[2] WU, Vienna Inst Demog, Austrian Acad Sci,VID OAW, Wittgenstein Ctr Demog & Global Human Capital IIA, Welthandelspl 2, A-1020 Vienna, Austria
[3] Vienna Inst Int Econ Studies Wiiw, Rahlgasse 5, A-1060 Vienna, Austria
[4] Johannes Kepler Univ Linz, Rahlgasse 5, A-1060 Vienna, Austria
关键词
Refugees; Austria; Health access; Health barriers; Subjective well-being; Social survey; ASYLUM SEEKERS; MIGRANT HEALTH;
D O I
10.1016/j.healthpol.2019.01.014
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper provides evidence on (1) refugees' subjective well-being, (2) their access and barriers to health care utilization and (3) their perception of health care provision in Austria, one of the countries most heavily affected by the European 'refugee crisis.' It is based on primary data from the Refugee Health and Integration Survey (ReHIS), a cross-sectional survey of roughly five hundred Syrian, Iraqi and Afghan refugees. Results indicate that refugees' self-rated health falls below the resident population's, in particular for female and Afghan refugees. Whereas respondents state overall high satisfaction with the Austrian health system, two in ten male and four in ten female refugees report unmet health needs. Most frequently cited barriers include scheduling conflicts, long waiting lists, lack of knowledge about doctors, and language. Although treatment costs were not frequently considered as barriers, consultation of specialist medical services frequently associated with co-payment by patients, in particular dental care, are significantly less often consulted by refugees than by Austrians. Refugees reported comparably high utilization of hospital services, with daycare treatment more common than inpatient stays. We recommend to improve refugees' access to health care in Austria by a) improving the information flow about available treatment, in particular specialists, b) fostering dental health care for refugees, and c) addressing language barriers by providing (web-based) interpretation services. (C) 2019 The Authors. Published by Elsevier B.V.
引用
收藏
页码:833 / 839
页数:7
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