Differential probability in unmet healthcare needs among migrants in four European countries
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- dc.contributor.author Fares, Hani, 1975-
- dc.contributor.author Pinilla, Jaime (Pinilla Domínguez)
- dc.contributor.author Puig i Junoy, Jaume
- dc.date.accessioned 2023-05-23T06:11:28Z
- dc.date.available 2023-05-23T06:11:28Z
- dc.date.issued 2023
- dc.description.abstract Migrants and refugees try to reach Europe to seek protection and a better life. The responsiveness and stewardship of the European countries health system have an impact on the ability to access healthcare. This study aims to investigate the differential probability of healthcare unmet needs among migrants living in four European countries. We used a 2019 cross-sectional data from the European Union Income and Living Conditions survey. We performed a two-stage probit model with sample selection, first to identify the respondents with need for care, then those who need it but have not received it. We analysed reasons for unmet needs through accessibility, availability and acceptability. We then performed country studies assessing the national health systems, financing mechanisms and migration policies. Bringing together data on financial hardship and unmet needs reveals that migrants living in Europe have a higher risk of facing unmet healthcare needs compared to native citizens, and affordability of care remains a substantial barrier. Our results showed the country heterogeneity in the differential migrants’ unmet needs according to the place where they live, and this disparity seems attributed to the health system and policies applied. Given the diversity of socioeconomic conditions throughout the European countries, the health of migrants depends to a large degree on the integration and health policies in place. We believe that EU policies should apply further efforts to respect core health and protection ethics and to acknowledge, among others, principles of ‘do-no-harm’, equity and the right to health.
- dc.format.mimetype application/pdf
- dc.identifier.citation Fares H, Pinilla J, Puig-Junoy J. Differential probability in unmet healthcare needs among migrants in four European countries. Int Migration & Integration. 2023 Dec;24(4):1523-46. DOI: 10.1007/s12134-023-01024-w
- dc.identifier.doi http://dx.doi.org/10.1007/s12134-023-01024-w
- dc.identifier.issn 1488-3473
- dc.identifier.uri http://hdl.handle.net/10230/56934
- dc.language.iso eng
- dc.publisher Springer
- dc.relation.ispartof Journal of international migration and integration. 2023 Dec;24(4):1523-46
- dc.rights This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Unmet needs
- dc.subject.keyword Migrants
- dc.subject.keyword Healthcare
- dc.subject.keyword Migration and health in Europe
- dc.subject.keyword Policy migrant integration policy
- dc.title Differential probability in unmet healthcare needs among migrants in four European countries
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion