Asylum Seekers and Swiss Nationals with Low-Acuity Complaints: Disparities in the Perceived level of Urgency, Health Literacy and Ability to Communicate—A Cross-Sectional Survey at a Tertiary Emergency Department
Karsten Klingberg,
Adrian Stoller,
Martin Müller,
Sabrina Jegerlehner,
Adam D. Brown,
Aristomenis Exadaktylos,
Anne Jachmann and
David Srivastava
Additional contact information
Karsten Klingberg: Emergency Department, University Hospital Bern, 3010 Bern, Switzerland
Adrian Stoller: Emergency Department, University Hospital Bern, 3010 Bern, Switzerland
Martin Müller: Emergency Department, University Hospital Bern, 3010 Bern, Switzerland
Sabrina Jegerlehner: Emergency Department, University Hospital Bern, 3010 Bern, Switzerland
Adam D. Brown: Department of Psychology, New School of Social Research, New York, NY 10011, USA
Aristomenis Exadaktylos: Emergency Department, University Hospital Bern, 3010 Bern, Switzerland
Anne Jachmann: Emergency Department, University Hospital Bern, 3010 Bern, Switzerland
David Srivastava: Emergency Department, University Hospital Bern, 3010 Bern, Switzerland
IJERPH, 2020, vol. 17, issue 8, 1-11
Abstract:
Background: Emergency departments (EDs) are being increasingly used for low-acuity conditions and as primary care providers. Research indicates that patients with the status of asylum seeker (AS) may be seeking care in EDs at higher levels than nationals. The aim of this study was to identify disparities in the use of emergency care between AS and Swiss nationals (SN) with non-urgent complaints. Methods: Data were obtained from a survey in the period 01/12/2016–31/07/2017 of walk-in low-acuity patients attending the ED of the University Hospital Bern (Switzerland). AS and a gender, age-matched control group of SN of ≥16 years of age were included. Sociodemographic and survey data comprised information about health-seeking behavior in the home and reception country, knowledge of health care systems (HCSs), barriers to care and perceived acuity of the visit. Furthermore, attending physicians assessed the level of urgency of each case. Results: Among AS patients, 30.2% reported that they had no knowledge of the Swiss HCS. In total, 14.2% considered that their medical needs were non-urgent. On the other hand, 43.4% of the attending physicians in the ER considered that the medical needs were non-urgent. This contrast was less pronounced in SN patients. The majority of AS (63.2%) and SN (67.6%) patients sought care from the ED without first contacting a GP. In 53.8% of cases, an interpreter was needed during the ED consultation. Conclusions: Several factors associated with health-seeking behavior in the ED differed between AS and SN patients. Measures to increase health literacy, provision of easily accessible primary care services and intercultural-trained staff could improve quality of care and reduce the usage of EDs as primary care providers.
Keywords: health-seeking behavior; access to health care; emergency department; refugee; asylum seeker; non-urgent complaints; migrants (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:8:p:2769-:d:346771
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