Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway.
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| Title: | Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway. |
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| Authors: | Eick, Frode (AUTHOR), Vallersnes, Odd Martin (AUTHOR), Fjeld, Heidi E. (AUTHOR), Sørbye, Ingvil Krarup (AUTHOR), Ruud, Sven Eirik (AUTHOR), Dahl, Cecilie (AUTHOR) |
| Source: | Scandinavian Journal of Primary Health Care. Sep2023, Vol. 41 Issue 3, p317-325. 9p. |
| Subjects: | Relative medical risk, Access to primary care, Hospital emergency services, Nomads, Confidence intervals, Outpatient medical care, Cross-sectional method, Pregnant women, Legal status of undocumented immigrants, Primary health care, Comparative studies, Medical referrals, Hospital care, Research funding, Prenatal care, Emergency medicine |
| Geographic Terms: | Norway |
| Abstract: | To compare consultations with pregnant undocumented migrants at emergency primary health care to consultations with pregnant residents of Norway. A cross-sectional study of consultations at several time points. The study was conducted at the Oslo Accident and Emergency Outpatient Clinic (OAEOC), the main emergency primary care service in Oslo, Norway. Consultations with pregnant patients without a Norwegian identity number seeking care at the Department of Emergency General Practice at the OAEOC were identified through a manual search of registration lists from 2009 to 2019. The consultations were categorized by women's residency status as 'probably documented migrant', 'uncertain migrant status', or 'probably undocumented migrant'. We also extracted aggregated data for women with a Norwegian identity number (i.e. residents) presenting in consultations with pregnancy-related (ICPC-2 chapter W) conditions. Manchester Triage System urgency level at presentation, and hospitalization. Among 829 consultations with female patients categorized as probably undocumented migrants, we found 27.1% (225/829) with pregnant women. About half of the pregnant women (54.6% (123/225)) presented with a pregnancy-related condition. Pregnant women that were probably undocumented migrants had an increased risk of being triaged with a high level of urgency at presentation (relative risk (RR) 1.86, 95% CI 1.14–3.04) and being hospitalized (RR 1.68, 95% CI 1.21–2.34), compared to pregnant residents. Pregnant undocumented migrants were more severely sick when presenting to emergency primary care services than pregnant residents. Increased access to primary care and emergency primary care services for pregnant undocumented migrants is urgently needed. Restricted access to primary care may increase the use of primary care facilities intended for emergency care. A considerable proportion of the consultations with undocumented migrant women at the emergency primary care services are related to pregnancy. Consultations with pregnant undocumented migrants more often contained severe pregnancy-related conditions compared to consultations with pregnant residents of Norway. Interventions to increase access to primary care for pregnant undocumented migrants are urgently needed. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | To compare consultations with pregnant undocumented migrants at emergency primary health care to consultations with pregnant residents of Norway. A cross-sectional study of consultations at several time points. The study was conducted at the Oslo Accident and Emergency Outpatient Clinic (OAEOC), the main emergency primary care service in Oslo, Norway. Consultations with pregnant patients without a Norwegian identity number seeking care at the Department of Emergency General Practice at the OAEOC were identified through a manual search of registration lists from 2009 to 2019. The consultations were categorized by women's residency status as 'probably documented migrant', 'uncertain migrant status', or 'probably undocumented migrant'. We also extracted aggregated data for women with a Norwegian identity number (i.e. residents) presenting in consultations with pregnancy-related (ICPC-2 chapter W) conditions. Manchester Triage System urgency level at presentation, and hospitalization. Among 829 consultations with female patients categorized as probably undocumented migrants, we found 27.1% (225/829) with pregnant women. About half of the pregnant women (54.6% (123/225)) presented with a pregnancy-related condition. Pregnant women that were probably undocumented migrants had an increased risk of being triaged with a high level of urgency at presentation (relative risk (RR) 1.86, 95% CI 1.14–3.04) and being hospitalized (RR 1.68, 95% CI 1.21–2.34), compared to pregnant residents. Pregnant undocumented migrants were more severely sick when presenting to emergency primary care services than pregnant residents. Increased access to primary care and emergency primary care services for pregnant undocumented migrants is urgently needed. Restricted access to primary care may increase the use of primary care facilities intended for emergency care. A considerable proportion of the consultations with undocumented migrant women at the emergency primary care services are related to pregnancy. Consultations with pregnant undocumented migrants more often contained severe pregnancy-related conditions compared to consultations with pregnant residents of Norway. Interventions to increase access to primary care for pregnant undocumented migrants are urgently needed. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 02813432 |
| DOI: | 10.1080/02813432.2023.2237074 |
