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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.
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]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway.
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  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Eick%2C+Frode%22">Eick, Frode</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vallersnes%2C+Odd+Martin%22">Vallersnes, Odd Martin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fjeld%2C+Heidi+E%2E%22">Fjeld, Heidi E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sørbye%2C+Ingvil+Krarup%22">Sørbye, Ingvil Krarup</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ruud%2C+Sven+Eirik%22">Ruud, Sven Eirik</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dahl%2C+Cecilie%22">Dahl, Cecilie</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Primary+Health+Care%22">Scandinavian Journal of Primary Health Care</searchLink>. Sep2023, Vol. 41 Issue 3, p317-325. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Relative+medical+risk%22">Relative medical risk</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+primary+care%22">Access to primary care</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Nomads%22">Nomads</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+medical+care%22">Outpatient medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnant+women%22">Pregnant women</searchLink><br /><searchLink fieldCode="DE" term="%22Legal+status+of+undocumented+immigrants%22">Legal status of undocumented immigrants</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Prenatal+care%22">Prenatal care</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medicine%22">Emergency medicine</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Norway%22">Norway</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=171339203
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02813432.2023.2237074
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 317
    Subjects:
      – SubjectFull: Relative medical risk
        Type: general
      – SubjectFull: Access to primary care
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Nomads
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Outpatient medical care
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Pregnant women
        Type: general
      – SubjectFull: Legal status of undocumented immigrants
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Medical referrals
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Prenatal care
        Type: general
      – SubjectFull: Emergency medicine
        Type: general
      – SubjectFull: Norway
        Type: general
    Titles:
      – TitleFull: Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway.
        Type: main
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            NameFull: Vallersnes, Odd Martin
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            – D: 01
              M: 09
              Text: Sep2023
              Type: published
              Y: 2023
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