dc.contributor.author | Brandenberger, Julia | |
dc.contributor.author | Pohl, Christian | |
dc.contributor.author | Vogt, Florian | |
dc.contributor.author | Tylleskär, Thorkild | |
dc.contributor.author | Ritz, Nicole | |
dc.date.accessioned | 2022-02-07T13:13:23Z | |
dc.date.available | 2022-02-07T13:13:23Z | |
dc.date.created | 2022-01-17T13:50:49Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 1471-2458 | |
dc.identifier.uri | https://hdl.handle.net/11250/2977525 | |
dc.description.abstract | Background
Asylum-seeking children represent an increasing and vulnerable group of patients whose health needs are largely unmet. Data on the health care provision to asylum-seeking children in European contexts is scarce. In this study we compare the health care provided to recent asylum-seeking and non-asylum-seeking children at a Swiss tertiary hospital.
Methods
We performed a cross-sectional retrospective study in a pediatric tertiary care hospital in Basel, Switzerland. All patients and visits from January 2016 to December 2017 were identified, using administrative and medical electronic health records. The asylum-seeking status was systematically assessed and the patients were allocated accordingly in the two study groups.
Results
A total of 202,316 visits by 55,789 patients were included, of which asylum-seeking patients accounted for 1674 (1%) visits by 439 (1%) individuals. The emergency department recorded the highest number of visits in both groups with a lower proportion in asylum-seeking compared to non-asylum-seeking children: 19% (317/1674) and 32% (64,315/200,642) respectively. The median number of visits per patient was 1 (IQR 1–2) in the asylum-seeking and 2 (IQR 1–4) in the non-asylum-seeking children. Hospital admissions were more common in asylum-seeking compared to non-asylum-seeking patients with 11% (184/1674) and 7% (14,692/200,642). Frequent visits (> 15 visits per patient) accounted for 48% (807/1674) of total visits in asylum-seeking and 25% (49,886/200,642) of total visits in non-asylum-seeking patients.
Conclusions
Hospital visits by asylum-seeking children represented a small proportion of all visits. The emergency department had the highest number of visits in all patients but was less frequently used by asylum-seeking children. Frequent care suggests that asylum-seeking patients also present with more complex diseases. Further studies are needed, focusing on asylum-seeking children with medical complexity. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | BMC | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Health care provided to recent asylumseeking and non-asylum-seeking pediatric patients in 2016 and 2017 at a Swiss tertiary hospital - a retrospective study | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright The Author(s), 2021 | en_US |
dc.source.articlenumber | 81 | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1186/s12889-020-10082-z | |
dc.identifier.cristin | 1982600 | |
dc.source.journal | BMC Public Health | en_US |
dc.identifier.citation | BMC Public Health. 2021, 21, 81. | en_US |
dc.source.volume | 21 | en_US |