Use of an Emergency Department in Saint-Laurent du Maroni, French Guiana: Does Being Undocumented Make a Difference?
Few data exist on the health status and heath care utilization of the undocumented migrants in France. Data are particularly scarce in French overseas territories where this population is numerous. We aimed to describe the characteristics of undocumented patients who use the emergency department of...
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| Veröffentlicht in: | Journal of immigrant and minority health 2014-08, Vol.16 (4), p.586-594 |
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| creator | Jolivet, Anne Cadot, Emmanuelle Angénieux, Olivier Florence, Sophie Lesieur, Sophie Lebas, Jacques Chauvin, Pierre |
| description | Few data exist on the health status and heath care utilization of the undocumented migrants in France. Data are particularly scarce in French overseas territories where this population is numerous. We aimed to describe the characteristics of undocumented patients who use the emergency department of Saint-Laurent du Maroni Hospital (SLMH) in French Guiana, and to identify factors associated with their subsequent hospitalization. In a random sample of 177 patients, we used logistic regression models to test the mediational role of health-care system utilization and medical characteristics at admission in the association between residency status and hospitalization. More than a quarter of patients (27.7 %) were undocumented migrants, who were subsequently hospitalized more often than the others [OR 3.11, 95 % CI (1.32–7.34)]. More-severe symptoms at admission, a poorer access to health insurance, a greater distance between their home and SLMH, and poorer French language skills partially explained this higher hospitalization rate. Despite the fact that France has instituted a specific insurance program for the undocumented, an increasing number of barriers to accessing health care is being reported for these people. Our results suggest that these obstacles have some impacts in the utilization of hospital care. |
| doi_str_mv | 10.1007/s10903-013-9919-0 |
| format | Article |
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Data are particularly scarce in French overseas territories where this population is numerous. We aimed to describe the characteristics of undocumented patients who use the emergency department of Saint-Laurent du Maroni Hospital (SLMH) in French Guiana, and to identify factors associated with their subsequent hospitalization. In a random sample of 177 patients, we used logistic regression models to test the mediational role of health-care system utilization and medical characteristics at admission in the association between residency status and hospitalization. More than a quarter of patients (27.7 %) were undocumented migrants, who were subsequently hospitalized more often than the others [OR 3.11, 95 % CI (1.32–7.34)]. More-severe symptoms at admission, a poorer access to health insurance, a greater distance between their home and SLMH, and poorer French language skills partially explained this higher hospitalization rate. Despite the fact that France has instituted a specific insurance program for the undocumented, an increasing number of barriers to accessing health care is being reported for these people. 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Data are particularly scarce in French overseas territories where this population is numerous. We aimed to describe the characteristics of undocumented patients who use the emergency department of Saint-Laurent du Maroni Hospital (SLMH) in French Guiana, and to identify factors associated with their subsequent hospitalization. In a random sample of 177 patients, we used logistic regression models to test the mediational role of health-care system utilization and medical characteristics at admission in the association between residency status and hospitalization. More than a quarter of patients (27.7 %) were undocumented migrants, who were subsequently hospitalized more often than the others [OR 3.11, 95 % CI (1.32–7.34)]. More-severe symptoms at admission, a poorer access to health insurance, a greater distance between their home and SLMH, and poorer French language skills partially explained this higher hospitalization rate. Despite the fact that France has instituted a specific insurance program for the undocumented, an increasing number of barriers to accessing health care is being reported for these people. Our results suggest that these obstacles have some impacts in the utilization of hospital care.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Comparative Law</subject><subject>Cross-Sectional Studies</subject><subject>Departments</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital - utilization</subject><subject>Emergency services</subject><subject>Female</subject><subject>France</subject><subject>French Guiana</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health insurance</subject><subject>Health Needs</subject><subject>Health services utilization</subject><subject>Hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Immigrants</subject><subject>Insurance Coverage - statistics & numerical data</subject><subject>International & Foreign Law</subject><subject>Language</subject><subject>Language Skills</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Medical Services</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Migrants</subject><subject>Noncitizens</subject><subject>ORIGINAL PAPER</subject><subject>Patient Acceptance of Health Care</subject><subject>Patients</subject><subject>Population</subject><subject>Predictor Variables</subject><subject>Private International Law</subject><subject>Public Health</subject><subject>Public Opinion</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Risk Factors</subject><subject>Santé publique et épidémiologie</subject><subject>Severity of Illness Index</subject><subject>Sociology</subject><subject>Surveys and Questionnaires</subject><subject>Transients and Migrants - 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| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Comparative Law Cross-Sectional Studies Departments Emergency medical care Emergency medical services Emergency Service, Hospital - utilization Emergency services Female France French Guiana Health care Health care access Health insurance Health Needs Health services utilization Hospitalization Hospitalization - statistics & numerical data Hospitals Humans Hypotheses Immigrants Insurance Coverage - statistics & numerical data International & Foreign Law Language Language Skills Life Sciences Male Medical Services Medicine Medicine & Public Health Migrants Noncitizens ORIGINAL PAPER Patient Acceptance of Health Care Patients Population Predictor Variables Private International Law Public Health Public Opinion Questionnaires Regression analysis Risk Factors Santé publique et épidémiologie Severity of Illness Index Sociology Surveys and Questionnaires Transients and Migrants - statistics & numerical data Travel |
| title | Use of an Emergency Department in Saint-Laurent du Maroni, French Guiana: Does Being Undocumented Make a Difference? |
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