ArticleBMC health services research2017
Differences in the prevalence of hospitalizations and utilization of emergency outpatient services for ambulatory care sensitive conditions between asylum-seeking children and children of the general population: a cross-sectional medical records study (2015).
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exploring differences in the utilization of the emergency department between migrant and non-migrant populations: a systematic review.BMC public health · 2024Pooled it
- The impact of postresettlement stressors and access to health care on health outcomes in recently resettled refugees in the United States.The American journal of orthopsychiatry · 2023Trial
- Differences in realized access to healthcare among newly arrived refugees in Germany: results from a natural quasi-experiment.BMC public health · 2020Trial
- Pediatric emergency department use by Afghan refugees at a temporary housing facility.Journal of the American College of Emergency Physicians open · 2023Article
- Do children evaluated for maltreatment have higher subsequent emergency department and inpatient care utilization compared to a general pediatric sample?Child abuse & neglect · 2022Article
- Avoidable hospitalizations and access to primary care: comparisons among Italians, resident immigrants and undocumented immigrants in administrative hospital discharge records.EClinicalMedicine · 2022Article
- Article
- Inequalities in access to healthcare by local policy model among newly arrived refugees: evidence from population-based studies in two German states.International journal for equity in health · 2022Article
- Association between psychosocial functioning, health status and healthcare access of asylum seekers and refugee children: a population-based cross-sectional study in a German federal state.Child and adolescent psychiatry and mental health · 2021Article
- Asylum-Seeking Children with Medical Complexity and Rare Diseases in a Tertiary Hospital in Switzerland.Journal of immigrant and minority health · 2021Article
- Health care provided to recent asylum-seeking and non-asylum-seeking pediatric patients in 2016 and 2017 at a Swiss tertiary hospital - a retrospective study.BMC public health · 2021Article
- Health and medical care for refugees: design and evaluation of a multidisciplinary clinical elective for medical students.GMS journal for medical education · 2021Article
- Preventable admissions and emergency-department-visits in pediatric asylum-seeking and non-asylum-seeking patients.International journal for equity in health · 2020Article
- Article
- Pediatric Healthcare Utilization in a Large Cohort of Refugee Children Entering Western Europe During the Migrant Crisis.International journal of environmental research and public health · 2019Article
- Article
- Special Aspects in Pediatric Surgical Inpatient Care of Refugee Children: A Comparative Cohort Study.Children (Basel, Switzerland) · 2019Article
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4 authors.
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Abstract
backgroundHospitalizations for ambulatory care sensitive (ACS) conditions are established indicators for the availability and quality of ambulatory care. We aimed to assess the differences between asylum-seeking children and children of the general population in a German city with respect to (i) the prevalence of ACS hospitalizations, and (ii) the utilization of emergency outpatient services for ACS conditions.
methodsUsing anonymous account data, all children admitted to the University Hospital Heidelberg in 2015 were included in our study. A unique cost unit distinguished asylum seekers residing in a nearby reception center (exposed) from the children of the general population. We adapted international lists of ACS conditions and calculated the prevalence of ACS hospitalizations and the utilization of emergency outpatient services for ACS conditions, attributable fractions among the exposed (Afe) and the population attributable fraction among total admissions (PAF) for each outcome. Differences in the prevalence of each outcome between exposed and controls were analyzed in logistic regression models adjusted for sex, age group and quarterly admission.
resultsOf the 32,015 admissions in 2015, 19.9% (6287) were from inpatient and 80.1% (25,638) from outpatient care. In inpatient care, 9.8% (622) of all admissions were hospitalizations for ACS conditions. The Afe of ACS hospitalizations was 46.57%, the PAF was 1.12%. Emergency service use for ACS conditions could be identified in 8.3% (3088) of all admissions (Afe: 79.57%, PAF: 5.08%). The odds ratio (OR) of asylum-seeking children being hospitalized for ACS conditions in comparison to the control group was 1.81 [95% confidence interval, CI: 1.02; 3.2]. The OR of the asylumseeking population compared to the general population for the utilization of emergency service use for ACS conditions was 4.93 [95% CI: 4.11; 5.91].
conclusionsAsylum-seeking children had significantly higher odds of ACS hospitalization and of utilization of emergency outpatient services for ACS conditions. Using the concept of ACS conditions allowed measuring the strength of primary care provided to this local asylum-seeking population. This approach could help to compare the strength of primary care provision in different locations, and allow an objective.
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