Evidence map›Paper›PMID 29675644›Full record

ArticleEuropean journal of pediatrics2018

Pediatrician-experienced barriers in the medical care for refugee children in the Netherlands.

A Baauw, S Rosiek, B Slattery, M Chinapaw, M Boele van Hensbroek, J B van Goudoever, J Kist-van Holthe

Abstract read
In one paragraph

Article in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Challenges in the Medical and Psychosocial Care of the Paediatric Refugee-A Systematic Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

A BaauwDepartment of Pediatrics, Rijnstate Hospital, Wagnerlaan 55, 6816 AD, Arnhem, The Netherlands. abaauw@rijnstate.nl.ORCID http://orcid.org/0000-0003-3663-7196
S RosiekAmsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, the Netherlands.
B SlatteryAmsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, the Netherlands.
M ChinapawAmsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, the Netherlands.
M Boele van HensbroekDepartment of Pediatrics, VU University Medical Center and Emma Children's Hospital - Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
J B van GoudoeverDepartment of Pediatrics, VU University Medical Center and Emma Children's Hospital - Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
J Kist-van HoltheAmsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatricians in the Netherlands have been confronted with high numbers of refugee children in their daily practice. Refugee children have been recognized as an at-risk population because they may have an increased burden of physical and mental health conditions, and their caretakers may experience barriers in gaining access to the Dutch health care system. The aim of the study was to gain insight into the barriers in the health care for refugee children perceived by pediatricians by analyzing logistical problems reported through the Dutch Pediatric Surveillance Unit, an online system where pediatricians can report predefined conditions. Pediatricians reported 68 cases of barriers in health care ranging from mild to severe impact on the health outcome of refugee children, reported from November 2015 till January 2017. Frequent relocation of children between asylum seeker centers was mentioned in 28 of the reports on lack of continuity of care. Unknown medical history (21/68) and poor handoffs of medical records resulting in poor communication between health professionals (17/68) contributed to barriers to provide good medical care for refugee children, as did poor health literacy (17/68) and cultural differences (5/68).

conclusionFrequent relocations and the unknown medical history were reported most frequently as barriers impacting the delivery of health care to refugee children. To overcome these barriers, the Committee of International Child Health of the Dutch Society of Pediatrics recommends stopping the frequent relocations, improving medical assessment upon entry in the Netherlands, improving handoff of medical records, and improving the health literacy of refugee children and their families. What is Known: • Pediatricians in the Netherlands are confronted with high numbers of refugee children • Refugee children represent a population that is especially at risk due to their increased burden of physical and mental health conditions What is New: • Refugee children experience barriers in accessing medical care • To start overcoming these barriers, we recommend that frequent relocations be stopped, health assessment upon entry in the Netherlands be improved, medical handoffs be improved, and that the refugees be empowered by increasing their health literacy.

Indexed as

Attitude of Health PersonnelAdolescentChildDelivery of Health CareHumansNetherlandsPatient Acceptance of Health CarePediatriciansQuality of Health CareRefugeesAsylum seekersHealth literacyHealth statusMedical recordsRelocationsScreening of refugee childrenUnaccompanied refugee minor

Identifiers

PMID29675644
PMCPMC5997109

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.