Evidence map›Paper›PMID 31357991›Full record

ArticleInternational journal for equity in health2019

Through health workers' eyes: a qualitative study of health service provision for migrants at Schengen border.

Mateja Žagar, Danica Rotar Pavlič, Igor Švab, Alem Maksuti, Boris Ilić, Martina Smrekar, Irena Kovačević

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
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

10 citing papers in PubMed, 13 citations in OpenAlex.

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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 at 2 institutions in 2 countries.

Mateja ŽagarMedical faculty, Department of family medicine, Poljanski nasip 58, 1000, Ljubljana, Slovenia. mateja.zaga@gmail.com.ORCID 0000-0001-5956-5477
Danica Rotar PavličMedical faculty, Department of family medicine, Poljanski nasip 58, 1000, Ljubljana, Slovenia.
Igor ŠvabMedical faculty, Department of family medicine, Poljanski nasip 58, 1000, Ljubljana, Slovenia.
Alem MaksutiMedical faculty, Department of family medicine, Poljanski nasip 58, 1000, Ljubljana, Slovenia.
Boris IlićUniversity of Applied Health Sciences Zagreb, Mlinarska cesta 38, 10 000, Zagreb, Croatia.
Martina SmrekarUniversity of Applied Health Sciences Zagreb, Mlinarska cesta 38, 10 000, Zagreb, Croatia.
Irena KovačevićUniversity of Applied Health Sciences Zagreb, Mlinarska cesta 38, 10 000, Zagreb, Croatia.
University of Applied Health Sciences · HRLjubljana University Medical Centre · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCroatia and Slovenia were the transit countries on the Balkan route for migrants and refugees from Middle East countries in 2015 and 2016. They had to optimize health care delivery in the special circumstances in refugee camps and transit centres. Little is known about health care provision in border camps where a large number of migrants stay for only couple of hours. Previous studies emphasize that language barriers and cultural differences play a central part in the relationship between health workers and migrants inside the transit zone. The aim of the study was to identify specific characteristics of health care provision experienced by primary healthcare providers in order to prepare solutions on how to organise health care in refugee settings.

methodsTwelve thematic interviews were conducted in the middle of the most intense migration movements to the North-West Europe between November and December 2015 with health workers from Croatia and Slovenia. Interview transcripts were read, coded, reviewed, and labelled. We used qualitative content analysis.

resultsFour themes about the health service provision for refugees at Schengen border were identified. The circumstance when mutual understanding is poor and the consultation not successful, cultural differences represent a central barrier. Participants highlighted that the importance of respecting human dignity is crucial for the provision of basic medical care for migrants in transit.

conclusionSuccessful overcoming language barriers, respecting cultural differences, humanity, susceptibility to social deprivation and traumatic experiences are the key factors important for organisation of health care in transit centers and camps. This article gives some useful tips for healthcare workers and policy makers who are participating in health services provision for migrants and other refugees. Health workers should be prepared to work in special working conditions with a lack of resources. Their work would require timely planning and reflection on the organization of more transit camps.

trial registrationEthical Committee of the Republic of Slovenia approved the study as a project number 112/02/16.

Indexed as

Communication BarriersHealth PersonnelAdultCroatiaEuropeFemaleHealth Services AccessibilityHumansMiddle AgedOrganizationsQualitative ResearchRefugeesSloveniaTransients and MigrantsContent analysisCultural diversityHealth workersMigrantsQualitative study

Identifiers

PMID31357991
PMCPMC6664722
OpenAlexW2966121011

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.