Evidence map›Paper›PMID 38877460›Full record

ArticleBMC public health2024

Uncovering multi-level mental healthcare barriers for migrants: a qualitative analysis across China, Germany, Netherlands, Romania, and South Africa.

Alina Ioana Forray, Ovidiu Oltean, Saskia Hanft-Robert, Rowan Madzamba, Andrian Liem, Barbara Schouten, Christine Anthonissen, Leslie Swartz, Răzvan Mircea Cherecheș, Sanna Higgen and 2 more

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In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Usability of technological tools to overcome language barriers in healthcare- a scoping review.Archives of public health = Archives belges de sante publique · 2025
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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

12 authors.

Alina Ioana ForrayFaculty of Political, Administrative and Communication Sciences, Center for Health Innovation, Babeș-Bolyai University, Cluj-Napoca, Romania.
Ovidiu OlteanFaculty of Political, Administrative and Communication Sciences, Center for Health Innovation, Babeș-Bolyai University, Cluj-Napoca, Romania.
Saskia Hanft-RobertDepartment of Medical Psychology, University Medical Center Hamburg Eppendorf, Hamburg, Germany.
Rowan MadzambaDepartment of Psychology, Stellenbosch University, Stellenbosch, South Africa.
Andrian LiemJeffrey Cheah School of Medicine and Health Sciences, Monash University, Selangor, Malaysia.
Barbara SchoutenDepartment of Communication Science, Amsterdam School of Communication Research (ASCoR), University of Amsterdam, Center for Urban Mental Health, Amsterdam, The Netherlands.
Christine AnthonissenDepartment of General Linguistics, Stellenbosch University, Stellenbosch, South Africa.
Leslie SwartzDepartment of Psychology, Stellenbosch University, Stellenbosch, South Africa.
Răzvan Mircea CherecheșFaculty of Political, Administrative and Communication Sciences, Center for Health Innovation, Babeș-Bolyai University, Cluj-Napoca, Romania.
Sanna HiggenDepartment of Medical Psychology, University Medical Center Hamburg Eppendorf, Hamburg, Germany.
Brian J HallCenter for Global Health Equity, NYU Shanghai, Shanghai, China.
Mike MöskoDepartment of Medical Psychology, University Medical Center Hamburg Eppendorf, Hamburg, Germany. mmoesko@uke.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundForced displacement is a significant issue globally, and it affected 112 million people in 2022. Many of these people have found refuge in low- and middle-income countries. Migrants and refugees face complex and specialized health challenges, particularly in the area of mental health. This study aims to provide an in-depth qualitative assessment of the multi-level barriers that migrants face in accessing mental health services in Germany, Macao (Special Administrative Region of China), the Netherlands, Romania, and South Africa. The ultimate objective is to inform tailored health policy and management practices for this vulnerable population.

methodsAdhering to a qualitative research paradigm, the study centers on stakeholders' perspectives spanning microsystems, mesosystems, and macrosystems of healthcare. Utilizing a purposive sampling methodology, key informants from the aforementioned geographical locations were engaged in semi-structured interviews. Data underwent thematic content analysis guided by a deductive-inductive approach.

resultsThe study unveiled three pivotal thematic barriers: language and communication obstacles, cultural impediments, and systemic constraints. The unavailability of professional interpreters universally exacerbated language barriers across all countries. Cultural barriers, stigmatization, and discrimination, specifically within the mental health sector, were found to limit access to healthcare further. Systemic barriers encompassed bureaucratic intricacies and a conspicuous lack of resources, including a failure to recognize the urgency of mental healthcare needs for migrants.

conclusionsThis research elucidates the multifaceted, systemic challenges hindering equitable mental healthcare provision for migrants. It posits that sweeping policy reforms are imperative, advocating for the implementation of strategies, such as increasing the availability of language services, enhancing healthcare providers' capacity, and legal framework and policy change to be more inclusive. The findings substantially contribute to scholarly discourse by providing an interdisciplinary and international lens on the barriers to mental healthcare access for displaced populations.

Indexed as

Communication BarriersHealth Services AccessibilityMental Health ServicesQualitative ResearchTransients and MigrantsAdultChinaFemaleGermanyHumansInterviews as TopicMaleNetherlandsRefugeesRomaniaSouth AfricaCommunication barriersHealthcare disparitiesHealthcare System barriersHealth PolicyMental HealthMigrationQualitative research

Identifiers

PMID38877460
PMCPMC11177472

What OpenQuestion holds

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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.