Evidence map›Paper›PMID 40204625›Full record

SynthesisEuropean journal of public health2025

Barriers to healthcare access for irregular immigrants after their arrival in Spain: a systematic review.

Javier Fagundo-Rivera, María Soledad García-Lozano, Francisco Javier Portero-Prados, Rocío Romero-Castillo, Nadine Badillo-Sánchez, Pablo Fernández-León

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
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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

6 authors.

Javier Fagundo-RiveraCentro Universitario de Enfermería Cruz Roja, University of Seville, Seville, Spain.ORCID 0000-0002-8286-3381
María Soledad García-LozanoInfanta Leonor Hospital, Madrid Health Service, Madrid, Spain.
Francisco Javier Portero-PradosCentro Universitario de Enfermería Cruz Roja, University of Seville, Seville, Spain.ORCID 0000-0003-1322-9958
Rocío Romero-CastilloCentro Universitario de Enfermería Cruz Roja, University of Seville, Seville, Spain.ORCID 0000-0001-9199-030X
Nadine Badillo-SánchezSchool of Doctorate, University of Huelva, Huelva, Spain.ORCID 0009-0009-3187-9605
Pablo Fernández-LeónCentro Universitario de Enfermería Cruz Roja, University of Seville, Seville, Spain.ORCID 0000-0003-2758-6657

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Examining the barriers encountered by irregular immigrants in accessing the public health system is crucial for the continuity of healthcare processes. This approach not only heightens patient-centered care but also fosters long-term public health preparedness and social cohesion. The aim of this review was to examine the existing barriers to accessing the Spanish healthcare system for the immigrant population. A systematic review of original articles was conducted based on the PRISMA methodology. Studies registered in PubMed, Scopus, CINAHL, LILACS, Web of Science, and Enfispo were analyzed. A total of 4773 articles were identified, of which 15 were selected for review. Among the selected articles, 10 employed qualitative methodologies, 1 utilized a mixed methodology, and 4 used quantitative methodologies. A variety of access barriers related to communication, administrative issues, and misinformation about legal aspects were identified. It was noted that one in five immigrants has experienced at least one barrier to accessing the Spanish healthcare system. Barriers to access to the health system are clearly shared by both immigrants and healthcare professionals. Barriers to access to the health system are a result of the coalition of organizational factors, cultural experiences, and socioeconomic and educational determinants. Access to healthcare for irregular migrants in Spain is hindered by language barriers, misinformation, and administrative obstacles, exacerbated by the COVID-19 pandemic. Policies are needed to ensure equitable care, enhance communication, streamline procedures, and strengthen collaboration with non-governmental organizations and cultural mediators to optimize healthcare responses.

Indexed as

Emigrants and ImmigrantsHealth Services AccessibilityCommunication BarriersHumansSpain

Identifiers

PMID40204625
PMCPMC12192432

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.