Evidence map›Paper›PMID 41473667›Full record

ArticleJournal of migration and health2025

Healthcare utilization patterns among migrant populations: Increased readmissions suggest poorer access. A population-wide retrospective cohort study.

Elma Dervić, Ola Ali, Carola Deischinger, Rafael Prieto-Curiel, Rainer Stütz, Ellenor Mittendorfer-Rutz, Peter Klimek

Abstract read
In one paragraph

Article in Journal of migration and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Elma DervićMedical University of Vienna, Center for Medical Data Science, Institute of the Science of Complex Systems, Spitalgasse 23, 1090 Vienna, Austria.
Ola AliComplexity Science Hub, Metternichgasse 8, 1030 Vienna, Austria.
Carola DeischingerMedical University of Vienna, Department of Internal Medicine III, Clinical Division of Endocrinology and Metabolism, Spitalgasse 23, A-1090 Vienna, Austria.
Rafael Prieto-CurielComplexity Science Hub, Metternichgasse 8, 1030 Vienna, Austria.
Rainer StützComplexity Science Hub, Metternichgasse 8, 1030 Vienna, Austria.
Ellenor Mittendorfer-RutzDepartment of Clinical Neuroscience, Division of Insurance, Karolinska Institutet, Stockholm, Sweden.
Peter KlimekSupply Chain Intelligence Institute Austria (ASCII), Metternichgasse 8, 1030, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Equal access to health ensures that all citizens, regardless of socio-economic status, can achieve optimal health, leading to a more productive, equitable, and resilient society. Yet, migrant populations were frequently observed to have lower access to health. The reasons for this are not entirely clear and may include language barriers, a lack of knowledge of the healthcare system, and selective migration (a "healthy migrant" effect). Objective: To examine differences in hospital utilization and readmission rates between Austrian and non-Austrian populations using nationwide hospital claims data, with the aim of disentangling the effects of potential barriers to healthcare access. Methods: Here, we use extensive medical claims data from Austria (13 million hospital stays of approximately 4 million individuals between 2015 and 2019) to compare the healthcare utilization patterns between Austrians and non-Austrians. We looked at the differences in primary diagnoses and hospital sections of initial hospital admission across different nationalities. We hypothesize that cohorts experiencing the "healthy migrant" effect show lower readmission rates after hospitalization compared to migrant populations that are in poorer health but show lower hospitalization rates due to barriers in access. Results: We indeed find that all nationalities showed lower hospitalization rates than Austrians, except for Germans, who exhibit a similar healthcare usage to Austrians. Although around 20% of the population has a migration background, non-Austrian citizens account for only 9.4% of the hospital patients and 9.79% of hospital nights. However, results for readmission rates are much more divergent. Nationalities like Hungary, Romania, and Turkey (females) show decreased readmission rates in line with the healthy migrant effect. Patients from Russia, Serbia, and Turkey (males) show increased readmissions, suggesting that their lower hospitalization rates are more likely due to access barriers. Conclusion: Considering the surge in international migration, our findings shed light on healthcare access, usage behaviours and gender differences across patients with different nationalities, offering new insights and perspectives.

Indexed as

HealthcareHospitalization RateIn-hospital dataMigration

Identifiers

PMID41473667
PMCPMC12747196

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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.