Migrants´ Healthcare Utilization in Europe: A Comprehensive Review of Emergency Room Utilization and Hospitalization

Polychronidou Persefoni, Ramantani Georgia, Karasavvoglou Anastasios, Florou Giannoula, Batziou Nikoleta


There is an increasing number of migrants living in European. The increasing percentage of migrant population requires the assessment of their health needs and health service utilization to allow potential to guide appropriate programs and policies. This study aims to analyze the differences in healthcare service utilization, particularly regarding emergency room contacts and hospital admissions, by first-generation migrants compared to native residents in European countries in the last decade. Original publications in English language were identified by a systematic PubMed search. Their relevance was judged based on the abstracts, whereas further searches were guided by the references of the selected articles. We considered studies conducted in the EU countries and published in the last ten years, investigating emergency use and hospitalization rates in adult first-generation migrants. We excluded studies focusing on illegal migrants and asylum seekers or on a single gender. The final number of studies included was ten.  The results of our study highlighted a lack of data regarding migrant healthcare utilization in Europe. Furthermore, our review underlines the yet unresolved problems of comparability between studies, due to discrepancies in terminology and registration between countries as well as over time. The studies considered in this review have found higher, equal and lower emergency room use and higher or equal hospitalization rates for migrants compared to non-migrants. 


Emergency room, First generation immigrants, Hospitalization, Public health, Review.

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Antón, J.I., Muñoz de Bustillo, R. (2010). Health care utilization and immigration in Spain. The European Journal of Health Economics, 11(5), 487-498.

Baglio, G., Saunders, C., Spinelli, A., Osborn, J. (2010). Utilization of hospital services in Italy: a comparative analysis of immigrant and Italian citizens. Journal of Immigrant and Minority Health, 12(4), 598-609.

Bhopal, R. (2004). Glossary of terms relating to ethnicity and race: for reflection and debate. Journal of Epidemiology and Community Health. 58(6). 441-445.

Buron, A., Cots, F., Garcia, O., Vall, O., Castells, X. (2008). Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain. BMC Health Services Research, 8, 51.

Cacciani, L., Baglio, G., Rossi, L., Materia, E., Marceca, M., Geraci, S., Spinelli, A., Osborn, J., Guasticchi, G. (2006). Hospitalisation among immigrants in Italy. Emerging Themes in Epidemiology. 11(3), 4.

Carrasco-Garrido, P., Jiménez-García, R., Barrera, V.H., de Andrés, A.L., de Miguel, A.G. (2009). Significant differences in the use of healthcare resources of native-born and foreign born in Spain. BMC Public Health. 9, 201.

Cooke, G., Hargreaves, S., Natkunarajah, J., Sandhu, G., Dhasmana, D., Eliahoo, J., Holmes, A., Friedland, J.S. (2007). Impact on and use of an inner-city London Infectious Diseases Department by international migrants: a questionnaire survey. BMC Health Services Research. 7, 113.

David, M., Schwartau, I., Anand, P., Borde, T. (2006). Emergency outpatient services in the city of Berlin: factors for appropriate use and predictors for hospital admission. European Journal of Emergency Medicine. 13(3), 52–57.

De Luca, G., Ponzo, M., Andrés, A.R. (2013). Health care utilization by immigrants in Italy. International Journal of Health Care Finance and Economics. 13(1), 1-31.

Dyhr, L., Andersen, J., Engholm, G. (2007). The pattern of contrast with general practice and casualty departments of immigrants and non-immigrants in Copenhagen, Denmark. Danish Medical Bulletin, 54, 226–229.

Fassaert, T., Hesselink, A.E., Verhoeff, A.P. (2009). Acculturation and use of health care services by Turkish and Moroccan migrants: a cross-sectional population-based study. BMC Public Health. 9, 332.

Garrett, P.W., Dickson, H.G., Young, L., Whelan, A.K. (2008). "The Happy Migrant Effect": perceptions of negative experiences of healthcare by patients with little or no English: a qualitative study across seven language groups. Quality and Safety in Health Care. 17(2), 101-103.

Hargreaves, S., Friedland, J., Gothard, P., Saxena, S., Millington, H., Eliahoo, J., Le Feuvre, P. and Holmes, A.. (2006). Impact on and use of health services by international migrants: questionaire survey of inner city London A&E attenders. BMC Health Services Research, 6, 153. doi:10.1186/1472-6963-6-153.

Hjelm, K., Bard, K., Nyberg, P., Apelqvist, J. (2003). Religious and cultural distance in beliefs about health and illness in women with diabetes mellitus of different origin living in Sweden. International Journal of Nursing Studies. 40(6), 627-643.

McDonald, J.T., Kennedy, S. (2004). Insights into the 'healthy immigrant effect': health status and health service use of immigrants to Canada. Social Science & Medicine. 59, 1613-1627.

Newbold, B. (2005). Health status and health care of immigrants in Canada: a longitudinal analysis. Journal of Health Services Research & Policy. 10(2),77-83.

Norredam, M., Krasnik, A., Moller, Sorensen, T., Keiding, N., Joost Michaelsen, J., Sonne Nielsen, A. (2004). Emergency room utilization in Copenhagen: a comparison of immigrant groups and Danish-born residents. Scandinavian Journal of Public Health. 32, 53–59. doi: 10.1080/14034940310001659.

Priebe, S., Sandhu, S., Dias, S., Gaddini, A., Greacen, T., Ioannidis, E., Kluge, U., Krasnik, A., Lamkaddem, M., Lorant, V., Riera, R.P., Sarvary, A., Soares, J.J., Stankunas, M., Strassmayr, C., Wahlbeck, K., Welbel, M., Bogic, M. (2011). Good practice in health care for migrants: views and experiences of care professionals in 16 European countries. BMC Public Health.11, 187.

Rechel, B., Mladovsky, P., Ingleby, D., Mackenbach, J.P., McKee, M. (2013). Migration and health in an increasingly diverse Europe. The Lancet. 381(9873), 1235-45.

Rue, M., Cabre, X., Soler-Gonzales, J., Bosch, A., Almirall, M. and Catalina Serna, M. (2008). Emergency hospital services utilization in Lleida (Spain): a cross-sectional study of immigrant and Spanish-born populations. BMC Health Services Research. 8, 81. doi:10.1186/1472-6963-8-81.

Sabbatani, S., Baldi, E., Manfredi, R., Chiodo, F. (2006). Admission of Foreign citizens to the general teaching hospital of Bologna, Northeastern Italy. An epidemiological and clinical survey. Brazilian Journal of Infectious Diseases. 10(2), 66–77.

Stronks, K., Ravelli, A.C., Reijneveld, S.A. (2001). Immigrants in the Netherlands: equal access for equal needs?. Journal of Epidemiology and Community Health. 55(10), 701-707.

Uiters, E., Deville, W., Foets, M., Groenewegen, P. (2006). Use of health care services by ethnic minorities in The Netherlands: Do patterns differ? European Journal of Public Health. 16, 388–393.

United Nations. (2014). International migration and development. Report of the Secretary-General.United Nations.

van Wieringen, J.C., Harmsen, J.A., Bruijnzeels, M.A. (2002). Intercultural communication in general practice. European Journal of Public Health. 12(1), 63-8.

DOI: http://dx.doi.org/10.18533/ijbsr.v5i11.861


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