Orvosi Hetilap
Volume 159, Issue 35, 2018, Pages 1414-1422

Primary care of refugees and migrants: Lesson learnt from the EUR-HUMAN project [Menekültek, migránsok az alapellátásban: Mit tanulhattunk az EUR-HUMAN projekt eredményeibol?] (Review)

Imre R.* , Róbert K.L. , Aarendonk D. , Angelaki A. , Ajdukovic D. , Dowrick C. , Dückers M. , Hoffmann K. , Zoltán J. , Jirovsky E. , Zoltán K. , Mechili E.-A. , Van Den Muijsenbergh M. , Anna N. , Petelos E. , Rotar-Pavlic D. , Sifaki-Pistolla D. , Hajnalka T. , Roland P. , Tímea U. , Lionis C.
  • a Debreceni Egyetem, Népegészségügyi Kar, Családorvosi És Foglalkozás-egészségügyi Tanszék, Móricz Zs. krt. 22., Debrecen, 4032, Hungary
  • b Debreceni Egyetem, Népegészségügyi Kar, Családorvosi És Foglalkozás-egészségügyi Tanszék, Móricz Zs. krt. 22., Debrecen, 4032, Hungary
  • c European Forum for Primary Care, Utrecht, Netherlands
  • d Clinic of Social and Family Medicine, School of Medicine, University of Crete, Greece
  • e Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Croatia
  • f Institute of Psychology, Health and Society, University of Liverpool, United Kingdom
  • g Netherlands Institute for Health Services Research (NIVEL), Utrecht, Netherlands
  • h Department of General Practice and Family Medicine, Center for Public Health, Medical University of Vienna, Austria
  • i Debreceni Egyetem, Népegészségügyi Kar, Családorvosi És Foglalkozás-egészségügyi Tanszék, Móricz Zs. krt. 22., Debrecen, 4032, Hungary
  • j Department of General Practice and Family Medicine, Center for Public Health, Medical University of Vienna, Austria
  • k Pécsi Tudományegyetem, Általános Orvostudományi Kar, Muveleti Medicina Tanszék, Pécs, Hungary
  • l Clinic of Social and Family Medicine, School of Medicine, University of Crete, Greece
  • m Department of Primary and Community Care, St Radboud University Medical Centre, Nijmegen, Netherlands
  • n Debreceni Egyetem, Népegészségügyi Kar, Családorvosi És Foglalkozás-egészségügyi Tanszék, Móricz Zs. krt. 22., Debrecen, 4032, Hungary
  • o Clinic of Social and Family Medicine, School of Medicine, University of Crete, Greece
  • p Department of Family Medicine, Medical Faculty, University of Ljubljana, Slovenia
  • q Clinic of Social and Family Medicine, School of Medicine, University of Crete, Greece
  • r Debreceni Egyetem, Népegészségügyi Kar, Családorvosi És Foglalkozás-egészségügyi Tanszék, Móricz Zs. krt. 22., Debrecen, 4032, Hungary
  • s Debreceni Egyetem, Népegészségügyi Kar, Családorvosi És Foglalkozás-egészségügyi Tanszék, Móricz Zs. krt. 22., Debrecen, 4032, Hungary, PROMO-MED Kft., Gyorújbarát, Hungary
  • t Debreceni Egyetem, Népegészségügyi Kar, Családorvosi És Foglalkozás-egészségügyi Tanszék, Móricz Zs. krt. 22., Debrecen, 4032, Hungary
  • u Clinic of Social and Family Medicine, School of Medicine, University of Crete, Greece

Abstract

In 2015, local wars, starvation and misery in some Middle Eastern, Asian and African countries forced millions of people to leave their homelands. Many of these people migrated toward Europe, reaching Hungary as well. The refugee crisis created significant challenges for all national healthcare systems across Europe. Limited attention has been given to the extent to which health service provision for refugees and migrants has become a task for primary health care (PHC), which has been unprepared as a profession and pressured by the enormous workload. Hungarian primary care was involved only to an extent in the refugees' health care, as most of the migrants entering Hungary wanted to move forward to other countries. The need for evidence-based patient-centred interventions to assess refugee healthcare needs, and for training programmes for rapid capacity-building for integrated PHC was addressed by the EUropean Refugees - HUman Movement and Advisory Network (EUR-HUMAN) project, which 7 European countries developed together. The overall aim of the EUR-HUMAN project is to enhance the knowledge and expertise of European member states who accept refugees and migrants in addressing their health needs, safeguarding them from risks, while at the same time to minimize cross-border health risks. This initiative focuses on addressing the early arrival period, transition and longer-term settlement of refugees in European host countries. A primary objective of this project is to identify, design and assess interventions to improve PHC delivery for refugees and migrants with a focus on vulnerable groups. The structure, the main focus and outputs of the project are described and summarized in this paper, providing relevant information and access to educational materials for Hungarian (primary care) physicians. The EUR-HUMAN project was operated in 2016 under the auspices of the European Commission and funded by the Consumers, Health, Agriculture and Food Executive Agency (CHAFEA). © Akadémiai Kiadó, Budapest.

Author Keywords

Primary care Migration Migrants Capacity Refugees Compassionate care EUR-HUMAN Patient-centred care Integrated care

Index Keywords

patient care training refugee Community Health Services Europe community care human Refugees statistics and numerical data health service Agriculture general practitioner consumer procedures Hungary Health Services Needs and Demand program development Humans occupation evidence based practice center workload Review organization and management adult capacity building Health Services Accessibility attention health hazard health care need primary health care health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85052523573&doi=10.1556%2f650.2018.31187&partnerID=40&md5=cf348ffae7b4f147e60e7590ef048f4a
DOI: 10.1556/650.2018.31187
ISSN: 00306002
Original Language: Hungarian