European Journal of Pediatrics
Volume 177, Issue 7, 2018, Pages 995-1002

Pediatrician-experienced barriers in the medical care for refugee children in the Netherlands (Article) (Open Access)

Baauw A.* , Rosiek S. , Slattery B. , Chinapaw M. , van Hensbroek M.B. , van Goudoever J.B. , Kist-van Holthe J.
  • a Department of Pediatrics, Rijnstate Hospital, Wagnerlaan 55, Arnhem, 6816 AD, Netherlands, Department of Pediatrics, VU University Medical Center and Emma Children’s Hospital - Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands, Amsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands
  • b Amsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands
  • c Amsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands
  • d Amsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands
  • e Department of Pediatrics, VU University Medical Center and Emma Children’s Hospital - Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
  • f Department of Pediatrics, VU University Medical Center and Emma Children’s Hospital - Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
  • g Amsterdam Public Health Research Institute, Department of Public and Occupational Health, VU University Medical Center, Amsterdam, Netherlands

Abstract

Pediatricians in the Netherlands have been confronted with high numbers of refugee children in their daily practice. Refugee children have been recognized as an at-risk population because they may have an increased burden of physical and mental health conditions, and their caretakers may experience barriers in gaining access to the Dutch health care system. The aim of the study was to gain insight into the barriers in the health care for refugee children perceived by pediatricians by analyzing logistical problems reported through the Dutch Pediatric Surveillance Unit, an online system where pediatricians can report predefined conditions. Pediatricians reported 68 cases of barriers in health care ranging from mild to severe impact on the health outcome of refugee children, reported from November 2015 till January 2017. Frequent relocation of children between asylum seeker centers was mentioned in 28 of the reports on lack of continuity of care. Unknown medical history (21/68) and poor handoffs of medical records resulting in poor communication between health professionals (17/68) contributed to barriers to provide good medical care for refugee children, as did poor health literacy (17/68) and cultural differences (5/68). Conclusion: Frequent relocations and the unknown medical history were reported most frequently as barriers impacting the delivery of health care to refugee children. To overcome these barriers, the Committee of International Child Health of the Dutch Society of Pediatrics recommends stopping the frequent relocations, improving medical assessment upon entry in the Netherlands, improving handoff of medical records, and improving the health literacy of refugee children and their families.What is Known:• Pediatricians in the Netherlands are confronted with high numbers of refugee children• Refugee children represent a population that is especially at risk due to their increased burden of physical and mental health conditionsWhat is New:• Refugee children experience barriers in accessing medical care• To start overcoming these barriers, we recommend that frequent relocations be stopped, health assessment upon entry in the Netherlands be improved, medical handoffs be improved, and that the refugees be empowered by increasing their health literacy. © 2018, The Author(s).

Author Keywords

Screening of refugee children Medical records Unaccompanied refugee minor Health status Asylum seekers Relocations Health literacy

Index Keywords

pediatrician patient care Netherlands Pediatricians clinical outcome refugee interpersonal communication human Refugees clinical handover statistics and numerical data priority journal health personnel attitude Attitude of Health Personnel asylum seeker Humans Adolescent medical record cultural factor standards Article major clinical study health care quality Quality of Health Care child health care patient attitude medical history Patient Acceptance of Health Care Delivery of Health Care health literacy health practitioner health care delivery Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85045755639&doi=10.1007%2fs00431-018-3141-y&partnerID=40&md5=105ebe1c09259fdaf7fda24e385d33d4
DOI: 10.1007/s00431-018-3141-y
ISSN: 03406199
Cited by: 5
Original Language: English