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Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway

OBJECTIVE: To compare consultations with pregnant undocumented migrants at emergency primary health care to consultations with pregnant residents of Norway. DESIGN: A cross-sectional study of consultations at several time points. SETTING: The study was conducted at the Oslo Accident and Emergency Ou...

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Detalles Bibliográficos
Autores principales: Eick, Frode, Vallersnes, Odd Martin, Fjeld, Heidi E., Sørbye, Ingvil Krarup, Ruud, Sven Eirik, Dahl, Cecilie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478594/
https://www.ncbi.nlm.nih.gov/pubmed/37485974
http://dx.doi.org/10.1080/02813432.2023.2237074
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author Eick, Frode
Vallersnes, Odd Martin
Fjeld, Heidi E.
Sørbye, Ingvil Krarup
Ruud, Sven Eirik
Dahl, Cecilie
author_facet Eick, Frode
Vallersnes, Odd Martin
Fjeld, Heidi E.
Sørbye, Ingvil Krarup
Ruud, Sven Eirik
Dahl, Cecilie
author_sort Eick, Frode
collection PubMed
description OBJECTIVE: To compare consultations with pregnant undocumented migrants at emergency primary health care to consultations with pregnant residents of Norway. DESIGN: A cross-sectional study of consultations at several time points. SETTING: The study was conducted at the Oslo Accident and Emergency Outpatient Clinic (OAEOC), the main emergency primary care service in Oslo, Norway. SUBJECTS: Consultations with pregnant patients without a Norwegian identity number seeking care at the Department of Emergency General Practice at the OAEOC were identified through a manual search of registration lists from 2009 to 2019. The consultations were categorized by women’s residency status as ‘probably documented migrant’, ‘uncertain migrant status’, or ‘probably undocumented migrant’. We also extracted aggregated data for women with a Norwegian identity number (i.e. residents) presenting in consultations with pregnancy-related (ICPC-2 chapter W) conditions. MAIN OUTCOME MEASURES: Manchester Triage System urgency level at presentation, and hospitalization. RESULTS: Among 829 consultations with female patients categorized as probably undocumented migrants, we found 27.1% (225/829) with pregnant women. About half of the pregnant women (54.6% (123/225)) presented with a pregnancy-related condition. Pregnant women that were probably undocumented migrants had an increased risk of being triaged with a high level of urgency at presentation (relative risk (RR) 1.86, 95% CI 1.14–3.04) and being hospitalized (RR 1.68, 95% CI 1.21–2.34), compared to pregnant residents. CONCLUSION: Pregnant undocumented migrants were more severely sick when presenting to emergency primary care services than pregnant residents. Increased access to primary care and emergency primary care services for pregnant undocumented migrants is urgently needed.
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spelling pubmed-104785942023-09-06 Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway Eick, Frode Vallersnes, Odd Martin Fjeld, Heidi E. Sørbye, Ingvil Krarup Ruud, Sven Eirik Dahl, Cecilie Scand J Prim Health Care Research Articles OBJECTIVE: To compare consultations with pregnant undocumented migrants at emergency primary health care to consultations with pregnant residents of Norway. DESIGN: A cross-sectional study of consultations at several time points. SETTING: The study was conducted at the Oslo Accident and Emergency Outpatient Clinic (OAEOC), the main emergency primary care service in Oslo, Norway. SUBJECTS: Consultations with pregnant patients without a Norwegian identity number seeking care at the Department of Emergency General Practice at the OAEOC were identified through a manual search of registration lists from 2009 to 2019. The consultations were categorized by women’s residency status as ‘probably documented migrant’, ‘uncertain migrant status’, or ‘probably undocumented migrant’. We also extracted aggregated data for women with a Norwegian identity number (i.e. residents) presenting in consultations with pregnancy-related (ICPC-2 chapter W) conditions. MAIN OUTCOME MEASURES: Manchester Triage System urgency level at presentation, and hospitalization. RESULTS: Among 829 consultations with female patients categorized as probably undocumented migrants, we found 27.1% (225/829) with pregnant women. About half of the pregnant women (54.6% (123/225)) presented with a pregnancy-related condition. Pregnant women that were probably undocumented migrants had an increased risk of being triaged with a high level of urgency at presentation (relative risk (RR) 1.86, 95% CI 1.14–3.04) and being hospitalized (RR 1.68, 95% CI 1.21–2.34), compared to pregnant residents. CONCLUSION: Pregnant undocumented migrants were more severely sick when presenting to emergency primary care services than pregnant residents. Increased access to primary care and emergency primary care services for pregnant undocumented migrants is urgently needed. Taylor & Francis 2023-07-24 /pmc/articles/PMC10478594/ /pubmed/37485974 http://dx.doi.org/10.1080/02813432.2023.2237074 Text en © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
spellingShingle Research Articles
Eick, Frode
Vallersnes, Odd Martin
Fjeld, Heidi E.
Sørbye, Ingvil Krarup
Ruud, Sven Eirik
Dahl, Cecilie
Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway
title Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway
title_full Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway
title_fullStr Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway
title_full_unstemmed Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway
title_short Use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from Oslo, Norway
title_sort use of emergency primary care among pregnant undocumented migrants over ten years: an observational study from oslo, norway
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10478594/
https://www.ncbi.nlm.nih.gov/pubmed/37485974
http://dx.doi.org/10.1080/02813432.2023.2237074
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