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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Taylor & Francis
2023
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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. |
format | Online Article Text |
id | pubmed-10478594 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
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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