Shaping access to health care for refugees on the local level in Germany - Mixed-methods analysis of official statistics and perspectives of gatekeepers.

Rolke K, Wenner J, Razum O (2019)
Health policy 123(9): 845-850.

Zeitschriftenaufsatz | E-Veröff. vor dem Druck | Englisch
 
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Abstract / Bemerkung
BACKGROUND: Analyses of refugee reception in European countries are increasingly focusing on the local level. We analyzed how gatekeepers can shape access to health care on a local level, taking as an example the federal state of North Rhine-Westphalia (NRW), Germany, where municipalities have implemented different local access models for newly arrived refugees.; METHODS: We assessed the details of and the rationale for the implementation of local access models (implementation analysis), and the potential access to health care for refugees in municipalities (local policy analysis). We covered three municipalities with a health care voucher model and three with an electronic health card model. We combined data from official reports and semi-structured interviews (N = 21) with gatekeepers.; RESULTS: Larger municipalities are more likely to implement the eHC. Gatekeepers report that costs, workload and control are the major aspects underlying the choice of a model in municipalities. Access plays only a minor role - even though some of the gatekeepers claim that the eHC can facilitate access. Regardless of the implemented model, gatekeepers on the local level can contribute to facilitating the access to health care for refugees.; CONCLUSION: Potential access of newly arrived refugees is - among others - determined by the gatekeepers' support and the implementation of the access models. Within the legal framework, municipalities implement the models differently. Copyright © 2019. Published by Elsevier B.V.
Erscheinungsjahr
2019
Zeitschriftentitel
Health policy
Band
123
Ausgabe
9
Seite(n)
845-850
ISSN
0168-8510
eISSN
1872-6054
Page URI
https://pub.uni-bielefeld.de/record/2936729

Zitieren

Rolke K, Wenner J, Razum O. Shaping access to health care for refugees on the local level in Germany - Mixed-methods analysis of official statistics and perspectives of gatekeepers. Health policy . 2019;123(9):845-850.
Rolke, K., Wenner, J., & Razum, O. (2019). Shaping access to health care for refugees on the local level in Germany - Mixed-methods analysis of official statistics and perspectives of gatekeepers. Health policy , 123(9), 845-850. doi:10.1016/j.healthpol.2019.07.001
Rolke, K., Wenner, J., and Razum, O. (2019). Shaping access to health care for refugees on the local level in Germany - Mixed-methods analysis of official statistics and perspectives of gatekeepers. Health policy 123, 845-850.
Rolke, K., Wenner, J., & Razum, O., 2019. Shaping access to health care for refugees on the local level in Germany - Mixed-methods analysis of official statistics and perspectives of gatekeepers. Health policy , 123(9), p 845-850.
K. Rolke, J. Wenner, and O. Razum, “Shaping access to health care for refugees on the local level in Germany - Mixed-methods analysis of official statistics and perspectives of gatekeepers.”, Health policy , vol. 123, 2019, pp. 845-850.
Rolke, K., Wenner, J., Razum, O.: Shaping access to health care for refugees on the local level in Germany - Mixed-methods analysis of official statistics and perspectives of gatekeepers. Health policy . 123, 845-850 (2019).
Rolke, Kristin, Wenner, Judith, and Razum, Oliver. “Shaping access to health care for refugees on the local level in Germany - Mixed-methods analysis of official statistics and perspectives of gatekeepers.”. Health policy 123.9 (2019): 845-850.

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