SHARE
COPY LINK

HEALTH

Migrants need better access to health care in Europe: WHO

Europe must guarantee migrants better access to medical care, the World Health Organization urged Monday, and highlighted massive disparities in access to health services in different countries.

Migrants need better access to health care in Europe: WHO
File photo: Morten Stricker/Ritzau Scanpix

“To improve their (migrants') health, it is important to fill the gap for access to basic care,” Santino Severoni, the head of the WHO's Migration and Health Programme, told AFP. The organization’s regional office for Europe is located in Copenhagen.

In the WHO's Europe region, which covers 53 countries, migrants represent almost 10 percent of the population, or 90.7 million of 920 million inhabitants.

But the proportion varies widely from country to country — migrants account for 45 percent of Malta's population compared to just two percent in Albania, for example.

Depending on the country and migrants' status, they may enjoy full access to the health care system or none at all.

In 15 European countries, including Austria, Turkey, and Britain, asylum seekers have access to the same care as the local population, whereas in Germany and Hungary they are only entitled to emergency care.

“People, and some governments, have been reacting emotionally when it comes to newcomers because of the lack of information and data,” Severoni said.

Contrary to what some may believe, “there is a very low risk… of transmitting communicable disease from the refugee and migrant population to the host population,” he said.

The bigger health risk is for migrants themselves, with a large share of HIV-positive migrants contracting the disease only after arriving in Europe, said Severoni.

New arrivals are also more likely to develop chronic illnesses as a result of their new lifestyle — less physical activity and too much fast food — and the poverty conditions some encounter.

Cancer tends to be diagnosed at a later stage among migrants, which can make treatment more difficult, the report said, while migrant children are at greater risk of being overweight and having psychological problems than peers in their host country.

Refugees and migrants are more likely to suffer from depression and anxiety, added the WHO.

This was due to a combination of risk factors, including the prevalence of post-traumatic stress disorder (PTSD) among refugees who endured treacherous journeys, as well as lengthy asylum application processes and difficult socio-economic conditions, such as unemployment, poverty and isolation.

Studies estimate that 40 percent of refugees in the WHO's European region who suffer from PTSD also suffer from depression, the report said.

The stigma of mental illness in these groups tends to influence their decision to seek help, which may lead to higher levels of hospitalisation.

READ ALSO: Nordic and Mediterranean countries can make more of healthy cuisine: WHO

For members

HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

SHOW COMMENTS