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Health care for undocumented migrants: European approaches.
Bradford H Gray1, Ewout van Ginneken
1Urban Institute, USA. bgray@urban.org
Issue Brief (Commonwealth Fund)
|January 8, 2013
Summary
European countries face challenges providing healthcare for undocumented migrants, often limiting care to emergencies. However, strategies exist to improve access to medical services for this population.
Area of Science:
- Public Health
- Health Policy
- Migration Studies
Background:
- Undocumented migrants in Europe, despite smaller population shares than the US, require significant medical care.
- Existing healthcare policies in most European nations offer limited services, primarily emergency care, to undocumented populations.
- Universal health insurance systems in Europe do not fully address the healthcare needs of undocumented individuals.
Purpose of the Study:
- To analyze European healthcare policies for undocumented migrants.
- To identify strategies for improving access to medical care for undocumented populations in Europe.
- To examine the feasibility of expanding healthcare services beyond emergency care.
Main Methods:
- Review of recent European studies on healthcare access for undocumented migrants.
- Analysis of policy variations across different European countries.
- Categorization of strategies based on population focus, service type, and funding mechanisms.
Main Results:
- Most European countries restrict healthcare for undocumented migrants to emergency services.
- A subset of countries offers broader services or access to nationals-level care under specific conditions.
- Successful strategies involve targeting specific groups (children, pregnant women), prioritizing services (preventive, infectious disease), or implementing flexible funding (insurance purchase).
Conclusions:
- Improving healthcare access for undocumented migrants in Europe is achievable.
- Policy interventions can effectively expand services beyond emergency care.
- Varied strategies demonstrate the adaptability of healthcare systems to include undocumented populations.
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