Policies of access to healthcare services for accompanied asylum-seeking children in the Nordic countries

TY - JOUR

T1 - Policies of access to healthcare services for accompanied asylum-seeking children in the Nordic countries

AU - Sandahl, Hinuga

AU - Nørredam, Marie Louise

AU - Hjern, Anders

AU - Ascher, Henry

AU - Nielsen, Signe Smith

PY - 2013/8

Y1 - 2013/8

N2 - Aims: Asylum-seeking children constitute a vulnerable group with high prevalence and risk for mental health problems. The aim of this study was to compare policies of access to healthcare services, including physical examination and screening for mental health problems on arrival, for accompanied asylum-seeking children in the Nordic countries. Methods: This study was based on the national reports “Reception of refugee children in the Nordic countries” written by independent national experts for the Nordic Network for Research on Refugee Children, supplemented by information from relevant authorities. Results: In Sweden, Norway and Iceland, asylum-seeking children had access to healthcare services equal to children in the general population. On a policy level, Denmark imposed restrictions on non-acute hospitalisations and prolonged specialist treatments. Regarding health examinations, Sweden deviated from the Nordic pattern by not performing these systematically. In Denmark, Iceland, and some counties in Sweden, but not in Norway, screening for mental health problems was offered to asylum-seeking children.Conclusion: Access to healthcare services for asylum-seeking children differs in the Nordic countries; the consequences of these systematic differences for the individual asylum-seeking child are unknown. For asylum-seeking children, access to healthcare has to be considered in a wider context that includes the core conditions of being an asylum-seeker. A comparative study at policy level needs to be supplemented with empirical follow-up studies of the well-being of the study population to document potential consequences of policies in practice.

AB - Aims: Asylum-seeking children constitute a vulnerable group with high prevalence and risk for mental health problems. The aim of this study was to compare policies of access to healthcare services, including physical examination and screening for mental health problems on arrival, for accompanied asylum-seeking children in the Nordic countries. Methods: This study was based on the national reports “Reception of refugee children in the Nordic countries” written by independent national experts for the Nordic Network for Research on Refugee Children, supplemented by information from relevant authorities. Results: In Sweden, Norway and Iceland, asylum-seeking children had access to healthcare services equal to children in the general population. On a policy level, Denmark imposed restrictions on non-acute hospitalisations and prolonged specialist treatments. Regarding health examinations, Sweden deviated from the Nordic pattern by not performing these systematically. In Denmark, Iceland, and some counties in Sweden, but not in Norway, screening for mental health problems was offered to asylum-seeking children.Conclusion: Access to healthcare services for asylum-seeking children differs in the Nordic countries; the consequences of these systematic differences for the individual asylum-seeking child are unknown. For asylum-seeking children, access to healthcare has to be considered in a wider context that includes the core conditions of being an asylum-seeker. A comparative study at policy level needs to be supplemented with empirical follow-up studies of the well-being of the study population to document potential consequences of policies in practice.

KW - Faculty of Health and Medical Sciences

KW - asylbørn

KW - sammenligning

KW - danmark

KW - sverige

KW - norge

KW - island

KW - politik

KW - adgang til sundhedsvæsenet

KW - forebyggende sundhedsundersøgelser

KW - screening

KW - lighed

U2 - 10.1177/1403494813484555

DO - 10.1177/1403494813484555

M3 - Journal article

C2 - 23610139

SN - 1403-4948

SP - 1

EP - 7

JO - Scand J Public Health

JF - Scand J Public Health

ER -