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Health policies for migrant populations in three European countries: England; Italy and Spain

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  • Vázquez, María-Luisa
  • Terraza-Núñez, Rebeca
  • Vargas, Ingrid
  • Rodríguez, Dolors
  • Lizana, Tona

Abstract

Objectives The study aimed at providing a comparative analysis of health policies for immigrant populations in three European countries.Methods A descriptive comparative study of health policies for immigrant population was conducted through content analysis. England, Italy and Spain were selected because they have similar national health systems and different histories of immigration. For each country national or regional plans that included health policies for immigrants or ethnic minorities were selected. The analysis was conducted along the following dimensions: policy objectives, strategies, and evaluation of results. Subsequently, strategies were categorized according to the field of action.Results Improvements in immigrants' health are the ultimate objectives of these policies but they differ in emphasis and strategies. Main strategies relate to: addressing specific health issues; access to healthcare - information, communication, service supply and administrative proceedings; and improving quality of healthcare provision - services adaptation, professionals training and health needs' analysis. Only in England are some results of policy evaluation available.Conclusions Different models of immigrant integration in receiving countries seem to condition the health policy approach. England and Spain propose actions to address immigrants' healthcare needs, while in Italy the development of specific strategies is limited.

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  • Vázquez, María-Luisa & Terraza-Núñez, Rebeca & Vargas, Ingrid & Rodríguez, Dolors & Lizana, Tona, 2011. "Health policies for migrant populations in three European countries: England; Italy and Spain," Health Policy, Elsevier, vol. 101(1), pages 70-78, June.
    • Handle: RePEc:eee:hepoli:v:101:y:2011:i:1:p:70-78
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    References listed on IDEAS

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    1. Bollini, Paola & Siem, Harald, 1995. "No real progress towards equity: Health of migrants and ethnic minorities on the eve of the year 2000," Social Science & Medicine, Elsevier, vol. 41(6), pages 819-828, September.
    2. Mladovsky, Philipa, 2009. "A framework for analysing migrant health policies in Europe," Health Policy, Elsevier, vol. 93(1), pages 55-63, November.
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    1. Vázquez, María Luisa & Terraza-Núñez, Rebeca & S-Hernández, Silvia & Vargas, Ingrid & Bosch, Lola & González, Andrea & Pequeño, Sandra & Cantos, Raquel & Martínez, Juan Ignacio & López, Luís Andrés, 2013. "Are migrants health policies aimed at improving access to quality healthcare? An analysis of Spanish policies," Health Policy, Elsevier, vol. 113(3), pages 236-246.
    2. Irene Garcia-Subirats & Ingrid Vargas & Belén Sanz-Barbero & Davide Malmusi & Elena Ronda & Mónica Ballesta & María Luisa Vázquez, 2014. "Changes in Access to Health Services of the Immigrant and Native-Born Population in Spain in the Context of Economic Crisis," IJERPH, MDPI, vol. 11(10), pages 1-20, September.
    3. Leonardo Mammana & Chiara Milani & Paola Bordin & Lorenzo Paglione & Chiara Salvia, 2020. "Health System Response during the European Refugee Crisis: Policy and Practice Analysis in Four Italian Regions," IJERPH, MDPI, vol. 17(15), pages 1-22, July.
    4. Yanwei Lin & Qi Zhang & Wen Chen & Jingrong Shi & Siqi Han & Xiaolei Song & Yong Xu & Li Ling, 2016. "Association between Social Integration and Health among Internal Migrants in ZhongShan, China," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-15, February.
    5. Pulver, Ariel & Ramraj, Chantel & Ray, Joel G. & O'Campo, Patricia & Urquia, Marcelo L., 2016. "A scoping review of female disadvantage in health care use among very young children of immigrant families," Social Science & Medicine, Elsevier, vol. 152(C), pages 50-60.
    6. Riccardo, Flavia & Dente, Maria Grazia & Kojouharova, Mira & Fabiani, Massimo & Alfonsi, Valeria & Kurchatova, Anna & Vladimirova, Nadezhda & Declich, Silvia, 2012. "Migrant's access to immunization in Mediterranean Countries," Health Policy, Elsevier, vol. 105(1), pages 17-24.
    7. Rezwanul Hasan Rana & Khorshed Alam & Jeff Gow, 2020. "The Impact of Immigration on Public and Out-of-Pocket Health Expenditure in OECD Countries," Journal of International Migration and Integration, Springer, vol. 21(2), pages 485-508, June.
    8. Cimas, Marta & Gullon, Pedro & Aguilera, Eva & Meyer, Stefan & Freire, José Manuel & Perez-Gomez, Beatriz, 2016. "Healthcare coverage for undocumented migrants in Spain: Regional differences after Royal Decree Law 16/2012," Health Policy, Elsevier, vol. 120(4), pages 384-395.
    9. Mladovsky, Philipa & Rechel, Bernd & Ingleby, David & McKee, Martin, 2012. "Responding to diversity: An exploratory study of migrant health policies in Europe," Health Policy, Elsevier, vol. 105(1), pages 1-9.

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