Gezondheid - ongedocumenteerde migranten

(State of Health of Undocumented Migrants)

Referenties

(References)

van Oort, M., Glasgow, I., Weide, M., & Bakker, D. (2001). Gezondheidsklachten van illegalen: Een landelijk onderzoek onder huisartsen en Spoedeisende Hulpafdelingen. Utrecht: NIVEL. Samenvatting. Full report: download

Veenema, T., Wiegers, T., Devillé, W. (2009) Toegankelijkheid van gezondheidszorg voor illegalen in Nederland: een update. Utrecht: NIVEL. p. 153. (Bevat enige informatie over gezondheidsklachten) Download

Verkleij, H. (1999). Monitoring van de gezondheidstoestand van illegalen. RIVM Download

From Care for health. The 2006 Dutch Public Health Status and Forecasts Report [ Zorg voor gezondheid, Volksgezondheid Toekomst Verkenning 2006 ] Hollander AEM de, Hoeymans N, Melse JM, Oers JAM van, Polder JJ (eds) Download in English 324 pp

Excerpt: "Illegal immigrants" (p. 210)

There are an estimated 125,000 to 225,000 illegal immigrants living in the Netherlands (Leerkes et al., 2004). The group is very diverse, including asylum-seekers who have not been given leave to remain and tourists whose visas have expired. Some have been living in the country and supporting themselves for years. Others are homeless and increasingly marginalized. The Netherlands does not appear to be affected by ‘medical asylum tourism’, even though some of the people who come here are from areas where HIV infection is endemic (LCMAV, 2004). The health of illegal immigrants is influenced not only by the factors that affect other ethnic minorities, but also by problems that are specific to their circumstances (Van den Muijsenbergh, 2004). Of particular significance are mental problems, such as depression and stress, and (psycho) somatic problems, such as high blood pressure, gastric diseases, headaches and back problems. Infectious disease is also more prevalent among illegal immigrants; records maintained by Amsterdam’s Medical and Health Service show seven times more tuberculosis among illegal immigrants as among ethnically indigenous people, for example (Erkens & Pot, 1999). Obstacles to the provision of adequate care to illegal immigrants include the circumstances in which they live, fear of detection and financial problems. However, the complexity of the problems affecting such people and carers’ relative lack of familiarity with many of the problems are also pertinent issues (Van den Muijsenbergh, 2004). Because illegal immigrants tend to put off seeking medical help, GPs often do not get to see such people until what ails them has progressed to an advanced and sometimes life-threatening stage (Van Oort et al., 2001). Another problem is that the 1998 Linking Act prevents illegal immigrants from taking out health insurance. Care providers consequently sometimes believe that they should not treat such individuals. In fact, however, illegal immigrants are entitled to health care, if only for humanitarian reasons, to protect public health and to comply with international treaties.

Zorggebruik

(Health Care Use)

Reijneveld S, Verheij R, van Herten L, de Bakker D. (2001). Contacts of general practitioners with illegal immigrants. Scand J Public Health, 29(4), p. 308-13. Abstract

Maria van den Muijsenbergh: Ziek en geen papieren, Gezondheidszorg voor mensen zonder geldige verblijfsvergunning, Pharos, 2004 www.pharos.nl

Pharos, LHV, JWS: Huisartsenzorg aan illegale, onverzekerde patiënten uit niet-EU landen, 2009 Download

Wolfswinkel, J. (2009). Ongedocumenteerde Patienten bij de Huisarts. Onderzoek naar de morbiditeit van ongedocumenteerde patiënten en de daaraan gegeven zorg door Nederlandse huisartsen in enkele grote steden. Verslag wetenschapsstage 6e jaar geneeskunde UMC Utrecht, Pharos, Landelijke Huisartsen Vereniging. Download