Viewpoint
Vol. 155 No. 3 (2025)
Equitable health care in the context of migration
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Cite this as:
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Swiss Med Wkly. 2025;155:4245
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Published
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24.03.2025
Summary
The health policy guiding principle of equitable access to healthcare faces barriers in the context of migration, on the part of both those affected and the health system. The operationalised measurement of health inequity, the training and sensitisation of healthcare professionals regarding needs-based care, diversity, transcultural and socio-medical aspects, and ensuring high-quality communication are among the measures that can contribute to reducing inequitable care (e.g. underuse) in this population.
References
- Weber D. Chancengleichheit in der Gesundheitsförderung und Prävention in der Schweiz, Begriffsklärungen, theoretische Einführung, Praxisempfehlungen. Grundlagenbericht. 2020; Bern: GFCH, BAG, GDK.
- Morisod K, Grazioli VS, Schlüter V, Bochud M, Gonseth Nusslé S, D’Acremont V, et al. Prevalence of SARS-CoV-2 infection and associated risk factors among asylum seekers living in asylum centres: A cross-sectional serologic study in Canton of Vaud, Switzerland. J Migr Health. 2023;7:100175. 10.1016/j.jmh.2023.100175
- Riou J, Panczak R, Althaus CL, Junker C, Perisa D, Schneider K, et al. Socioeconomic position and the COVID-19 care cascade from testing to mortality in Switzerland: a population-based analysis. Lancet Public Health. 2021 Sep;6(9):e683–91. doi: https://doi.org/10.1016/S2468-2667(21)00160-2
- Kleinberger U, Eser Davolio M, Schwarz N, Adili K, Merminod G. Lessons learned aus der Covid-19-Kommunikation mit der Migrationsbevölkerung. 2023; Zürich: ZHAW Zürcher Hochschule für Angewandte Wissenschaften. Available from: https://doi.org/10.21256/zhaw-30354
- Bundesamt für Gesundheit (BAG). Gesundheitliche Chancengleichheit. 20. 03 2024. Available from: https://www.bag.admin.ch/bag/de/home/strategie-und-politik/nationale-gesundheitsstrategien/gesundheitliche-chancengleichheit.html
- Bundesamt für Statistik (BFS), Sektion Demografie und Migration. Bevölkerung nach Migrationsstatus. 2023. Available from: https://www.bfs.admin.ch/bfs/de/home/statistiken/bevoelkerung/migration-integration/nach-migrationsstatuts.html
- Spiess M, Schnyder-Walser K. Chancengleichheit und Gesundheit – Zahlen und Fakten für die Schweiz – Hintergrunddokument. August 2018; Bern: socialdesign ag, im Auftrag des Bundesamtes für Gesundheit (BAG).
- Kiselev N, Pfaltz M, Haas F, Schick M, Kappen M, Sijbrandij M, et al. Structural and socio-cultural barriers to accessing mental healthcare among Syrian refugees and asylum seekers in Switzerland. Eur J Psychotraumatol. 2020 Feb;11(1):1717825. 10.1080/20008198.2020.1717825
- Brandenberger J, Tylleskär T, Sontag K, Peterhans B, Ritz N. A systematic literature review of reported challenges in health care delivery to migrants and refugees in high-income countries - the 3C model. BMC Public Health. 2019 Jun;19(1):755. 10.1186/s12889-019-7049-x
- Jachmann A, Saffuri R, Eijer H, Brown AD, Karamagioli E, Pikoulis E, et al. Trauma consultations in a Swiss tertiary emergency department: comparison of asylum seekers and the local population-Patient characteristics and patterns of injuries, a retrospective study. PLoS One. 2022 Nov;17(11):e0277418. doi: https://doi.org/10.1371/journal.pone.0277418
- Cignacco E, Zu Sayn-Wittgenstein F, Sénac C, Hurni A, Wyssmüller D, Grand-Guillaume-Perrenoud JA, et al. Sexual and reproductive healthcare for women asylum seekers in Switzerland: a multi-method evaluation. BMC Health Serv Res. 2018 Sep;18(1):712. 10.1186/s12913-018-3502-2
- Courvoisier D, et al. Messung der Versorgungsgerechtigkeit in Schweizer Spitälern: Machbarkeit und Fallstudie. PRIORITY-Studie: Panorama of Indicators on Equity in Healthcare. Studie im Auftrag des Bundesamtes für Gesundheit. Bern: BAG; 2023.