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Table 1 Summary of findings

From: Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review

Sector of health care

No. of studies [references]

Inequality (trend)

Description of trend

Outpatient care (unspecific)

5 [17,18,19,20,21]

+

â–ª Higher probability of utilization especially among migrant children and adolescents.

Outpatient care (general practitioner or paediatrician)

5 [22,23,24,25,26]

O

â–ª No striking differences, but lower probability of utilization among migrant children and adolescents.

â–ª Higher utilization among 1st generation migrants.

Outpatient care (specialists)

14 [22, 23, 25,26,27,28,29,30,31,32,33,34,35,36]

–

â–ª Lower frequency and probability of utilization especially among 1st generation migrants.

â–ª Inequality varies with the type of specialist.

Inpatient care

10 [17, 18, 23, 25, 26, 29, 30, 37,38,39]

O

â–ª Inconsistent results, differences in terms of type of disease.

Emergency care

3 [26, 40, 41]

O

â–ª Inconsistent results: Higher probability of utilization among migrant adults, but no difference among children and adolescents.

Rehabilitation

4 [26, 42,43,44]

–

â–ª Results tend to lower usage among migrants.

â–ª Two multivariate analyses indicate lower probability of utilization among people with migrant background.

Therapists and counselling services

8 [22, 26, 28, 45,46,47,48,49]

–

â–ª Lower probability of utilization among 1st generation migrants (physical therapy) and migrant children of lower age groups (physical and occupational therapy).

â–ª In terms of (psychosocial) counselling slightly higher frequency of uptake among natives, but no differences in the probability for cancer survivors.

Medication and complementary and alternative medicine (CAM)

13 [24, 26, 50,51,52,53,54,55,56,57,58,59]

–

â–ª Lower frequency and probability of utilization among people with migrant background, especially for CAM and in case of self-medication (e.g. over-the-counter drugs).

â–ª Unclear pattern in terms of prescribed drugs, but trend to higher use among migrants.

Early detection (cancer)

7 [17, 26, 60,61,62,63,64]

–

â–ª Lower frequency and probability of participation especially among migrant women and migrants of the 1st generation or with two-sided background (any cancer sites).

Early detection (children)

5 [25, 65,66,67,68]

–

â–ª Consistently lower frequency and probability of participation in the preventive health care program for children with migrant background.

Vaccination

13 [41, 61, 66, 67, 69,70,71,72,73,74,75,76,77]

O

â–ª Inequality varies with the type of vaccination.

â–ª In some cases, lower frequency and probability of utilization notably among 1st generation migrants, in other cases, lower uptake among natives.

General health check-up

2 [26, 61]

–

â–ª Lower frequency of utilization among migrants, but small number of studies.

Oral health check-up

7 [24, 26, 27, 58, 61, 78, 79]

–

â–ª Lower frequency and probability of utilization in all age groups of migrants.

  1. + = Higher frequency and/or probability of utilization among people with migration background
  2. – = Lower frequency and/or probability of utilization among people with migration background
  3. O = No consistent pattern/no difference