Abstract
ObjectiveThe aim of this systematic review was to identify quality indicators (QI) developed for health care for refugees.MethodsWe conducted a systematic review of international QI databases such as the Agency for Health care Research and Quality in addition to a systematic search in PubMed, Cochrane library and Web of Science, using the terms “refugee” and “quality indicator”, complemented by a search in reference lists and grey literature. All papers which included QIs for refugees, especially for health care were included. In a first step all existing QIs were screened for their relevance to refugees. In a second step, all health care QIs were extracted. In a final step, these health care QIs were classified into process, structure and outcome indicators.ResultsOf 474 papers, 23 were selected for a full-text review. Of these 23 publications, 6 contained 115 QIs for health and health care for refugees. The main health care topics identified were reproductive health, health care service and health status.ConclusionsMost indicators were indicators for outcome and structure quality, the smallest group were process indicators. Within the area of refugee health care, most QIs that have been found were QIs regarding reproductive health. QI databases do not yet include indicators specifically related to refugees.
Highlights
Health care for refugees and asylum seekers represents a challenge for the health system of the host country for various reasons
In the quality indicators (QI) databases, no indicators could be found that related to refugees or were established for this target group
Publications including indicators from other primary references [25,26,27,28] and containing indicators not especially developed for refugees but applicable to this target group [29, 30] were excluded
Summary
Health care for refugees and asylum seekers represents a challenge for the health system of the host country for various reasons. Examples are lack of access to health care in the host country and past experience of trauma which may have caused mental health problems. As a result of persecution, conflict, generalized violence or human rights violations, 65.3 million people were forcibly displaced worldwide in 2015 [4]. Most refugees were from Syria and over 6.3 million people fled from war [4]. Back in 1995, the UN High Commissioner for Refugees (UNHCR) highlighted the ‘urgent need to address the areas of safe motherhood, control of HIV/ AIDS/STD, family planning services, and management of sexual and gender based violence within the overall
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