Refugees‘ Consultation Issues Compared with Routine Data from Primary Care
DOI: 10.3238/zfa.2017.0024-0031german translation / full article
Background: In 2015, more than one million refugees reached Germany. In order to ensure that adequate health care for refugees can be provided, a detailed description of their medical needs is necessary. In the context of this study, we compared refugees’ reasons for seeking medical advice with those of the general population.
Methods: For this cross-sectional study two data sources have been used. The CONTENT database of the University of Heidelberg provides routine data from 44 family practitioners covering a total of 207.253 patients. This data has been compared to the results from the Bremen Model for the healthcare for asylum seekers. In this program, 2.341 refugees have been treated.
Results: In both data sources, the most prominent findings are respiratory diseases: J00–J99, diseases of the muscle und skeletal system: M00–M99, diagnosis chapters R00–R99: symptoms and abnormal findings, and Z00–Z99: health-influencing factors and general examinations. These listed ICD-groups are among the four most common ICD-groups in both data sources respectively. The second and third most common diagnosis chapters, namely J00–J99 and Z00–Z99, coincide in both data sources.
Conclusions: The results indicate that the majority of the consultation issues of refugees constitute ordinary matters of primary care. Whether psychological diseases and behavioral disorders often go unregistered, or whether they in fact do not occur more frequently with refugees could not be clarified definitively by this study. The results encourage further studies to anticipate the requirements planning for the medical treatment of refugees.