Patient-held records for undocumented immigrants: a blind spot. A systematic review of patient-held records.
Objective. As a result of inadequate medical record information, the medical care for undocumented immigrants in general practice is time consuming and often unsatisfactory. The availability of medical record information might improve the medical care for undocumented immigrants. Therefore, we execu...
| Published in: | Ethnicity & Health Vol. 14; no. 5; pp. 497 - 509 |
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| Main Authors: | , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Oct2009
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105435532&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105435532 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13557858 EHH jtl: Ethnicity & Health issn: 13557858 maglogo: N pubinfo: dt: Oct2009 vid: 14 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 105435532 2010413794 10.1080/13557850902923273 105435532 ppf: 497 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Patient-held records for undocumented immigrants: a blind spot. A systematic review of patient-held records. aug: au: Schoevers MA van den Muijsenbergh MET Lagro-Janssen ALM affil: Department of Primary Care and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Women's Studies Medical Sciences, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands sug: subj: Undocumented Immigrants Medical Records Quality of Health Care Trends Descriptive Statistics Patients Psychosocial Factors Physicians Psychosocial Factors Human ab: Objective. As a result of inadequate medical record information, the medical care for undocumented immigrants in general practice is time consuming and often unsatisfactory. The availability of medical record information might improve the medical care for undocumented immigrants. Therefore, we executed a systematic review of literature to investigate the potential benefits of a patient-held record (PHR) for undocumented immigrants. Design . We searched MEDLINE, EMBASE, PSYCH info and the Cochrane database of systematic reviews. Search terms were: patient-held medical records, client-held medical records, PHRs, client-held records, home-based medical record, medical passport and/or illegal immigrants, and undocumented immigrants. Inclusion criteria were: information on patient and/or doctors compliance of PHRs OR information about views of patient and/or doctors on PHRs AND age over 18 years. Two independent reviewers assessed the methodological quality of the selected articles. Results. No studies were found about undocumented immigrants and PHRs. Therefore, we decided to eliminate the search terms illegal immigrants, and undocumented immigrants, and perform a broader search about the use of PHRs in general. This search yielded 61 articles; 42 articles were excluded. Sixteen articles were screened for methodological quality: seven articles met the criteria, six quantitative studies and one qualitative study. In these studies the use and appreciation of PHRs by patients is satisfactory. The use and appreciation of the PHRs by physicians in the studies is lower than the use by patients. The most important obstacle for physicians is the time investment required. Conclusion. A PHR for undocumented immigrants seems to be appropriate because in most cases there is no other record available. However, the uncertainty of our findings is considerable. Therefore, we recommend a pilot evaluation of the use of PHRs for undocumented immigrants. In addition, a qualitative approach might be useful to solicit the views of undocumented immigrants and health care workers. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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