RNCohortPublic health nursing (Boston, Mass.)2022

Reducing health disparities: Adherence to referrals for further diagnosis among asylum seeking children.

Anat Amit Aharon

PMID 35864557

WHAT IT FOUND

Asylum-seeking children in Israel adhered to nurse referrals for further diagnosis at the same rate as native Israeli children, even though most lacked health insurance.

However, they were significantly less likely to adhere to developmental referrals compared to physical or growth referrals.

Key findings

01There was no significant difference in overall adherence to mother-child health clinic referrals between asylum-seeking and Israeli children.

02Asylum-seeking children adhered significantly more to physical and growth referrals than to developmental referrals.

03Having medical insurance did not predict adherence to referrals among asylum-seeking children.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was conducted in a single city, which may limit generalizability to other regions. Health insurance status was unknown for nearly 15% of asylum-seeking children, potentially affecting the analysis of insurance as a factor. Data relied on medical records, which may have variations in how nurses and pediatricians document referrals and outcomes.

Declared interests

The author declared no relevant financial or non-financial interests.

The easy way to misread this

Do not assume that lack of health insurance is the primary barrier to care for asylum-seeking children in this context, as insurance status did not predict adherence to referrals. The barrier appears specific to developmental referrals rather than healthcare access generally.

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