Migrant healthcare workers during COVID-19: bringing an intersectional health system-related approach into pandemic protection. A German case study.
COVID-19 pandemic
Germany
SARS-CoV-2
health system
health workforce
intersectional inequalities
migrant healthcare workers
secondary data analysis
Journal
Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579
Informations de publication
Date de publication:
2023
2023
Historique:
received:
28
01
2023
accepted:
26
06
2023
medline:
4
8
2023
pubmed:
3
8
2023
entrez:
3
8
2023
Statut:
epublish
Résumé
Migrant healthcare workers played an important role during the COVID-19 pandemic, but data are lacking especially for high-resourced European healthcare systems. This study aims to research migrant healthcare workers through an intersectional health system-related approach, using Germany as a case study. An intersectional research framework was created and a rapid scoping study performed. Secondary analysis of selected items taken from two COVID-19 surveys was undertaken to compare perceptions of national and foreign-born healthcare workers, using descriptive statistics. Available research is focused on worst-case pandemic scenarios of Brazil and the United Kingdom, highlighting racialised discrimination and higher risks of migrant healthcare workers. The German data did not reveal significant differences between national-born and foreign-born healthcare workers for items related to health status including SARS-CoV-2 infection and vaccination, and perception of infection risk, protective workplace measures, and government measures, but items related to social participation and work conditions with higher infection risk indicate a higher burden of migrant healthcare workers. COVID-19 pandemic policy must include migrant healthcare workers, but simply adding the migration status is not enough. We introduce an intersectional health systems-related approach to understand how pandemic policies create social inequalities and how the protection of migrant healthcare workers may be improved.
Identifiants
pubmed: 37533524
doi: 10.3389/fpubh.2023.1152862
pmc: PMC10393282
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1152862Informations de copyright
Copyright © 2023 Kuhlmann, Ungureanu, Behrens, Cossmann, Fehr, Klawitter, Mikuteit, Müller, Thilo, Brînzac and Dopfer-Jablonka.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Int J Health Plann Manage. 2022 Jul;37(4):2032-2048
pubmed: 35194831
J Migr Health. 2020 Dec 09;1-2:100024
pubmed: 34405175
One Health. 2021 Jun;12:100228
pubmed: 33614885
Cien Saude Colet. 2022 Nov;27(11):4131-4144
pubmed: 36259834
Rehabilitation (Stuttg). 2015 Dec;54(6):402-8
pubmed: 26676739
Eur J Public Health. 2021 Nov 9;31(Supplement_4):iv14-iv20
pubmed: 34751366
J Public Health Policy. 2022 Mar;43(1):140-148
pubmed: 34983961
Lancet Reg Health Eur. 2022 Feb;13:100299
pubmed: 35013731
Eur J Public Health. 2020 Sep 1;30(Suppl_4):iv5-iv11
pubmed: 32894282
PLoS One. 2021 Aug 4;16(8):e0254821
pubmed: 34347812
EClinicalMedicine. 2022 Apr;46:101346
pubmed: 35308309
BMC Health Serv Res. 2022 Jul 5;22(1):867
pubmed: 35790970
Front Public Health. 2023 Feb 03;11:1078008
pubmed: 36817917
Health Syst Transit. 2020 Dec;22(6):1-272
pubmed: 34232120
Rev Int Econ. 2022 Apr 10;:
pubmed: 35601931
Infect Dis Ther. 2020 Dec;9(4):837-849
pubmed: 32886335
Eur J Psychotraumatol. 2022 Aug 09;13(2):2105577
pubmed: 35967893
Health Policy. 2023 Jan;127:12-18
pubmed: 36435630
J Migr Health. 2021;3:100041
pubmed: 33903857
Lancet Reg Health Eur. 2021 Oct;9:100180
pubmed: 34308406
BMJ Open. 2021 Jun 28;11(6):e046392
pubmed: 34183342
Hum Resour Health. 2021 Sep 16;19(1):112
pubmed: 34530844
Lancet. 2020 Mar 14;395(10227):846-848
pubmed: 32151325
Ethn Health. 2022 Oct;27(7):1555-1574
pubmed: 34092149
Eur J Public Health. 2020 Sep 1;30(Supplement_4):iv22-iv27
pubmed: 32894300
Rev Esc Enferm USP. 2020 Sep 16;54:e03599
pubmed: 32965444
Braz J Infect Dis. 2022 Jul-Aug;26(4):102387
pubmed: 35905929
Vaccine. 2022 May 9;40(21):2904-2909
pubmed: 35428499
Int J Nurs Stud Adv. 2022 Dec;4:100066
pubmed: 35128472
Lancet Reg Health Am. 2022 Mar;7:100170
pubmed: 35005692
PLoS Med. 2022 May 26;19(5):e1004015
pubmed: 35617423
Soc Sci Med. 2022 Jan;292:114634
pubmed: 34883310
Front Sociol. 2021 Mar 26;6:642662
pubmed: 33869589
Eur J Health Econ. 2019 Mar;20(2):205-216
pubmed: 29445941
BMJ Open. 2021 Sep 17;11(9):e050647
pubmed: 34535484
Occup Med (Lond). 2022 Feb 22;72(2):65-66
pubmed: 34551111
JMIR Res Protoc. 2022 Oct 26;11(10):e38718
pubmed: 36108134
PLoS One. 2022 Sep 9;17(9):e0273687
pubmed: 36084076
PLoS One. 2022 Aug 24;17(8):e0272953
pubmed: 36001588
Eur J Public Health. 2020 Sep 1;30(Supplement_4):iv1-iv2
pubmed: 32949241
BMJ Glob Health. 2020 Dec;5(12):
pubmed: 33277297
Eur Policy Anal. 2020 Dec;6(2):238-263
pubmed: 34616908
Eur J Public Health. 2022 Apr 1;32(2):302-310
pubmed: 34718522
Int J Epidemiol. 2023 Feb 8;52(1):e38-e45
pubmed: 36029521
Hum Resour Health. 2022 Mar 24;20(1):27
pubmed: 35331261
BMJ Open. 2022 Jan 6;12(1):e053641
pubmed: 34992113
BMC Health Serv Res. 2021 Mar 31;21(1):291
pubmed: 33789650
J Epidemiol Community Health. 2020 Nov;74(11):964-968
pubmed: 32535550
Lancet. 2020 Sep 26;396(10255):874
pubmed: 32979964
Lancet. 2021 Apr 3;397(10281):1264
pubmed: 33773114
Front Public Health. 2022 May 20;10:898840
pubmed: 35669735
Int J Environ Res Public Health. 2021 Oct 07;18(19):
pubmed: 34639831