Conclusion: Roadmap for Refugee Health

  • Florian FischerEmail author
  • Alexander Krämer
Part of the Migration, Minorities and Modernity book series (MMMO, volume 4)


Migration is a complex phenomenon and, in many ways, linked to health and social transformations. Refugees are generally more vulnerable to several risk factors and disease entities, not only before or during their flight, but also in the destination country. They are faced with several barriers to accessing healthcare due to the legal framework. In addition, economic and social marginalisation, communication barriers, cultural issues, structural problems and bureaucratic barriers exist. This article aims at illustrating the major challenges for healthcare systems related to refugees’ health and describes the needs for further research in this subject of growing importance. It should serve as a roadmap for further activities in the context of refugees’ health.


  1. Alipui, N., & Gerke, N. (2018). The refugee crisis and the rights of children: Perspectives on community-based resettlement programs. New Directions for Child and Adolescent Development, 159, 91–98.CrossRefGoogle Scholar
  2. Bauhoff, S., & Göpffarth, D. (2018). Asylum-seekers in Germany differ from regularly insured in their morbidity, utilizations and costs of care. PLoS ONE, 13(5), e0197881.CrossRefGoogle Scholar
  3. Bozorgmehr, K., Samuilova, M., Petrova-Benedict, R., Girardi, E., Piselli, P., & Kentikelenis, A. (2018). Infectious disease health services for refugees and asylum seekers during a time of crisis: A scoping study of six European Union countries. Health Policy.
  4. Bozorgmehr, K., & Wahedi, K. (2017). Reframing solidarity in Europe: Frontex, frontiers, and the fallacy of refugee quota. Lancet Public Health, 2(1), e10–e11.CrossRefGoogle Scholar
  5. Bozorgmehr, K., Wahedi, K., Noest, S., Szecsenyi, J, & Razum, O. (2017). Infectious disease screening in asylum seekers: Range, coverage and economic evaluation in Germany, 2015. Eurosurveillance, 22(40): pii=16-00677.Google Scholar
  6. Castles, S. (2013). The forces driving global migration. Journal of Intercultural Studies, 34(2), 122–140.CrossRefGoogle Scholar
  7. Danzinger, C., Fellinger, M., Fellinger-Vols, W., Psota, G., Wancata, J., Wimmer, A., et al. (2018). Positionspapier zur Flüchtlingsversorgung. Eine Stellungnahme zur psychosozialen Versorgung von Flüchtlingen. Neuropsychiatrie, 32, 101–106.CrossRefGoogle Scholar
  8. Fazel, M., Karunakara, U., & Newnham, E. A. (2016). Detention, denial, and death: Migration hazards for refugee children. Lancet Global Health, 2(6), e313–e314.CrossRefGoogle Scholar
  9. Gulacti, U., Lok, U., & Polat, H. (2017). Emergency department visits of Syrian refugees and the cost if their healthcare. Pathogens and Global Health, 111(5), 219–224.CrossRefGoogle Scholar
  10. Humphries, R., & Bradby, H. (2017). Health status of refugees and asylum seekers in Europe. Oxford Research Encyclopedia of Global Public Health.
  11. Müller, M., Klingberg, K., Srivastava, D., & Exadaktylos, A. K. (2016). Consultations by asylum seekers: Recent trends in the emergency department of a Swiss university hospital. PLoS ONE, 11(5), e0155423.CrossRefGoogle Scholar
  12. Nuissl, H., & Schmiz, A. (2015). Migrantische Ökonomie als Potential räumlicher Entwicklung. Geographische Rundschau, 67(4), 26–32.Google Scholar
  13. Ravenstein, E. (1885). The laws of migration. Journal of the Statistical Society of London, 48(2), 167–235.CrossRefGoogle Scholar
  14. Razum, O., & Bozorgmehr, K. (2016). Restricted entitlements and access to health care for refugees and immigrants: The example of Germany. Global Social Policy, 16(3), 321–324.CrossRefGoogle Scholar
  15. Sartorius, K., Sartorius, B., Tollman, S., Schatz, E., Kirsten, J., & Collinson, M. (2013). Rural poverty dynamics and refugee communities in South Africa: A spatial-temporal model. Population Space and Place, 19(1), 103–123.CrossRefGoogle Scholar
  16. Schilling, T., Rauscher, S., Menzel, C., Reichenauer, S., Müller-Schilling, M., Schmid, S., et al. (2017). Migrants and refugees in Europe: Challenges, experiences and contributions. Visceral Medicine, 33(4), 295–300.CrossRefGoogle Scholar
  17. Schnur, O., Drilling, M., & Zakrzewski, P. (2013). Migrationsort Quartier – zwischen Segregation, Integration und Interkultur. In O. Schnur, M. Drilling, & P. Zakrzewski (Eds.), Migrationsort Quartier. Zwischen Segregation, Integration und Interkultur (pp. 9–24). Wiesbaden: Springer.Google Scholar
  18. Trilling, D. (2018). Five myths about the refugee crisis. The Guardian, June 5, 2018. Accessed August 8, 2018.
  19. UN General Assembly Resolution. (2015). Transforming our world: The 2030 agenda for sustainable development. New York: United Nations General Assembly.Google Scholar
  20. UNHCR. (2007). UNHCR Global Report 2007. Geneva: United Nations High Commissioner for Refugees.Google Scholar
  21. van Loenen, T., van den Muijsenbergh, M., Hofmeester, M., Dowrick, C., van Ginneken, N., Mechili, E. A., et al. (2018). Primary care for refugees and newly arrived migrants in Europe: A qualitative study in health needs, barriers and wishes. European Journal of Public Health, 28(1), 82–87.CrossRefGoogle Scholar
  22. WHO. (1986). The Ottawa charter for health promotion. Geneva: World Health Organization.Google Scholar
  23. WHO. (2010). How health systems can address health inequities linked to migration and ethnicity. Copenhagen: World Health Organization—Regional Office for Europe.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Public Health Medicine, School of Public HealthBielefeld UniversityBielefeldGermany

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