Access of asylum seeker children to acute paediatric services

• Published in: Irish medical journal 2007-02, Vol.100 (2), p.362-363
• Main Authors: Prendiville, T, Williamson, M, Cahill, P, Loftus, B G
• Format: Article
• Language: English
• Subjects: Child; Emergency Service, Hospital - utilization; Female; Health Services Accessibility; Health Services Needs and Demand - statistics & numerical data; Humans; Ireland; Male; Pediatrics - statistics & numerical data; Refugees - statistics & numerical data; Surveys and Questionnaires
• ISSN: 0332-3102

To investigate the interface between primary care and paediatric services in the referral of asylum seekers. Over a 3 month period a questionnaire was administered, and clinical data gathered on every child attending the A&E department of UCHG whose parents were seeking asylum in this country. Control data was obtained for the next Irish child seen on-call. At the time of presentation to the paediatric service, an Irish child was 4 times more likely (32%) to have initially been seen and referred by a GP than an asylum seeker child (8%); 80% of asylum seeker families had registered with a GP, compared to 96% of controls. 24% of asylum seeker families had called and used an emergency response ambulance to get to hospital, compared to just 4% of Irish children. The rate of subsequent admission to the paediatric ward from A&E was nearly that in asylum seeker children (24%) compared to Irish controls (40%), get to hospital, compared to just 4% of Irish children. Asylum seeker children are less likely to have seen a GP prior to A&E presentation, more likely to go to hospital by ambulance and less likely to be subsequently admitted, suggesting an over-dependence on paediatric hospital services in this population.