In the context of contact rates, several authors (e.g., Baykara-Krumme 2010; Blohm and Diehl 2001; Koch 1997; Feskens et al. 2006) have reported a low accessibility of migrants (operationalized by the criterion citizenship) in Germany because of higher mobility (e.g., longer visits to the country of origin) or due to specific work schedules (e.g., shift work) or self-employment.
The review sought to identify all qualitative research studies related to health services accessibility by economic migrants (based upon phenomenology, ethnography, grounded theory, ethnomethodology, phenomenography and critical, interpretative or feminist analyses).
An international systematic review was carried out of to identify all qualitative studies whose primary focus was to illuminate the barriers and determinants of health services accessibility amongst economic migrants.
Furthermore, the migrants are also facing the lack of accessibility to healthcare insurance in cities, as most of them are not qualified for UEBMI and URBMI [ 11, 12].
The importance of health accessibility, irrespective of visa status, for migrant workers to primary and specialized health care facilities in these destination countries also needs to be emphasized through state-to-state and regional advocacy mechanisms.
These findings confirm the reported low accessibility of Moroccan public healthcare for migrants in earlier research [ 4, 23, 24].
A number of studies among migrants in Europe point to negative perceptions of accessibility and quality of healthcare due to language barriers, differences in expectations, and perceived discrimination, combined with reluctance to assert healthcare rights among [ 24, 25].
As such, this systematic review seeks to describe economic migrants' views of barriers and determinants to health services' accessibility by identifying, evaluating and synthesising qualitative research that relates to the experience of access to health services by economic migrant populations within the period 1997 2011.
They cited ease of accessibility, familiarity with the home system and what migrant informants perceived as a lack of information about and/or accessibility to their GP as reasons for preferring emergency clinics to GP appointments.
This research demonstrates the low accessibility of existing Moroccan services for sub-Saharan migrants.
There is a lack of data on accessibility and use of health care services by migrants, appropriateness of the care provided, client satisfaction and problems experienced when confronting the health care system.
