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Summary Report on the MIPEX Health Strand and Country Reports

image of Summary Report on the MIPEX Health Strand and Country Reports

The Migrant Integration Policy Index (MIPEX) Health strand is a questionnaire designed to supplement the existing seven strands of the MIPEX, which in its latest edition (2015) monitors policies affecting migrant integration in 38 different countries. The questionnaire measures the equitability of policies relating to four issues: (A) migrants’ entitlements to health services; (B) accessibility of health services for migrants; (C) responsiveness to migrants’ needs; and (D) measures to achieve change. The work described in this report formed part of the EQUI-HEALTH project carried out by the International Organization for Migration from 2013 to 2016, in collaboration with the Migrant Policy Group (MPG) and COST Action IS1103 (Adapting European health services to diversity). Part I of this report shows that many studies have already been carried out on migrant health policies, but because they tend to select different countries, concepts, categories and methods of measurement, it is difficult to integrate and synthesize all these findings. The MIPEX Health strand sets out to surmount this obstacle by collecting information on carefully defined and standardized indicators in all 38 MIPEX countries, as well as Bosnia and Herzegovina and the former Yugoslav Republic of Macedonia. Part II describes the conceptual framework underlying the questionnaire and the way in which aspects of policy were operationalized and scored in the 38 indicators. This is followed in Part III by a detailed description of the pattern of results found in 34 European countries on each item in the questionnaire. Part IV reports the results of statistical analyses of collected data.

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Statistical analyses

How homogenous is the MIPEX Health strand in the statistical sense? To what extent do all its items “measure the same thing”? These two questions should not be confused with each other. Researchers often attempt to deal with the second question by answering the first – by calculating the internal reliability of a scale, i.e. the extent to which the items in the scale are correlated with each other. However, this only measures their tendency to vary together. This reflects the extent to which they are affected by the same determinants, but it does not tell us whether they have the same effects.

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