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<p>In Europe, non-profit organisations provide health care to undocumented immigrants (UDM), filling the gaps left by national healthcare systems: this approach is referred as “structural compensation”. Integrating beneficiaries in developing interventions can be a source of effectiveness, but evidence shows that UDM involvement is difficult. This scoping review aimed to identify best practices related to participative approaches in structural compensation interventions targeting UDM. Four electronic databases were searched. Nine studies, which met the final inclusion criteria, reported a variety of health interventions. Findings showed a limited but diverse use of participatory approaches. Furthermore, the structural compensation organisations could be facilitators to support the participation of UDM. Further research is needed to better understand structural compensation and how it is used in practice. This will help develop an appropriate response to participative approaches with UDM.</p>

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Structural Compensation and Participatory Approaches: A Way to Improve Access to Health Care for Undocumented Immigrants? A Scoping Review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月18日

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  • Camille Guiheneuf,
  • Marie Dauvrin

摘要

In Europe, non-profit organisations provide health care to undocumented immigrants (UDM), filling the gaps left by national healthcare systems: this approach is referred as “structural compensation”. Integrating beneficiaries in developing interventions can be a source of effectiveness, but evidence shows that UDM involvement is difficult. This scoping review aimed to identify best practices related to participative approaches in structural compensation interventions targeting UDM. Four electronic databases were searched. Nine studies, which met the final inclusion criteria, reported a variety of health interventions. Findings showed a limited but diverse use of participatory approaches. Furthermore, the structural compensation organisations could be facilitators to support the participation of UDM. Further research is needed to better understand structural compensation and how it is used in practice. This will help develop an appropriate response to participative approaches with UDM.