Access to primary health care for asylum seekers and refugees: a qualitative study of service user experiences in the UK

Asylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research...

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Vydané v:British journal of general practice Ročník 69; číslo 685; s. e537
Hlavní autori: Kang, Cara, Tomkow, Louise, Farrington, Rebecca
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England 01.08.2019
Predmet:
Adult
Communication Barriers
Female
Health Services Accessibility - statistics & numerical data
Health Services Needs and Demand
Health Services Research
Humans
Interviews as Topic
Male
Middle Aged
Physician-Patient Relations
Primary Health Care - statistics & numerical data
Qualitative Research
Refugees - psychology
United Kingdom - epidemiology
Young Adult
United Kingdom
access to health care
asylum seekers
qualitative research
refugees
ISSN:1478-5242, 1478-5242
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Abstract Asylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care. To examine ASR experiences accessing primary health care in the UK in 2018. This was a qualitative community-based study. ASR were recruited by criterion-based sampling through voluntary community organisations. A total of 18 ASR completed face-to-face semi-structured recorded interviews discussing primary care access. Transcripts underwent thematic analysis by three researchers using Penchansky and Thomas's modified theory of access. The qualitative data show that participants found primary care services difficult to navigate and negotiate. Dominant themes included language barriers and inadequate interpretation services; lack of awareness of the structure and function of the NHS; difficulty meeting the costs of dental care, prescription fees, and transport to appointments; and the perception of discrimination relating to race, religion, and immigration status. By centralising the voices of ASR and illustrating the negative consequences of poor healthcare access, this article urges consideration of how access to primary care in the UK can be enhanced for often marginalised individuals with complex needs.
AbstractList Asylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care.BACKGROUNDAsylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care.To examine ASR experiences accessing primary health care in the UK in 2018.AIMTo examine ASR experiences accessing primary health care in the UK in 2018.This was a qualitative community-based study. ASR were recruited by criterion-based sampling through voluntary community organisations.DESIGN AND SETTINGThis was a qualitative community-based study. ASR were recruited by criterion-based sampling through voluntary community organisations.A total of 18 ASR completed face-to-face semi-structured recorded interviews discussing primary care access. Transcripts underwent thematic analysis by three researchers using Penchansky and Thomas's modified theory of access.METHODA total of 18 ASR completed face-to-face semi-structured recorded interviews discussing primary care access. Transcripts underwent thematic analysis by three researchers using Penchansky and Thomas's modified theory of access.The qualitative data show that participants found primary care services difficult to navigate and negotiate. Dominant themes included language barriers and inadequate interpretation services; lack of awareness of the structure and function of the NHS; difficulty meeting the costs of dental care, prescription fees, and transport to appointments; and the perception of discrimination relating to race, religion, and immigration status.RESULTSThe qualitative data show that participants found primary care services difficult to navigate and negotiate. Dominant themes included language barriers and inadequate interpretation services; lack of awareness of the structure and function of the NHS; difficulty meeting the costs of dental care, prescription fees, and transport to appointments; and the perception of discrimination relating to race, religion, and immigration status.By centralising the voices of ASR and illustrating the negative consequences of poor healthcare access, this article urges consideration of how access to primary care in the UK can be enhanced for often marginalised individuals with complex needs.CONCLUSIONBy centralising the voices of ASR and illustrating the negative consequences of poor healthcare access, this article urges consideration of how access to primary care in the UK can be enhanced for often marginalised individuals with complex needs.
Asylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care. To examine ASR experiences accessing primary health care in the UK in 2018. This was a qualitative community-based study. ASR were recruited by criterion-based sampling through voluntary community organisations. A total of 18 ASR completed face-to-face semi-structured recorded interviews discussing primary care access. Transcripts underwent thematic analysis by three researchers using Penchansky and Thomas's modified theory of access. The qualitative data show that participants found primary care services difficult to navigate and negotiate. Dominant themes included language barriers and inadequate interpretation services; lack of awareness of the structure and function of the NHS; difficulty meeting the costs of dental care, prescription fees, and transport to appointments; and the perception of discrimination relating to race, religion, and immigration status. By centralising the voices of ASR and illustrating the negative consequences of poor healthcare access, this article urges consideration of how access to primary care in the UK can be enhanced for often marginalised individuals with complex needs.
Author Tomkow, Louise
Kang, Cara
Farrington, Rebecca
Author_xml – sequence: 1
  givenname: Cara
  surname: Kang
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  organization: School of Biology, Medicine, and Health
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  givenname: Louise
  surname: Tomkow
  fullname: Tomkow, Louise
  organization: Humanitarian and Conflict Response Institute, School of Arts, Languages, and Cultures, University of Manchester, Manchester
– sequence: 3
  givenname: Rebecca
  surname: Farrington
  fullname: Farrington, Rebecca
  organization: School of Biology, Medicine, and Health
BackLink https://www.ncbi.nlm.nih.gov/pubmed/30745354$$D View this record in MEDLINE/PubMed
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asylum seekers
qualitative research
refugees
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SubjectTerms Adult
Communication Barriers
Female
Health Services Accessibility - statistics & numerical data
Health Services Needs and Demand
Health Services Research
Humans
Interviews as Topic
Male
Middle Aged
Physician-Patient Relations
Primary Health Care - statistics & numerical data
Qualitative Research
Refugees - psychology
United Kingdom - epidemiology
Young Adult
Title Access to primary health care for asylum seekers and refugees: a qualitative study of service user experiences in the UK
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