ArticleBMJ open2012
Poor uptake of primary healthcare registration among recent entrants to the UK: a retrospective cohort study.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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The trial behind it
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Who cites it
26 citing papers in PubMed.
- Screening for latent TB, HIV, and hepatitis B/C in new migrants in a high prevalence area of London, UK: a cross-sectional study.BMC infectious diseases · 2014Trial
- A Datasheet for the INSIGHT Moorfields Cornea Anterior Segment Dataset (CADMUS).Ophthalmology science · 2026Article
- Promoting migrant health as a universal right in the United Kingdom.BMC global and public health · 2026Review
- Toward a universal definition of provider-patient attachment in primary care.Canadian family physician Medecin de famille canadien · 2024Review
- A Profile of Influenza Vaccine Coverage for 2019-2020: Database Study of the English Primary Care Sentinel Cohort.JMIR public health and surveillance · 2024Article
- Linking migration and hospital data in England: linkage process and evaluation of bias.International journal of population data science · 2024Article
- Women's knowledge, attitudes and views of preconception health and intervention delivery methods: a cross-sectional survey.BMC pregnancy and childbirth · 2022Article
- Migrants' primary care utilisation before and during the COVID-19 pandemic in England: An interrupted time series analysis.The Lancet regional health. Europe · 2022Article
- Effectiveness of nationwide programmatic testing and treatment for latent tuberculosis infection in migrants in England: a retrospective, population-based cohort study.The Lancet. Public health · 2022Article
- Utilisation of healthcare by immigrant adults relative to the host population: Evidence from Ireland.Journal of migration and health · 2022Article
- Development and Validation of a Primary Care Electronic Health Record Phenotype to Study Migration and Health in the UK.International journal of environmental research and public health · 2021Article
- The association of migration and ethnicity with use of the Improving Access to Psychological Treatment (IAPT) programme: a general population cohort study.Social psychiatry and psychiatric epidemiology · 2021Article
- Healthcare utilization among migrants to the UK: cross-sectional analysis of two national surveys.Journal of health services research & policy · 2021Article
- Perspectives of Vietnamese, Sudanese and South Sudanese immigrants on targeting migrant communities for latent tuberculosis screening and treatment in low-incidence settings: A report on two Victorian community panels.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- 'Differences between the earth and the sky': migrant parents' experiences of child health services for pre-school children in the UK.Primary health care research & development · 2020Article
- Responding to measles outbreaks in underserved Roma and Romanian populations in England: the critical role of community understanding and engagement.Epidemiology and infection · 2020Article
- Patient data-sharing for immigration enforcement: a qualitative study of healthcare providers in England.BMJ open · 2020Article
- Million Migrants study of healthcare and mortality outcomes in non-EU migrants and refugees to England: Analysis protocol for a linked population-based cohort study of 1.5 million migrants.Wellcome open research · 2019Article
- Factors influencing the higher incidence of tuberculosis among migrants and ethnic minorities in the UK.F1000Research · 2018Review
- Needles, Jabs and Jags: a qualitative exploration of barriers and facilitators to child and adult immunisation uptake among Gypsies, Travellers and Roma.BMC public health · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesUptake of healthcare among migrants is a complex and controversial topic; there are multiple recognised barriers to accessing primary care. Delays in presentation to healthcare services may result in a greater burden on costly emergency care, as well as increased public health risks. This study aimed to explore some of the factors influencing registration of new entrants with general practitioners (GPs).
designRetrospective cohort study.
settingPort health screening at Heathrow and Gatwick airports, primary care.
participants252 559 new entrants to the UK, whose entry was documented by the port health tuberculosis screening processes at Heathrow and Gatwick. 191 had insufficient information for record linkage. PRIMARY OUTCOME MEASURE: Registration with a GP practice within the UK, as measured through record linkage with the Personal Demographics Service (PDS) database.
resultsOnly 32.5% of 252 368 individuals were linked to the PDS, suggesting low levels of registration in the study population. Women were more likely to register than men, with a RR ratio of 1.44 (95% CI 1.41 to 1.46). Compared with those from Europe, individuals of nationalities from the Americas (0.43 (0.39 to 0.47)) and Africa (0.74 (0.69 to 0.79)) were less likely to register. Similarly, students (0.83 (0.81 to 0.85)), long-stay visitors (0.82 (0.77 to 0.87)) and asylum seekers (0.46 (0.42 to 0.51)) were less likely to register with a GP than other migrant groups.
conclusionsLevels of registration with GPs within this selected group of new entrants, as measured through record linkage, are low. Migrant groups with the lowest proportion registered are likely to be those with the highest health needs. The UK would benefit from a targeted approach to identify the migrants least likely to register for healthcare and to promote access among both users and service providers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.