Evidence map›Paper›PMID 33791456›Full record

ArticleFuture healthcare journal2021

Patients or passports? The 'hostile environment' in the NHS.

Kitty Worthing, Marta Mojarrieta Galaso, Johanna Kellett Wright, Jessica Potter

Abstract read
In one paragraph

Article in Future healthcare journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kitty WorthingTower Hamlets VTS, London, UK.
Marta Mojarrieta GalasoUniversity College London Hospitals NHS Foundation Trust, London, UK.
Johanna Kellett WrightNorth Bristol NHS Trust, Bristol, UK.
Jessica PotterNorth Middlesex University Hospital, London, UK.

Funding

Medical Research Council MR/M014517/1
6 · The paper itself

Abstract

Throughout the pandemic, the NHS has continued to charge certain patients for their care based on their immigration status and to report patients with outstanding debt to the Home Office. Research has consistently shown that these policies act as a significant barrier to healthcare access for already minoritised communities, and that during the pandemic patients have remained fearful and reluctant to seek care due to charging, including care for 'exempt' conditions such as COVID-19. Charging policies, and associated data sharing, represent only one of the myriad ways in which structural and 'every day' racism operate to impact health; however, they undoubtedly form a part of the picture as to why COVID-19 has disproportionately affected many minoritised communities.

Indexed as

COVID19health inequalitieshostile environmentmigrant healthracism in health

Identifiers

PMID33791456
PMCPMC8004306

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.