Evidence map›Paper›PMID 33875420›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2021

Impact of COVID-19 on migrants' access to primary care and implications for vaccine roll-out: a national qualitative study.

Felicity Knights, Jessica Carter, Anna Deal, Alison F Crawshaw, Sally E Hayward, Lucinda Jones, Sally Hargreaves

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 4 pooled it
20.0field-weighted citation impact, top 1% of its field
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

93 citing papers in PubMed, 4 syntheses or guidelines pooled it, 154 citations in OpenAlex.

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  7. Virtual Care and Compassion for Migrants and Refugees: A Scoping Review.Journal of immigrant and minority health · 2026
    Review
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33 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 1 country.

Felicity KnightsThe Migrant Health Research Group, St George's, University of London, London.
Jessica CarterSt George's, University of London, London.
Anna DealThe Migrant Health Research Group, St George's, University of London, London.
Alison F CrawshawThe Migrant Health Research Group, St George's, University of London, London.
Sally E HaywardThe Migrant Health Research Group, St George's, University of London, London.
Lucinda JonesPalladium, London.
Sally HargreavesThe Migrant Health Research Group, St George's, University of London, London.
St George's, University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has led to big changes in UK primary care, including rapid digitalisation, with unknown impact on migrant groups.

aimTo understand the pandemic's impact on recently-arrived migrants and their access to primary health care, and implications for vaccine roll-out. DESIGN AND

settingQualitative study involving semi-structured interviews with primary care professionals (PCPs) and migrants in urban, suburban, and rural settings across England.

methodSixty-four PCPs and administrative staff, and 17 recently-arrived migrants were recruited using purposive, convenience, and snowball sampling. In-depth, semi-structured interviews were conducted by telephone. Data were analysed iteratively, informed by thematic analysis.

resultsPCPs and migrants concurred that digitalisation and virtual consultations have amplified existing inequalities in access to health care for many migrants, due to a lack of digital literacy and access to technology, compounded by language barriers. PCPs were concerned that virtual consultations resulted in difficulties building trust and risked missing safeguarding cues. Both PCPs and migrants highlighted challenges around registering and accessing health care due to physical closure of surgeries, as well as indirect discrimination, language and communication barriers, and a lack of access to targeted and tailored COVID-19 information or interventions. Migrants reported a range of specific beliefs, from acceptance to mistrust, around COVID-19 and potential COVID-19 vaccines, often influenced by misinformation. Innovative opportunities were suggested, including translated digital health advice using text templates and YouTube; these merit further exploration.

conclusionPandemic-related changes to primary care delivery may become permanent; some migrant groups are at risk of digital exclusion and may need targeted additional support to access services. Solutions are needed to address vaccine hesitancy in marginalised groups to ensure equitable COVID-19 vaccine uptake.

Indexed as

COVID-19Transients and MigrantsCOVID-19 VaccinesEnglandHealth Services AccessibilityHumansPrimary Health CareQualitative ResearchSARS-CoV-2COVID-19 VaccinesCOVID-19 vaccinesdelivery of health careprimary health care

Identifiers

PMID33875420
PMCPMC8216266
OpenAlexW3153961501

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.