Evidence map›Paper›PMID 34376383›Full record

ArticleBJGP open2021

Asylum seekers' and refugees' experiences of accessing health care: a qualitative study.

Ashrafunnesa Khanom, Wdad Alanazy, Lauren Couzens, Bridie Angela Evans, Lucy Fagan, Rebecca Fogarty, Ann John, Talha Khan, Mark Rhys Kingston, Samuel Moyo and 6 more

Abstract read
In one paragraph

Article in BJGP open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary.Health expectations : an international journal of public participation in health care and health policy · 2024
    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

16 authors.

Ashrafunnesa KhanomResearch Fellow, Medical School, Swansea University, Swansea, UK a.khanom@swansea.ac.uk.ORCID https://orcid.org/0000-0002-5735-6601
Wdad AlanazyLecturer, Midwifery, Majmaah University, Al Majma'ah, Saudi Arabia.
Lauren CouzensSenior Project Manager, Public Health Wales, Policy and International Health WHO Collaborating Centre on Investment for Health and Well-being, Cardiff, UK.
Bridie Angela EvansResearch Officer, Medical School, Swansea University, Swansea, UK.ORCID https://orcid.org/0000-0003-0293-0888
Lucy FaganSpeciality Registrar in Public Health, Imperial College Healthcare NHS Trust, London, UK.
Rebecca FogartySenior Project Manager, Public Health Wales , Policy and International Health WHO Collaborating Centre on Investment for Health and Well-being, Cardiff, UK.
Ann JohnProfessor in Public Health,, Medical School, Swansea University, Swansea, UK.
Talha KhanMedical Student, School of Medicine, University College Cork, Cork, Ireland.
Mark Rhys KingstonResearch Officer, Medical School, Swansea University, Swansea, UK.
Samuel MoyoPublic Member and Asylum Seeker, Patient and Public Involvement Members, Swansea University, Swansea, UK.
Alison PorterAssociate Professor, Swansea University, Swansea, UK.
Melody RhydderchSenior Project Manager and Lead Specialist Advisor, Behavioural Insights, Natural Resources Wales, Cardiff, UK.
Gillian RichardsonSenior Professional Advisor to Chief Medical Officer for Wales, Welsh Government, Population Healthcare Directorate, Cardiff, UK.
Grace RunguaPublic Member and Asylum Seeker, Patient and Public Involvement Members, Swansea University, Swansea, UK.
Ian RussellProfessor Emeritus (Medicine), Medical School, Swansea University, Swansea, UK.
Helen SnooksProfessor in Health Services Research, Swansea University, Swansea, UK.

Funding

Medical Research Council MR/T046597/1
6 · The paper itself

Abstract

backgroundAsylum seekers and refugees (ASRs) often experience poor health in host countries. The United Nations High Commissioner for Refugees (UNHCR) requires hosts to ensure these sanctuary seekers have access to basic health care.

aimTo identify barriers and facilitators that affect access to health care by ASRs in Wales. DESIGN &

settingParticipatory research approach using qualitative focus groups across Wales, which hosts 10 000 refugees.

methodEight focus groups were undertaken with ASRs, support workers, and volunteers (

resultsSpecialist NHS-funded services and grant-aided non-governmental organisations (NGOs) facilitated access to health care, including primary care. Most ASRs understood the role of general practice in providing and coordinating care, but were unaware of out-of-hours services. Reported barriers included: language difficulties, health literacy, unrecognised needs, and the cost of travel to appointments. Participants recognised the importance of mental health, but were disappointed by the state of mental health care. Some feared seeking support for mental health from their GP, and few were aware they had the right to move practice if they were unhappy. Written information about health care was not as accessible to refugees as to asylum seekers (ASs). While some participants read such material before consulting, others struggled to access information when in need. Few participants were aware of health prevention services. Even when they knew about services, such as smoking cessation, these services' difficulty in accommodating ASRs was a barrier.

conclusionThe main barriers identified were: availability of interpreters; knowledge about entitlements; and access to specialist services.

Indexed as

asylum seekersdelivery of health caregeneral practicelanguagemental healthrefugees

Identifiers

PMID34376383
PMCPMC9447303

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.