Evidence map›Paper›PMID 34651378›Full record

SynthesisHealth expectations : an international journal of public participation in health care and health policy2022

Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches.

Maha P Iqbal, Ramesh Walpola, Ben Harris-Roxas, Jiadai Li, Stephen Mears, John Hall, Reema Harrison

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Health expectations : an international journal of public participation in health care and health policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Expectations Shaped Elsewhere: Refugee Experiences of Healthcare in Aotearoa New Zealand.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Unpacking the Mystery of the Ontario Healthcare System in Canada: Ukrainian Temporary Migrants and Healthcare System Navigation.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025
    Article
  15. Article
  16. Article
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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 3 institutions in 1 country.

Maha P IqbalSchool of Population Health, UNSW Medicine, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-4284-3383
Ramesh WalpolaSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Ben Harris-RoxasSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-1716-2009
Jiadai LiSchool of Population Health, UNSW Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Stephen MearsHunter New England Medical Library, New Lambton, New South Wales, Australia.
John HallSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Reema HarrisonCentre for Health Systems and Safety Research, Australian Institute of Health Innovation; Level 6, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-8609-9827
UNSW Sydney · AUHunter Medical Research Institute · AUMacquarie University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been widely acknowledged that refugees are at risk of poorer health outcomes, spanning mental health and general well-being. A common point of access to health care for the migrant population is via the primary health care network in the country of resettlement. This review aims to synthesize the evidence of primary health care interventions to improve the quality of health care provided to refugees and asylum seekers.

methodsA systematic review was undertaken, and 55 articles were included in the final review. The Preferred Reporting Items for Systematic Reviews was used to guide the reporting of the review, and articles were managed using a reference-management software (Covidence). The findings were analysed using a narrative empirical synthesis. A quality assessment was conducted for all the studies included.

resultsThe interventions within the broad primary care setting could be organized into four categories, that is, those that focused on developing the skills of individual refugees/asylum seekers and their families; skills of primary health care workers; system and/or service integration models and structures; and lastly, interventions enhancing communication services. Promoting effective health care delivery for refugees, asylum seekers and their families is a complex challenge faced by primary care professionals, the patients themselves and the communication between them.

conclusionThis review highlights the innovative interventions in primary care promoting refugee health. Primary care interventions mostly focused on upskilling doctors, with a paucity of research exploring the involvement of other health care members. Further research can explore the involvement of interprofessional team members in providing effective refugee/migrant health. PATIENT OR PUBLIC CONTRIBUTION: Patient and public involvement was explored in terms of interventions designed to improve health care delivery for the humanitarian migrant population, that is, specifically refugees and asylum seekers.

Indexed as

RefugeesTransients and MigrantsHealth PersonnelHumansMental HealthQuality of Health Careasylum seekersinterventionsOECD (Organization for Economic Co-Operation and Development) countriesprimary health carerefugeessystematic review

Identifiers

PMID34651378
PMCPMC9615090
OpenAlexW3205192252

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.