Evidence map›Paper›PMID 35026578›Full record

ArticlePublic health2022

Vulnerable migrants' access to healthcare in the early stages of the COVID-19 pandemic in the UK.

L Fu, A Lindenmeyer, J Phillimore, L Lessard-Phillips

Open access · greenAbstract read
In one paragraph

Article in Public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  4. Review
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  6. Understanding access to general practice through the lens of candidacy: a critical review of the literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Review
  7. Article
  8. La Tunisie medicale · 2024
    Article
  9. Review
  10. Article
  11. A Qualitative Evaluation of aInternational journal of environmental research and public health · 2023
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Healthcare Access Worsened for Women in Precarious Housing During the COVID-19 Pandemic: A Qualitative Study.Inquiry : a journal of medical care organization, provision and financing
    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 at 1 institution in 1 country.

L FuInstitute for Research Into Superdiversity, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. Electronic address: L.Fu@bham.ac.uk.
A LindenmeyerInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
J PhillimoreInstitute for Research Into Superdiversity, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
L Lessard-PhillipsInstitute for Research Into Superdiversity, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
University of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo understand the living conditions, changes in the service user profile, and needs of vulnerable migrants trying to access healthcare in the early stages of the COVID-19 pandemic. STUDY

designMixed methods study; using quantitative questionnaire data collected from migrant service users of Doctors of the World UK (DOTW UK) with qualitative data from free-text notes.

methodsDOTW UK provides drop-in clinics to vulnerable migrants. Consultations switched to remote during the UK's first lockdown. We compared patient profile, well-being, healthcare access and reason for consultations of individuals attending the virtual clinic between March and September 2020 to those of the prepandemic periods between 2011 and 2018.

resultsDuring the pandemic, consultations dropped to under half of the prepandemic numbers, with the shift to remote consultations attracting more users outside of London. DOTW UK's user base changed to include a greater proportion of asylum seekers, younger adults (18-34) and individuals reporting good health. Socio-economic conditions and housing stability deteriorated for the majority of users. Those in the greatest need of healthcare appeared to be less able to access remote services. General practitioner (GP) registration remained the most common reason for contacting the virtual clinic with a lack of knowledge of the healthcare system being the main barrier to access.

conclusionThe shift to virtual consultations may have exacerbated existing inequalities in healthcare access for vulnerable migrants. Given that many clinical services continue to operate remotely, it is important to consider the impact such actions have on vulnerable migrants and find ways to support access.

Indexed as

COVID-19Transients and MigrantsCommunicable Disease ControlHealth Services AccessibilityHumansPandemicsSARS-CoV-2United KingdomBarriersCOVID-19HealthcareMigrantsRemote consultationsWell-being

Identifiers

PMID35026578
PMCPMC8743817
OpenAlexW4200197814

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.