ArticleThe Lancet regional health. Europe2022
Migrants' primary care utilisation before and during the COVID-19 pandemic in England: An interrupted time series analysis.
Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of NHS charging regulations on healthcare access and utilisation among migrants in England: a systematic review.BMC public health · 2023Pooled it
- Time trends in stroke incidence and modifiable risk factor prevalence in England (2018-2024): A record linkage population-based study.PLoS medicine · 2026Article
- Prediagnostic primary care consultations and imaging in emergency-diagnosed versus referred patients with lung cancer: a population-based linked data study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Ethnic differences in Long COVID diagnosed in primary care in England (2020-2022): an observational cohort study using OpenSAFELY.The Lancet regional health. Europe · 2026Article
- Person-centred, community-oriented, and diversity sensitive primary care for migrants; a EFPC position paper.Primary health care research & development · 2026Review
- Estimating the risk of post-COVID condition in deprived communities, migrants and ethnic minorities in England: findings from Virus Watch-a prospective community cohort study.Journal of epidemiology and community health · 2026Article
- Health system development and utilisation in Kuwait, 2011-2022: insights from national healthcare data.Frontiers in health services · 2026Article
- Recording of wider determinants of health in UK primary care using the Clinical Practice Research Datalink (CPRD) databases, a descriptive cross-sectional study.Frontiers in public health · 2026Article
- Pre-pregnancy primary care and accident and emergency interactions among interpreter-users versus non-interpreter-users in England: a retrospective cohort study.BMJ public health · 2026Article
- The impact of the COVID-19 pandemic on hospital admissions for psychiatric disorders: results from the multicentre study on the Italian population "COVID-19 and Mental Health" (CoMeH).BMC psychiatry · 2025Article
- A population-based cohort to investigate the impact of COVID-19 on socioeconomic inequalities in mental health care in Italy (CoMeH): study protocol.Social psychiatry and psychiatric epidemiology · 2025Article
- Pre-pregnancy care in general practice in England: cross-sectional observational study using administrative routine health data.BMC public health · 2025Observational
- Interrupted time series analysis to evaluate the impact of COVID-19-pandemic on the incidence of notifiable infectious diseases in the Lazio region, Italy.BMC public health · 2025Article
- Article
- To what extent did mortality from COVID-19 in England and Wales differ for migrants compared to non-migrants in 2020 and 2021? A descriptive, observational study.European journal of public health · 2024Observational
- Ethnic inequities in 6-8 week baby check coverage in England 2006- 2021: a cohort study using the Clinical Practice Research Datalink.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Migration Challenges and Their Impact on the Primary Healthcare System-A Qualitative Research.Healthcare (Basel, Switzerland) · 2024Article
- The impact of the COVID-19 pandemic on access to mental health services and socioeconomic inequalities in Italy.Frontiers in psychiatry · 2024Article
- Culturally sensitive neonatal palliative care: a critical review.Palliative care and social practice · 2024Review
- Sexual and reproductive health and rights of migrant women attending primary care in England: A population-based cohort study of 1.2 million individuals of reproductive age (2009-2018).Journal of migration and health · 2024Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
Background: How international migrants access and use primary care in England is poorly understood. We aimed to compare primary care consultation rates between international migrants and non-migrants in England before and during the COVID-19 pandemic (2015-2020). Methods: Using data from the Clinical Practice Research Datalink (CPRD) GOLD, we identified migrants using country-of-birth, visa-status or other codes indicating international migration. We linked CPRD to Office for National Statistics deprivation data and ran a controlled interrupted time series (ITS) using negative binomial regression to compare rates before and during the pandemic. Findings: In 262,644 individuals, pre-pandemic consultation rates per person-year were 4.35 (4.34-4.36) for migrants and 4.60 (4.59-4.60) for non-migrants (RR:0.94 [0.92-0.96]). Between 29 March and 26 December 2020, rates reduced to 3.54 (3.52-3.57) for migrants and 4.2 (4.17-4.23) for non-migrants (RR:0.84 [0.8-0.88]). The first year of the pandemic was associated with a widening of the gap in consultation rates between migrants and non-migrants to 0.89 (95% CI 0.84-0.94) times the ratio before the pandemic. This widening in ratios was greater for children, individuals whose first language was not English, and individuals of White British, White non-British and Black/African/Caribbean/Black British ethnicities. It was also greater in the case of telephone consultations, particularly in London. Interpretation: Migrants were less likely to use primary care than non-migrants before the pandemic and the first year of the pandemic exacerbated this difference. As GP practices retain remote and hybrid models of service delivery, they must improve services and ensure primary care is accessible and responsive to migrants' healthcare needs. Funding: This study was funded by the Medical Research Council (MC_PC 19070 and MR/V028375/1) and a Wellcome Clinical Research Career Development Fellowship (206602).
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