Experiences among undocumented migrants accessing primary care in the United kingdom: a qualitative study (original) (raw)

Abstract

Immigration is a key political issue in the United Kingdom. The 2014 Immigration Act includes a number of measures intended to reduce net immigration, including removing the right of non-European Economic Area migrants to access free health care. This change risks widening existing health and social inequalities. This study explored the experiences of undocumented migrants trying to access primary care in the United Kingdom, their perspectives on proposed access restrictions, and suggestions for policymakers. Semi-structured interviews were conducted with 16 undocumented migrants and four volunteer staff at a charity clinic in London. Inductive thematic analysis drew out major themes. Many undocumented migrants already faced challenges accessing primary care. None of the migrants interviewed said that they would be able to afford charges to access primary care and most said they would have to wait until they were much more unwell and access care through Accident & Emergency (A&E) se...

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References (28)

  1. Eurostat. Migration and Migrant Population Statistics 2014. http://ec.europa.eu/euro stat/statistics-explained/index.php/Migration_and_migrant_population_statistics (accessed December 18, 2014).
  2. Department of Health. Overseas Visitors' Eligibility to Receive Free Primary Care: A Clarification of Existing Policy Together with a Description of the Changes Brought in by the New EC Health Care Form E128. London, 1999.
  3. BMA Ethics. Access to Health Care for Asylum Seekers and Refused Asylum Seekers - Guidance for Doctors. British Medical Association, London, 2012.
  4. Home Office. Controlling Immigration -Regulating Migrant Access to Health Services in the UK. Results of the Public Consultation. London, 2013.
  5. Hanefeld, J., et al. Medical tourism: A cost or benefit to the NHS? PLoS One 8(10):e70406, 2013. doi: 10.1371/journal.pone.0070406.
  6. Britz, J., and McKee, M. Charging migrants for healthcare could compromise public health and increase costs for the NHS. J. Public Health [Submitted].
  7. Shortall, C. The Real Cost of Restricting Migrant Access to the NHS. 2014. http:// doctorsoftheworld.org.uk/blog/entry/the-real-cost-of-restricting-migrant-access-to-the- nhs (accessed August 14, 2014).
  8. Steele, S., et al. The immigration bill: Extending charging regimes and scapegoating the vulnerable will pose risks to public health. J. Royal Society Med. 107(4):132-133, 2014.
  9. Jayaweera, A. Health of Migrants in the UK: What Do We Know? The Migration Observatory at the University of Oxford, Oxford, 2011.
  10. Department of Health. Sustaining Services, Ensuring Fairness: Government Response to the Consultation on Migrant Access and Financial Contribution to NHS Provision in England. London, 2013.
  11. Legido-Quigley, H., et al. Erosion of universal health coverage in Spain. Lancet 382(9909):1977, 2013.
  12. Legido-Quigley, H., et al. Will austerity cuts dismantle the Spanish healthcare system? BMJ 346:f2363, 2013.
  13. Kentikelenis, A., et al. Greece's health crisis: From austerity to denialism. Lancet 383:748-753, 2014.
  14. Bhatia, R., and Wallace, P. Experiences of refugees and asylum seekers in general practice: A qualitative study. BMC Fam. Pract. 8(48), 2007.
  15. O'Donnell, C., et al. "They think we're OK and we know we're not." A qualitative study of asylum seekers' access, knowledge and views to health care in the UK. BMC Health Serv. Res. 7(75), 2007.
  16. Thomas, F., Aggleton, P., and Anderson, J. "If I cannot access services, then there is no reason for me to test": The impacts of health service charges on HIV testing and treatment amongst migrants in England. AIDS Care 22(4):526-531, 2010.
  17. Doctors of the World. What Do We Do in the UK? London, 2014.
  18. Doctors of the World. Annual Report 2011/2012. London, 2012.
  19. Ezzy, D. Qualitative Analysis. Routledge, London, 2002.
  20. Strauss, A., and Corbin, J. Basics of Qualitative Research. Sage, London, 1990.
  21. Crisp, R. A qualitative study of the perceptions of individuals with disabilities con- cerning health and rehabilitation professionals. Disabil. Soc. 15(2):355-367, 2000.
  22. Morrow, S., and Smith, M. Constructions of survival and coping by women who have survived childhood sexual abuse. J. Counsel. Psychol. 42(1):24-34, 1995.
  23. Pandit, N. The creation of theory: A recent application of the grounded theory method. The Qualitative Report 2(4), December 1996. http://www.nova.edu/ssss/ QR/QR2-4/pandit.html.
  24. Doctors of the World. Doctors of the World Impact Report 2013. London, 2013.
  25. Woodward, A., Howard, N., and Wolffers, I. Health and access to care for undocu- mented migrants living in the European Union: A scoping review. Health Policy Plann. 29(7):818-830, 2013.
  26. Akhavan, S., and Karlsen, S. Practitioner and client explanations for disparities in health care use between migrant and non-migrant groups in Sweden: A qualitative study. J. Immig. Min. Health 15(1):188-197, 2013.
  27. Aung, N., Rechel, B., and Odermatt, P. Access to and utilisation of GP services among Burmese migrants in London: A cross-sectional descriptive study. BMC Health Serv. Res. 10:285, 2010.
  28. Doctors of the World. Doctors of the World Impact Report 2013. London, 2013.