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Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review
BACKGROUND: The UK has experienced significant immigration from Eastern Europe following European Union (EU) expansion in 2004, which raises the importance of equity and equality for the recent immigrants. Previous research on ethnic health inequalities focused on established minority ethnic groups,...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059702/ https://www.ncbi.nlm.nih.gov/pubmed/32143703 http://dx.doi.org/10.1186/s12913-020-4987-z |
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author | Phung, Viet-Hai Asghar, Zahid Matiti, Milika Siriwardena, A. Niroshan |
author_facet | Phung, Viet-Hai Asghar, Zahid Matiti, Milika Siriwardena, A. Niroshan |
author_sort | Phung, Viet-Hai |
collection | PubMed |
description | BACKGROUND: The UK has experienced significant immigration from Eastern Europe following European Union (EU) expansion in 2004, which raises the importance of equity and equality for the recent immigrants. Previous research on ethnic health inequalities focused on established minority ethnic groups, whereas Eastern European migrants are a growing, but relatively under-researched group. We aimed to conduct a systematic scoping review of published literature on Eastern European migrants’ use and experiences of UK health services. METHODS: An initial search of nine databases produced 5997 relevant publications. Removing duplicates reduced the figure to 2198. Title and abstract screening left 73 publications. Full-text screening narrowed this down further to 10 articles, with three more from these publications to leave 13 included publications. We assessed publications for quality, extracted data and undertook a narrative synthesis. RESULTS: The included publications most commonly studied sexual health and family planning services. For Eastern European migrants in the UK, the most commonly cited barriers to accessing and using healthcare were limited understanding of how the system worked and language difficulties. It was also common for migrants to return to their home country to a healthcare system they were familiar with, free from language barriers. Familial and social networks were valuable for patients with a limited command of English in the absence of suitable and available interpreting and translating services. CONCLUSIONS: To address limited understanding of the healthcare system and the English language, the NHS could produce information in all the Eastern European languages about how it operates. Adding nationality to the Electronic Patient Report Form (EPRF) may reveal the demand for interpretation and translation services. Eastern European migrants need to be encouraged to register with GPs to reduce A&E attendance for primary care conditions. Many of the issues raised will be relevant to other European countries since the long-term outcomes from Brexit are likely to influence the level of Eastern European and non-Eastern European migration across the continent, not just the UK. |
format | Online Article Text |
id | pubmed-7059702 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-70597022020-03-12 Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review Phung, Viet-Hai Asghar, Zahid Matiti, Milika Siriwardena, A. Niroshan BMC Health Serv Res Research Article BACKGROUND: The UK has experienced significant immigration from Eastern Europe following European Union (EU) expansion in 2004, which raises the importance of equity and equality for the recent immigrants. Previous research on ethnic health inequalities focused on established minority ethnic groups, whereas Eastern European migrants are a growing, but relatively under-researched group. We aimed to conduct a systematic scoping review of published literature on Eastern European migrants’ use and experiences of UK health services. METHODS: An initial search of nine databases produced 5997 relevant publications. Removing duplicates reduced the figure to 2198. Title and abstract screening left 73 publications. Full-text screening narrowed this down further to 10 articles, with three more from these publications to leave 13 included publications. We assessed publications for quality, extracted data and undertook a narrative synthesis. RESULTS: The included publications most commonly studied sexual health and family planning services. For Eastern European migrants in the UK, the most commonly cited barriers to accessing and using healthcare were limited understanding of how the system worked and language difficulties. It was also common for migrants to return to their home country to a healthcare system they were familiar with, free from language barriers. Familial and social networks were valuable for patients with a limited command of English in the absence of suitable and available interpreting and translating services. CONCLUSIONS: To address limited understanding of the healthcare system and the English language, the NHS could produce information in all the Eastern European languages about how it operates. Adding nationality to the Electronic Patient Report Form (EPRF) may reveal the demand for interpretation and translation services. Eastern European migrants need to be encouraged to register with GPs to reduce A&E attendance for primary care conditions. Many of the issues raised will be relevant to other European countries since the long-term outcomes from Brexit are likely to influence the level of Eastern European and non-Eastern European migration across the continent, not just the UK. BioMed Central 2020-03-06 /pmc/articles/PMC7059702/ /pubmed/32143703 http://dx.doi.org/10.1186/s12913-020-4987-z Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Phung, Viet-Hai Asghar, Zahid Matiti, Milika Siriwardena, A. Niroshan Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review |
title | Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review |
title_full | Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review |
title_fullStr | Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review |
title_full_unstemmed | Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review |
title_short | Understanding how Eastern European migrants use and experience UK health services: a systematic scoping review |
title_sort | understanding how eastern european migrants use and experience uk health services: a systematic scoping review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059702/ https://www.ncbi.nlm.nih.gov/pubmed/32143703 http://dx.doi.org/10.1186/s12913-020-4987-z |
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