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At the junctures of healthcare: a qualitative study of primary and specialist service use by Polish migrants in England
BACKGROUND: Polish people are the biggest migrant group in the UK and the scholarship shows that they are attentive to their healthcare needs and seek to fulfil them by using various services both within and outside the British public healthcare system. This article explores the role of junctures wi...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635132/ https://www.ncbi.nlm.nih.gov/pubmed/36329429 http://dx.doi.org/10.1186/s12913-022-08666-z |
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author | Troccoli, Giuseppe Moreh, Chris McGhee, Derek Vlachantoni, Athina |
author_facet | Troccoli, Giuseppe Moreh, Chris McGhee, Derek Vlachantoni, Athina |
author_sort | Troccoli, Giuseppe |
collection | PubMed |
description | BACKGROUND: Polish people are the biggest migrant group in the UK and the scholarship shows that they are attentive to their healthcare needs and seek to fulfil them by using various services both within and outside the British public healthcare system. This article explores the role of junctures within healthcare systems in the connections migrants realize between healthcare systems and sectors. The article argues that in a transnational context, migrants enact these junctures by joining different levels of care within the same sector, between sectors and across national borders. In particular, the article explores how Polish migrants’ healthcare seeking practices within and beyond national borders are enacted given the features, availability and relationship between primary and specialist care for how they are articulated between private and public sectors. METHODS: This article is based on the second phase of a mixed-methods study on how Polish people in the UK manage their health transnationally. The participants were purposefully sampled from survey respondents (first phase) who identified as having a long-term health condition or caring in a non-professional capacity for someone who is chronically ill. Thirty-two semi-structured audio-call interviews were conducted with Polish migrants living in England between June and August 2020. Transcripts were analysed by applying thematic coding. RESULTS: Key findings include a mix of dissatisfaction and satisfaction with primary care and general satisfaction with specialist care. Coping strategies consisting in reaching specialist private healthcare provided a way to access specialist care at all or additionally, or to partially complement primary care. When Polish private specialists are preferred, this is due to participants’ availability of time and financial resources, and to the specialists’ capacity to fulfil needs unmet within the public healthcare sector in the UK. CONCLUSION: Polish migrants join with their practices systems which are not integrated, and their access is limited by the constraints implied in accessing paid services in Poland. This shapes transnational healthcare practices as relating mostly to routine and ad-hoc access to healthcare. These practices impact not only the wellbeing of migrants and the development of the private market but also the public health provision of services. |
format | Online Article Text |
id | pubmed-9635132 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-96351322022-11-05 At the junctures of healthcare: a qualitative study of primary and specialist service use by Polish migrants in England Troccoli, Giuseppe Moreh, Chris McGhee, Derek Vlachantoni, Athina BMC Health Serv Res Research BACKGROUND: Polish people are the biggest migrant group in the UK and the scholarship shows that they are attentive to their healthcare needs and seek to fulfil them by using various services both within and outside the British public healthcare system. This article explores the role of junctures within healthcare systems in the connections migrants realize between healthcare systems and sectors. The article argues that in a transnational context, migrants enact these junctures by joining different levels of care within the same sector, between sectors and across national borders. In particular, the article explores how Polish migrants’ healthcare seeking practices within and beyond national borders are enacted given the features, availability and relationship between primary and specialist care for how they are articulated between private and public sectors. METHODS: This article is based on the second phase of a mixed-methods study on how Polish people in the UK manage their health transnationally. The participants were purposefully sampled from survey respondents (first phase) who identified as having a long-term health condition or caring in a non-professional capacity for someone who is chronically ill. Thirty-two semi-structured audio-call interviews were conducted with Polish migrants living in England between June and August 2020. Transcripts were analysed by applying thematic coding. RESULTS: Key findings include a mix of dissatisfaction and satisfaction with primary care and general satisfaction with specialist care. Coping strategies consisting in reaching specialist private healthcare provided a way to access specialist care at all or additionally, or to partially complement primary care. When Polish private specialists are preferred, this is due to participants’ availability of time and financial resources, and to the specialists’ capacity to fulfil needs unmet within the public healthcare sector in the UK. CONCLUSION: Polish migrants join with their practices systems which are not integrated, and their access is limited by the constraints implied in accessing paid services in Poland. This shapes transnational healthcare practices as relating mostly to routine and ad-hoc access to healthcare. These practices impact not only the wellbeing of migrants and the development of the private market but also the public health provision of services. BioMed Central 2022-11-03 /pmc/articles/PMC9635132/ /pubmed/36329429 http://dx.doi.org/10.1186/s12913-022-08666-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Troccoli, Giuseppe Moreh, Chris McGhee, Derek Vlachantoni, Athina At the junctures of healthcare: a qualitative study of primary and specialist service use by Polish migrants in England |
title | At the junctures of healthcare: a qualitative study of primary and specialist service use by Polish migrants in England |
title_full | At the junctures of healthcare: a qualitative study of primary and specialist service use by Polish migrants in England |
title_fullStr | At the junctures of healthcare: a qualitative study of primary and specialist service use by Polish migrants in England |
title_full_unstemmed | At the junctures of healthcare: a qualitative study of primary and specialist service use by Polish migrants in England |
title_short | At the junctures of healthcare: a qualitative study of primary and specialist service use by Polish migrants in England |
title_sort | at the junctures of healthcare: a qualitative study of primary and specialist service use by polish migrants in england |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9635132/ https://www.ncbi.nlm.nih.gov/pubmed/36329429 http://dx.doi.org/10.1186/s12913-022-08666-z |
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