scholarly journals "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

2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Catherine A O'Donnell ◽  
Maria Higgins ◽  
Rohan Chauhan ◽  
Kenneth Mullen
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Asylum Seekers ◽  
The Uk

‘Structural Interests’ in Health Care: Evidence from the Contemporary National Health Service

2009 ◽  
Vol 38 (4) ◽  
pp. 607-625 ◽  
Author(s):  
KATH CHECKLAND ◽  
STEPHEN HARRISON ◽  
ANNA COLEMAN
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Qualitative Study ◽  
Health Systems ◽  
National Health ◽  
The World ◽  
The Uk

AbstractAlford's theory of structural interests has been used as a framework within which to analyse health systems across the world. However, authors have often been uncritical in their acceptance of Alford's original analytic categories. In this article we use data from a detailed qualitative study of the introduction of Practice Based Commissioning in the UK NHS to interrogate Alford's work more critically. Disrupting Alford's original categories of ‘professional monopolisers’ as dominant interests, challenged by management ‘corporate rationalisers’, we suggest that the new structures established in the NHS since 2002 systematically privilege an interest that we call ‘corporate monopolisers’, and that this is under challenge from ‘professional rationalisers’.

scholarly journals Access to primary health care for asylum seekers and refugees: a qualitative study of service user experiences in the UK

2019 ◽  
Vol 69 (685) ◽  
pp. e537-e545 ◽  
Author(s):  
Cara Kang ◽  
Louise Tomkow ◽  
Rebecca Farrington
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Asylum Seekers ◽  
Healthcare Access ◽  
Negative Consequences ◽  
Complex Needs ◽  
Primary Health ◽  
The Uk ◽  
Asylum Seekers And Refugees

BackgroundAsylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care.AimTo examine ASR experiences accessing primary health care in the UK in 2018.Design and settingThis was a qualitative community-based study. ASR were recruited by criterion-based sampling through voluntary community organisations.MethodA total of 18 ASR completed face-to-face semi-structured recorded interviews discussing primary care access. Transcripts underwent thematic analysis by three researchers using Penchansky and Thomas’s modified theory of access.ResultsThe qualitative data show that participants found primary care services difficult to navigate and negotiate. Dominant themes included language barriers and inadequate interpretation services; lack of awareness of the structure and function of the NHS; difficulty meeting the costs of dental care, prescription fees, and transport to appointments; and the perception of discrimination relating to race, religion, and immigration status.ConclusionBy centralising the voices of ASR and illustrating the negative consequences of poor healthcare access, this article urges consideration of how access to primary care in the UK can be enhanced for often marginalised individuals with complex needs.

Health-care provision for asylum seekers and refugees in the UK

The Lancet ◽  
1999 ◽  
Vol 353 (9163) ◽  
pp. 1497-1498 ◽  
Author(s):  
Jon S Friedland ◽  
Sally Hargreaves ◽  
Alison Holmes
Keyword(s):  
Health Care ◽  
Asylum Seekers ◽  
Health Care Provision ◽  
Care Provision ◽  
The Uk ◽  
Asylum Seekers And Refugees

Access to health-care policies for refugees and asylum-seekers

2020 ◽  
Vol 16 (1) ◽  
pp. 22-45
Author(s):  
Salma El-Gamal ◽  
Johanna Hanefeld
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Asylum Seekers ◽  
Access To Health Care ◽  
Host Countries ◽  
Content Type ◽  
Poor General Health ◽  
Access To Health ◽  
The Uk ◽  
Refugees And Asylum Seekers

Purpose The influx of refugees and asylum-seekers over the past decade into the European Union creates challenges to the health systems of receiving countries in the preparedness and requisite adjustments to policy addressing the new needs of the migrant population. This study aims to examine and compare policies for access to health care and the related health outcomes for refugees and asylum-seekers settling both in the UK and Germany as host countries. Design/methodology/approach The paper conducted a scoping review of academic databases and grey literature for studies within the period 2010-2017, seeking to identify evidence from current policies and service provision for refugees and asylum-seekers in Germany and the UK, distilling the best practice and clarifying gaps in knowledge, to determine implications for policy. Findings Analysis reveals that legal entitlements for refugees and asylum-seekers allow access to primary and secondary health care free of charge in the UK versus a more restrictive policy of access limited to acute and emergency care during the first 15 months of resettlements in Germany. In both countries, many factors hinder the access of this group to normal health care from legal status, procedural hurdles and lingual and cultural barriers. Refugees and asylum-seeker populations were reported with poor general health condition, lower rates of utilization of health services and noticeable reliance on non-governmental organizations. Originality/value This paper helps to fulfill the need for an extensive research required to help decision makers in host countries to adjust health systems towards reducing health disparities and inequalities among refugees and asylum-seekers.

scholarly journals Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study

2021 ◽  
Vol 18 (21) ◽  
pp. 11559
Author(s):  
Yonas Kidane ◽  
Sandra Ziegler ◽  
Verena Keck ◽  
Janine Benson-Martin ◽  
Albrecht Jahn ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Qualitative Study ◽  
Dental Care ◽  
Asylum Seekers ◽  
Dental Treatment ◽  
Healthcare Services ◽  
Oral Health Care ◽  
Structured Interviews ◽  
Refugees And Asylum Seekers

Oral health concerns in Eritrean refugees have been an overlooked subject. This qualitative study explored the access of Eritrean refugees and asylum-seekers (ERNRAS) to oral health care services in Heidelberg, Germany, as well as their perceptions and attitudes towards oral health care. It involved 25 participants. We employed online semi-structured interviews (n = 15) and focus group discussions (n = 2). The data was recorded, transcribed, and analysed, using thematic analysis. The study found out that most of the participants have a relatively realistic perception and understanding of oral health. However, they have poor dental care practices, whilst a few have certain misconceptions of the conventional oral hygiene tools. Along with the majority’s concerns regarding psychosocial attributes of poor oral health, some participants are routinely consuming Berbere (a traditional spice-blended pepper) to prevent bad breath. Structural or supply-side barriers to oral healthcare services included: communication hurdles; difficulty in identifying and navigating the German health system; gaps in transculturally, professionally, and communicationally competent oral health professionals; cost of dental treatment; entitlement issues (asylum-seekers); and appointment mechanisms. Individual or demand-side barriers comprised: lack of self-sufficiency; issue related to dental care beliefs, trust, and expectation from dentists; negligence and lack of adherence to dental treatment follow-up; and fear or apprehension of dental treatment. To address the oral health burdens of ERNRAS, it is advised to consider oral health education, language-specific, inclusive, and culturally and professionally appropriate healthcare services.

Charging failed asylum seekers for health care in the UK

The Lancet ◽  
2005 ◽  
Vol 365 (9461) ◽  
pp. 732-733 ◽  
Author(s):  
Sally Hargreaves ◽  
Alison Holmes ◽  
Jon S Friedland
Keyword(s):  
Health Care ◽  
Asylum Seekers ◽  
The Uk
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