Experiences Among Undocumented Migrants Accessing Primary Care in the United Kingdom
- 21 February 2015
- journal article
- research article
- Published by SAGE Publications in International Journal of Health Services
- Vol. 45 (2), 320-333
- https://doi.org/10.1177/0020731414568511
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) services. The consequences of limiting access to primary care, including threats to individual and public health consequences and the additional burden on the National Health Service, need to be fully considered by policymakers. The authors argue that an evidence-based approach would avoid legislation that targets vulnerable groups and provides no obvious economic or societal benefit.Keywords
This publication has 13 references indexed in Scilit:
- Medical Tourism: A Cost or Benefit to the NHS?PLOS ONE, 2013
- Health and access to care for undocumented migrants living in the European Union: a scoping reviewHealth Policy and Planning, 2013
- Will austerity cuts dismantle the Spanish healthcare system?BMJ, 2013
- Practitioner and Client Explanations for Disparities in Health Care Use Between Migrant and Non-migrant Groups in Sweden: A Qualitative StudyJournal of Immigrant and Minority Health, 2012
- Access to and utilisation of GP services among Burmese migrants in London: a cross-sectional descriptive studyBMC Health Services Research, 2010
- “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 EnglandAIDS Care, 2010
- Experiences of refugees and asylum seekers in general practice: a qualitative studyBMC Family Practice, 2007
- "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 UKBMC Health Services Research, 2007
- A Qualitative Study of the Perceptions of Individuals with Disabilities Concerning Health and Rehabilitation ProfessionalsDisability & Society, 2000
- Constructions of survival and coping by women who have survived childhood sexual abuse.Journal of Counseling Psychology, 1995