The perceptions of general practice among Central and Eastern Europeans in the United Kingdom: A systematic scoping review.
European Union
United Kingdom
delivery of healthcare
emigration immigration
general practice
Journal
Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
revised:
17
12
2021
received:
31
05
2021
accepted:
29
12
2021
pubmed:
21
1
2022
medline:
1
11
2022
entrez:
20
1
2022
Statut:
ppublish
Résumé
Around 2 million people have migrated from Central and Eastern Europe to the UK since 2004. The UK Central and Eastern European Community (UK-CEE) are disproportionately exposed to the social determinants of poor physical and mental health. Their health and healthcare beliefs remain under-researched, particularly regarding primary care. This review explores UK-CEE community members' use and perceptions of UK general practice. A systematic search of nine bibliographic databases identified 2094 publications that fulfilled the search criteria. Grey literature searches identified 16 additional relevant publications. Screening by title and abstract identified 201 publications of relevance, decreasing to 65 after full-text screening. Publications were critically appraised, with data extracted and coded. Thematic analysis using constant comparison allowed generation of higher-order thematic constructs. Full UK-CEE national representation was achieved. Comparatively low levels of GP registration were described, with ability, desire and need to engage with GP services shaped by the interconnected nature of individual community members' cultural and sociodemographic factors. Difficulties overcoming access and in-consultation barriers are common, with health expectations frequently unmet. Distrust and dissatisfaction with general practice often persist, promoting alternative health-seeking approaches including transnational healthcare. Marginalized UK-CEE community subgroups including Roma, trafficked and homeless individuals have particularly poor GP engagement and outcomes. Limited data on the impact of Brexit and COVID-19 could be identified. Review findings demonstrate the need for codesigned approaches to remove barriers to engagement, culturally adapt and develop trust in GP care for UK-CEE individuals. Community members and stakeholders shaped the conceptualisation of the review question and validation of emergent themes.
Sections du résumé
BACKGROUND
Around 2 million people have migrated from Central and Eastern Europe to the UK since 2004. The UK Central and Eastern European Community (UK-CEE) are disproportionately exposed to the social determinants of poor physical and mental health. Their health and healthcare beliefs remain under-researched, particularly regarding primary care.
OBJECTIVE
This review explores UK-CEE community members' use and perceptions of UK general practice.
METHODS
A systematic search of nine bibliographic databases identified 2094 publications that fulfilled the search criteria. Grey literature searches identified 16 additional relevant publications. Screening by title and abstract identified 201 publications of relevance, decreasing to 65 after full-text screening. Publications were critically appraised, with data extracted and coded. Thematic analysis using constant comparison allowed generation of higher-order thematic constructs.
RESULTS
Full UK-CEE national representation was achieved. Comparatively low levels of GP registration were described, with ability, desire and need to engage with GP services shaped by the interconnected nature of individual community members' cultural and sociodemographic factors. Difficulties overcoming access and in-consultation barriers are common, with health expectations frequently unmet. Distrust and dissatisfaction with general practice often persist, promoting alternative health-seeking approaches including transnational healthcare. Marginalized UK-CEE community subgroups including Roma, trafficked and homeless individuals have particularly poor GP engagement and outcomes. Limited data on the impact of Brexit and COVID-19 could be identified.
CONCLUSIONS
Review findings demonstrate the need for codesigned approaches to remove barriers to engagement, culturally adapt and develop trust in GP care for UK-CEE individuals.
COMMUNITY INVOLVEMENT
Community members and stakeholders shaped the conceptualisation of the review question and validation of emergent themes.
Identifiants
pubmed: 35048478
doi: 10.1111/hex.13433
pmc: PMC9615075
doi:
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2107-2123Subventions
Organisme : Wellcome Trust
ID : 203921/Z/16/Z
Pays : United Kingdom
Informations de copyright
© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd.
Références
Soc Sci Med. 2014 Jun;110:10-7
pubmed: 24704889
J Clin Epidemiol. 2009 Oct;62(10):e1-34
pubmed: 19631507
Implement Sci. 2010 Sep 20;5:69
pubmed: 20854677
Sex Transm Infect. 2011 Jun;87(4):318-24
pubmed: 21593470
Annu Rev Sociol. 2010 Aug;36:349-370
pubmed: 21909182
Sex Transm Infect. 2011 Jun;87(4):325-30
pubmed: 21147893
Health Place. 2010 Nov;16(6):1145-55
pubmed: 20729128
BMJ. 2019 Sep 16;366:l5324
pubmed: 31527076
Health Place. 2014 Nov;30:86-93
pubmed: 25237717
Anthropol Med. 2016 Aug;23(2):188-204
pubmed: 27258327
Patient Educ Couns. 2013 Nov;93(2):335-41
pubmed: 23906651
Vaccine. 2019 Jan 29;37(5):693-697
pubmed: 30448336
Midwifery. 2019 May;72:30-38
pubmed: 30771608
Emerg Infect Dis. 2007 Dec;13(12):1963-4
pubmed: 18258064
Soc Sci Med. 2001 Nov;53(9):1149-62
pubmed: 11556606
J Public Health (Oxf). 2017 Sep 1;39(3):455-463
pubmed: 27591301
Health Expect. 2015 Oct;18(5):784-95
pubmed: 24890123
J Fam Plann Reprod Health Care. 2012 Oct;38(4):229-38
pubmed: 22219504
J Public Health (Oxf). 2016 Jun;38(2):384-90
pubmed: 25904814
BMC Health Serv Res. 2017 Aug 29;17(1):604
pubmed: 28851364
Sociol Health Illn. 2020 May;42(4):739-757
pubmed: 32020646
Transplant Proc. 2016 Apr;48(3):680-8
pubmed: 27234714
BMC Health Serv Res. 2018 Oct 3;18(1):755
pubmed: 30285753
J Med Screen. 2020 Mar;27(1):40-47
pubmed: 31514572
J Eval Clin Pract. 2019 Feb;25(1):44-52
pubmed: 29484779
Int J Equity Health. 2017 Feb 10;16(1):32
pubmed: 28222736
Psychooncology. 2013 Dec;22(12):2664-75
pubmed: 23824626
BMJ Open. 2016 Sep 22;6(9):e012561
pubmed: 27660320
Eur J Public Health. 2013 Apr;23(2):265-9
pubmed: 22683768
BMJ. 2019 Sep 16;366:l4256
pubmed: 31527055
BMC Med Res Methodol. 2006 Jul 26;6:35
pubmed: 16872487
Lancet. 2005 Mar 19-25;365(9464):1099-104
pubmed: 15781105
J Clin Epidemiol. 2014 Dec;67(12):1291-4
pubmed: 25034198
BMC Med Res Methodol. 2018 Nov 19;18(1):143
pubmed: 30453902
Aust Dent J. 2014 Jun;59(2):201-7
pubmed: 24861395
Lancet. 2009 Oct 3;374(9696):1186-95
pubmed: 19801097
PLoS Med. 2011 May;8(5):e1001034
pubmed: 21629681
Nurs Times. 2013 Jun 19-25;109(24):14-6
pubmed: 23888620
Health Expect. 2019 Jun;22(3):435-443
pubmed: 30632242
Fam Pract. 2014 Dec;31(6):739-45
pubmed: 25326923
Ethn Health. 2015;20(6):564-93
pubmed: 25271468
BMC Public Health. 2020 Mar 23;20(1):381
pubmed: 32293379
Public Health Rep. 2014 Jan-Feb;129 Suppl 2:19-31
pubmed: 24385661
Int J Ment Health Syst. 2019 Dec 28;13:77
pubmed: 31890002
Nurs Ethics. 2020 Aug;27(5):1355-1363
pubmed: 32367775
Prim Health Care Res Dev. 2014 Jan;15(1):80-95
pubmed: 23375244
Int J Equity Health. 2016 Dec 3;15(1):197
pubmed: 27912783
Vaccine. 2019 May 6;37(20):2741-2747
pubmed: 30979570
J Health Econ. 2018 Mar;58:123-143
pubmed: 29477952
Community Pract. 2015 Jan;88(1):22-5
pubmed: 26357739
Scott Med J. 2010 Aug;55(3):26-31
pubmed: 20795514
BMC Health Serv Res. 2020 Mar 6;20(1):173
pubmed: 32143703
BMJ. 1994 Mar 12;308(6930):698-700
pubmed: 8142796
Health Expect. 2022 Oct;25(5):2107-2123
pubmed: 35048478
Health Place. 2011 Sep;17(5):1144-9
pubmed: 21616701
PLoS One. 2014 Oct 15;9(10):e108261
pubmed: 25330079
BMC Health Serv Res. 2018 Sep 6;18(1):693
pubmed: 30189870
Soc Sci Med. 2021 Feb;270:113610
pubmed: 33383485
Emerg Med J. 2006 Dec;23(12):918-9
pubmed: 17130598
Annu Rev Public Health. 2014;35:29-45
pubmed: 24188053
Vaccine. 2020 Mar 17;38(13):2795-2799
pubmed: 32089460
BMJ Open. 2017 May 4;7(4):e013816
pubmed: 28473509
BMC Health Serv Res. 2019 Jul 12;19(1):481
pubmed: 31299969
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
J Public Health (Oxf). 2010 Mar;32(1):144
pubmed: 19965958
Br J Gen Pract. 2008 Dec;58(557):e1-11
pubmed: 19068152
Public Health. 2018 May;158:86-92
pubmed: 29395275
Public Health Rep. 1990 May-Jun;105(3):232-8
pubmed: 2113680
Br J Gen Pract. 2020 Jul 30;70(697):400
pubmed: 32732207
Lancet Respir Med. 2020 Jun;8(6):547-548
pubmed: 32401711
BMC Fam Pract. 2007 Aug 21;8:48
pubmed: 17711587
BMJ Open. 2019 Jul 9;9(7):e028228
pubmed: 31289079
BMC Health Serv Res. 2010 Oct 12;10:285
pubmed: 20939904
J Interprof Care. 2020 Sep-Oct;34(5):672-678
pubmed: 32962462
Sex Transm Infect. 2011 Aug;87(5):377-84
pubmed: 21572111
J R Coll Gen Pract. 1980 Sep;30(218):551-4
pubmed: 7452594
Int J Pharm Pract. 2012 Jun;20(3):148-54
pubmed: 22554157
BMJ. 2019 Dec 31;367:l7054
pubmed: 31892514
BMJ. 2020 Apr 20;369:m1548
pubmed: 32312785
BMC Public Health. 2017 Mar 14;17(1):254
pubmed: 28288596
J Immigr Minor Health. 2015 Aug;17(4):1157-62
pubmed: 24989496
Demography. 2006 May;43(2):337-60
pubmed: 16889132
Community Pract. 2014 Sep;87(9):33-6
pubmed: 25286741
Br J Gen Pract. 2020 Jun;70(suppl 1):
pubmed: 32554639
Br J Nurs. 2010 Jan 14-27;19(1):36-41
pubmed: 20081711
J Ethnopharmacol. 2007 Aug 15;113(1):100-10
pubmed: 17583457
BMC Health Serv Res. 2006 Nov 29;6:153
pubmed: 17134491
JAMA. 1992 Jul 8;268(2):240-8
pubmed: 1535110
Res Synth Methods. 2014 Sep;5(3):221-34
pubmed: 26052848
Community Pract. 2009 Mar;82(3):34-7
pubmed: 19331048
BMJ. 2009 Sep 16;339:b3450
pubmed: 19762416
Health Soc Care Community. 2009 May;17(3):235-43
pubmed: 19402840
Lancet. 2000 Oct 7;356(9237):1228-31
pubmed: 11072941
Soc Sci Med. 2015 Jan;124:346-55
pubmed: 24797693