Scarred survivors: Gate keepers and gate openers to healthcare for migrants in vulnerable circumstances

Clark, Emily, Steel, Nicholas ORCID:, Berger Gillam, Tara, Sharman, Monica, Webb, Anne, Bucataru, Ana-Maria and Hanson, Sarah ORCID: (2022) Scarred survivors: Gate keepers and gate openers to healthcare for migrants in vulnerable circumstances. Journal of Research in Nursing, 27 (3). pp. 245-255. ISSN 1744-9871

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Background: The main barriers to ‘vulnerable migrants’ receiving good quality primary care are language and administration barriers. Little is known about the experiences of healthcare discrimination faced by migrants from different cultural groups. The aim was to explore vulnerable migrants’ perspectives on primary healthcare in a UK city. Methods: Three focus groups and two semi structured interviews were aided by interpreters. These were analysed against a pre-developed framework based on national standards of care for vulnerable migrants. Recruitment was facilitated via a community organization. Results: In total, 13 participants took part, six women and seven men. There were five Arabic speakers, four Farsi speakers and four English speakers. Themes included access to primary care, mental health, use of interpreters, post-migration stressors and cultural competency. Conclusions: Vulnerable migrants perceived high levels of discrimination and reported the value of a respectful attitude from health professionals. Appointment booking systems and re-ordering medication are key areas where language barriers cause the most disruption to patient care. Medication-only treatment plans have limitations for mental distress for this population. Community based therapies which manages post-migration stressors are likely to enhance recovery.

Item Type: Article
Additional Information: Funding: This is a summary of research funded by the National Institute for Health Research (NIHR) Applied Research Collaboration East of England (ARC EoE) Programme. The views expressed are those of the author(s), and not necessarily those of the NHS, NIHR or Department of Health and Social Care.
Uncontrolled Keywords: access,inequalities,mental health,migrants,primary care,qualitative,research and theory,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2900/2922
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 22 Apr 2022 12:30
Last Modified: 21 Apr 2023 01:30
DOI: 10.1177/17449871211043754

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