Beliefs and challenges held by medical staff about providing emergency care to migrants: an international systematic review and translation of findings to the UK context.
Hooi-Ling HarrisonGavin Daker-WhitePublished in: BMJ open (2019)
ECPs made cultural and organisational adjustments for migrant patients, however, willingness was dependent on the individual's clinical autonomy. ECPs did not allow legal status to obstruct delivery of emergency care to migrant patients. Reported decisions to inform the authorities were mixed; potentially leading to uncertainty of outcome for undocumented migrants and deterring those in need of healthcare from seeking treatment. If a charging policy for emergency care in the UK was introduced, it is possible that ECPs would resist this through fears of widening healthcare disparities. Further recommendations for service delivery involve training and organisational support.
Keyphrases
- healthcare
- end stage renal disease
- systematic review
- public health
- ejection fraction
- chronic kidney disease
- newly diagnosed
- emergency department
- palliative care
- mental health
- quality improvement
- peritoneal dialysis
- affordable care act
- cross sectional
- randomized controlled trial
- clinical practice
- meta analyses
- health insurance
- replacement therapy