The impact of NHS charging regulations on healthcare access and utilisation among migrants in England: a systematic review

被引：10

作者：

Rassa, Nazanin ^{[1
]}

McCarthy, Margaret ^{[2
]}

Casalotti, Seb ^{[3
]}

Zhang, Claire ^{[4
]}

Wurie, Fatima ^{[5
]}

Brown, Colin ^{[6
,7
,8
]}

Campos-Matos, Ines ^{[9
]}

机构：

[1] North Bristol NHS Trust, Southmead Hosp, Bristol, England

[2] Natl Acad Sci Engn & Med, Board Hlth Sci Policy, 500 5Th St NW, Washington, DC 20001 USA

[3] Barking Havering & Redbridge Univ Trust, Queens Hosp, Romford, England

[4] Dept Hlth & Social Care, Off Hlth Improvement & Dispar, Populat Hlth Metr Inclus Hlth, 39 Victoria St, London SW1H 0EU, England

[5] Dept Hlth & Social Care, Off Hlth Improvement & Dispar, 39 Victoria St, London SW1H 0EU, England

[6] UK Hlth Secur Agcy, Clin & Emerging Infect Interim, London, England

[7] UK Hlth Secur Agcy, Clin & Publ Hlth Grp HCAI, Fungal, AMR,AMU, London, England

[8] UK Hlth Secur Agcy, WHO Collaborating Ctr Reference & Res Antimicrobia, London, England

[9] Dept Hlth & Social Care, Natl COVID 19 Epidemiol Team, Inclus Hlth Addict & Inclus Directorate, Off Hlth Improvement & Dispar, 39 Victoria St, London SW1H 0EU, England

来源：

BMC PUBLIC HEALTH | 2023年 / 23卷 / 01期

关键词：

Policy; Healthcare access; Migrant health; Cost recovery;

D O I：

10.1186/s12889-023-15230-9

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundThe NHS Charges to Overseas Visitors Regulations 2015 outline when healthcare costs should be recuperated from overseas visitors in England. National and global stakeholders have expressed concerns that charging may exacerbate health inequalities and undermine public health efforts especially among vulnerable migrant groups. This review aims to systematically describe the evidence regarding the impact of NHS charging regulations on healthcare access and utilisation and health outcomes for migrants in England.MethodsA systematic search of scientific databases and grey literature sources was performed. Quantitative and qualitative studies, case studies and grey literature published between 1 January 2014 and 1 April 2021 were included. Screening, data extraction and quality appraisal were carried out in accordance with PRISMA guidelines.ResultsFrom the 1,459 identified studies, 10 were selected for inclusion. 6 were qualitative, 3 were mixed methods and 1 was quantitative. The evidence is lacking but suggests that fears of charging and data sharing can deter some migrants from accessing healthcare. There is also evidence to suggest a lack of knowledge of the charging regulations among patients and healthcare professionals is contributing to this deterrence.ConclusionsFurther independent research supported by strengthening of data collection is required to better understand the effects of charging on healthcare and health outcomes among vulnerable migrants. Our findings support improved training and communication about NHS Charging Regulations for patients and professionals.

引用

页数：12

共 48 条

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