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Research

Asylum seekers’ and refugees’ experiences of accessing health care: a qualitative study

Ashrafunnesa Khanom, Wdad Alanazy, Lauren Couzens, Bridie Angela Evans, Lucy Fagan, Rebecca Fogarty, Ann John, Talha Khan, Mark Rhys Kingston, Samuel Moyo, Alison Porter, Melody Rhydderch, Gillian Richardson, Grace Rungua, Ian Russell and Helen Snooks
BJGP Open 2021; 5 (6): BJGPO.2021.0059. DOI: https://doi.org/10.3399/BJGPO.2021.0059
Ashrafunnesa Khanom
1 Research Fellow, Medical School, Swansea University, Swansea, UK
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  • ORCID record for Ashrafunnesa Khanom
  • For correspondence: a.khanom@swansea.ac.uk
Wdad Alanazy
2 Lecturer, Midwifery, Majmaah University, Al Majma'ah, Saudi Arabia
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Lauren Couzens
3 Senior Project Manager, Public Health Wales, Policy and International Health WHO Collaborating Centre on Investment for Health and Well-being, Cardiff, UK
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Bridie Angela Evans
4 Research Officer, Medical School, Swansea University, Swansea, UK
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Lucy Fagan
5 Speciality Registrar in Public Health, Imperial College Healthcare NHS Trust, London, UK
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Rebecca Fogarty
6 Senior Project Manager, Public Health Wales , Policy and International Health WHO Collaborating Centre on Investment for Health and Well-being, Cardiff, UK
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Ann John
7 Professor in Public Health,, Medical School, Swansea University, Swansea, UK
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Talha Khan
8 Medical Student, School of Medicine, University College Cork, Cork, Ireland
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Mark Rhys Kingston
9 Research Officer, Medical School, Swansea University, Swansea, UK
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Samuel Moyo
10 Public Member and Asylum Seeker, Patient and Public Involvement Members, Swansea University, Swansea, UK
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Alison Porter
11 Associate Professor, Swansea University, Swansea, UK
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Melody Rhydderch
12 Senior Project Manager and Lead Specialist Advisor, Behavioural Insights, Natural Resources Wales, Cardiff, UK
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Gillian Richardson
13 Senior Professional Advisor to Chief Medical Officer for Wales, Welsh Government, Population Healthcare Directorate, Cardiff, UK
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Grace Rungua
10 Public Member and Asylum Seeker, Patient and Public Involvement Members, Swansea University, Swansea, UK
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Ian Russell
14 Professor Emeritus (Medicine), Medical School, Swansea University, Swansea, UK
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Helen Snooks
15 Professor in Health Services Research, Swansea University, Swansea, UK
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    Figure 1. Levesque et al’s29 conceptual framework of access to health care

Tables

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    Table 1. Characteristics of participants in focus groups of 50 asylum seekers and refugees
    ASR characteristics n (%)
    SexFemale 24 (48%)Male 26 (52%)
    Age range, years21–68
    Length of stay in Wales, range3 days–6 years
    Length of stay in UK, range1 month–14 years
    Countries of origin
     Albania Afghanistan Angola Bangladesh Ethiopia Iran Iraq Libya Malaysia Pakistan Syria Vietnam Zimbabwe2 (4%)5 (10%)2 (4%)1 (2%)4 (8%)2 (4%)1 (2%)1 (2%)2 (4%)2 (4%)26 (52%)1 (2%)1 (2%)
    Spoke English22 (44%)
    • ASR = asylum seeker and refugee.

Supplementary Data

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    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Asylum seekers’ and refugees’ experiences of accessing health care: a qualitative study
Ashrafunnesa Khanom, Wdad Alanazy, Lauren Couzens, Bridie Angela Evans, Lucy Fagan, Rebecca Fogarty, Ann John, Talha Khan, Mark Rhys Kingston, Samuel Moyo, Alison Porter, Melody Rhydderch, Gillian Richardson, Grace Rungua, Ian Russell, Helen Snooks
BJGP Open 2021; 5 (6): BJGPO.2021.0059. DOI: 10.3399/BJGPO.2021.0059

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Asylum seekers’ and refugees’ experiences of accessing health care: a qualitative study
Ashrafunnesa Khanom, Wdad Alanazy, Lauren Couzens, Bridie Angela Evans, Lucy Fagan, Rebecca Fogarty, Ann John, Talha Khan, Mark Rhys Kingston, Samuel Moyo, Alison Porter, Melody Rhydderch, Gillian Richardson, Grace Rungua, Ian Russell, Helen Snooks
BJGP Open 2021; 5 (6): BJGPO.2021.0059. DOI: 10.3399/BJGPO.2021.0059
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Keywords

  • asylum seekers
  • Refugees
  • general practice
  • delivery of health care
  • mental health
  • language

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  • Translating primary care to telehealth: analysis of in-person consultations on diabetes and cardiovascular disease
  • Primary care physicians’ perceptions of social determinants of health recommendations: a qualitative study
  • Ethnic minority GP trainees at risk for underperformance assessments: a quantitative cohort study
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