背景:估计有220万来自中欧和东欧(CEE)的人居住在英国。有记录表明,中欧和东欧移民在英国未充分利用卫生服务,作为替代,在他们的祖国寻求医疗保健。然而,在国外寻求医疗保健的原因并不总是很清楚。这篇综述旨在确定居住在英国的CEE移民采用跨国医疗保健的原因。
方法:通过与社区成员的讨论,医疗利益相关者和学者,在乔安娜·布里格斯研究所范围审查的九阶段框架之后,进行了系统的范围审查。带有MeSH术语的搜索策略,如果相关,在五个学术数据库中使用和改编,两个灰色文献数据库和谷歌学者。包含的记录包含四个概念:迁移,CEE国籍,英国国家和医疗保健利用,这是用英文写的,并在2004年5月至2022年之间出版。文献中的数据被编码,分组并组织成主题。
结果:共有16篇出版物符合纳入标准。有证据表明,一些CEE移民只使用英国的医疗保健服务。然而,许多CEE移民在英国及其原籍国都使用医疗保健。从文献中确定了四个主题,即为什么移民前往原籍国寻求医疗保健:对医疗服务的文化期望,对英国NHS的不信任,壁垒和跨国联系。
结论:推动因素导致CEE移民在其原籍国寻求医疗保健,在持续的跨国关系的推动下。CEE移民经常将对原籍国的访问与医疗预约相结合。在其原籍国使用医疗保健而不是在英国使用医疗保健可能会导致药物记录分散和不完整,医学检查和手术以及不必要的治疗和并发症的风险。这项审查强调需要与联合王国境内的CEE团体进行更有针对性的卫生外联,以及需要进一步研究国家事件的影响,例如,COVID-19和英国退欧,关于跨国寻求医疗保健的行为。
■这个范围审查的概念是通过与社区成员的讨论得出的,医学专家和学者,他认为这是一个当前的问题。与医疗保健利益相关者讨论了本次范围审查的结果。
BACKGROUND: An estimated 2.2 million people from Central and Eastern Europe (CEE) live in the United Kingdom. It has been documented that CEE migrants underutilise health services in the United Kingdom and, as an alternative, seek healthcare in their home country. However, reasons for seeking healthcare abroad are not always clear. This
review aims to identify the reasons for the uptake of transnational healthcare among CEE migrants resident in the United Kingdom.
METHODS: Informed by discussions with community members, medical stakeholders and academics, a systematic scoping
review was undertaken following the nine-stage Joanna Briggs Institute framework for scoping reviews. A search strategy with MeSH terms, where relevant, was used and adapted in five academic databases, two grey literature databases and Google Scholar. Included records encompassed four concepts: migration, CEE nationalities, UK nations and healthcare utilisation, which were written in English and published between May 2004 and 2022. Data from the literature were coded, grouped and organised into themes.
RESULTS: A total of 16 publications fulfilled the inclusion criteria. There is evidence that some CEE migrants exclusively use healthcare services in the United Kingdom. However, many CEE migrants utilise healthcare both in the United Kingdom and their country of origin. Four themes were identified from the literature as to why migrants travelled to their country of origin for healthcare: cultural expectations of medical services, distrust in the UK NHS, barriers and transnational ties.
CONCLUSIONS: Push factors led CEE migrants to seek healthcare in their country of origin, facilitated by ongoing transnational ties. CEE migrants frequently combine visits to their country of origin with medical appointments. Utilising healthcare in their country of origin as opposed to the United Kingdom can result in fragmented and incomplete records of medications, medical tests and surgeries and risk of unnecessary treatments and complications. This
review highlights the need for more targeted health outreach with CEE groups within the United Kingdom, as well as the need for further research on the impact of national events, for example, COVID-19 and Brexit, on transnational healthcare-seeking behaviours.
UNASSIGNED: The concept for this scoping
review was informed by discussions with community members, medical professionals and academics, who identified it as a current issue. The results of this scoping
review were discussed with healthcare stakeholders.