MARC

LEADER 00000nab a2200000uu 4500
001 2729442234
003 UK-CbPIL
022 |a 1369-6513 
022 |a 1369-7625 
024 7 |a 10.1111/hex.13433  |2 doi 
035 |a 2729442234 
045 2 |b d20221001  |b d20221031 
084 |a 110711  |2 nlm 
100 1 |a Poppleton, Aaron  |u Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK; School of Medicine, Keele University, Keele, UK; NIHR Greater Manchester Patient Safety Translational Research Centre (GM‐PSTRC), Manchester, UK 
245 1 |a The perceptions of general practice among Central and Eastern Europeans in the United Kingdom: A systematic scoping review 
260 |b John Wiley & Sons, Inc.  |c Oct 2022 
513 |a Literature Review Journal Article 
520 3 |a BackgroundAround 2 million people have migrated from Central and Eastern Europe to the UK since 2004. The UK Central and Eastern European Community (UK‐CEE) are disproportionately exposed to the social determinants of poor physical and mental health. Their health and healthcare beliefs remain under‐researched, particularly regarding primary care.ObjectiveThis review explores UK‐CEE community members' use and perceptions of UK general practice.MethodsA systematic search of nine bibliographic databases identified 2094 publications that fulfilled the search criteria. Grey literature searches identified 16 additional relevant publications. Screening by title and abstract identified 201 publications of relevance, decreasing to 65 after full‐text screening. Publications were critically appraised, with data extracted and coded. Thematic analysis using constant comparison allowed generation of higher‐order thematic constructs.ResultsFull UK‐CEE national representation was achieved. Comparatively low levels of GP registration were described, with ability, desire and need to engage with GP services shaped by the interconnected nature of individual community members' cultural and sociodemographic factors. Difficulties overcoming access and in‐consultation barriers are common, with health expectations frequently unmet. Distrust and dissatisfaction with general practice often persist, promoting alternative health‐seeking approaches including transnational healthcare. Marginalized UK‐CEE community subgroups including Roma, trafficked and homeless individuals have particularly poor GP engagement and outcomes. Limited data on the impact of Brexit and COVID‐19 could be identified.ConclusionsReview findings demonstrate the need for codesigned approaches to remove barriers to engagement, culturally adapt and develop trust in GP care for UK‐CEE individuals.Community InvolvementCommunity members and stakeholders shaped the conceptualisation of the review question and validation of emergent themes. 
610 4 |a European Union 
651 4 |a Croatia 
651 4 |a United Kingdom--UK 
651 4 |a Eastern Europe 
653 |a Language 
653 |a Health beliefs 
653 |a Grey literature 
653 |a Socioeconomic factors 
653 |a Mental health 
653 |a Databases 
653 |a Homelessness 
653 |a Health promotion 
653 |a Health care 
653 |a Mental disorders 
653 |a Health status 
653 |a Community 
653 |a Market entry 
653 |a Registration 
653 |a COVID-19 
653 |a Primary care 
653 |a Library catalogs 
653 |a Social sciences 
653 |a Search strategies 
653 |a Literature reviews 
653 |a EU membership 
653 |a Community involvement 
653 |a Migration 
653 |a Subgroups 
653 |a Publications 
653 |a Homeless people 
653 |a Social factors 
653 |a General practice 
653 |a Perceptions 
653 |a Medical research 
653 |a Medical screening 
653 |a Family physicians 
653 |a Sociodemographics 
653 |a Help seeking behavior 
653 |a Marginality 
653 |a Tests 
653 |a European cultural groups 
653 |a Mental health services 
653 |a Health behavior 
653 |a Slavery 
653 |a Kidnapping 
653 |a Marginalized groups 
653 |a Cultural factors 
653 |a Health education 
653 |a Social 
700 1 |a Howells, Kelly  |u Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK 
700 1 |a Adeyemi, Isabel  |u Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK 
700 1 |a Carolyn Chew‐Graham  |u School of Medicine, Keele University, Keele, UK 
700 1 |a Dikomitis, Lisa  |u Kent and Medway Medical School, University of Kent and Canterbury Christ Church University, Canterbury, UK 
700 1 |a Sanders, Caroline  |u Centre for Primary Care and Health Services Research, University of Manchester, Manchester, UK; NIHR Greater Manchester Patient Safety Translational Research Centre (GM‐PSTRC), Manchester, UK 
773 0 |t Health Expectations  |g vol. 25, no. 5 (Oct 2022), p. 2107 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/2729442234/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/2729442234/fulltextwithgraphics/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/2729442234/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch