Academic Journal

How do health, social care and legal professionals support visa-dependent migrants affected by a terminal illness in the UK: a qualitative interview study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: How do health, social care and legal professionals support visa-dependent migrants affected by a terminal illness in the UK: a qualitative interview study.
Συγγραφείς: Sedgley T; Birmingham City University, Birmingham, UK., Alexander J; Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK., Macgregor A; Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK., Forbat L; Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK elizabeth.forbat1@stir.ac.uk.; Marie Curie, Edinburgh, UK.
Πηγή: BMJ open [BMJ Open] 2026 Sep 24; Vol. 16 (9), pp. e110213. Date of Electronic Publication: 2026 Sep 24.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
Imprint Name(s): Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
Ιατρικοί όροι (MeSH): Terminal Care*/economics , Health Services Accessibility* , Transients and Migrants* , Terminally Ill*, Humans ; United Kingdom ; Qualitative Research ; Female ; Male ; Palliative Care ; Middle Aged ; Adult ; Interviews as Topic ; Aged
Περίληψη: Objectives: To understand barriers faced by migrants with terminal illness in accessing healthcare services and to document the strategies adopted to mitigate problems they experienced.
Design: Inductive thematic qualitative interview study.
Setting: Community and hospice settings in the UK.
Participants: 22 people, comprising 14 working within health/palliative care settings, 4 in legal/policy settings and 4 in migrant support, all with experience of supporting people with a terminal illness.
Results: There are substantial and dire consequences for migrants with terminal illness. While patients and professionals struggle to understand migrants' entitlements, the expense of treatment and/or the prospect of being charged for healthcare deter access. Healthcare charges and discretionary support were variable. Patients risk accruing heavy healthcare costs/debts, and some avoid accessing care altogether for fear of immigration services being alerted, with consequent fear of removal/deportation.
Conclusions: Service commissioners and palliative care practitioners must be cognisant of the complex constellation of circumstances in which migrants live and die. Strategies are needed to enhance knowledge around entitlements in order to widen access and promote equitable access to healthcare for terminally ill migrants.
(© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY. Published by BMJ Group.)
Competing Interests: Competing interests: None declared.
Contributed Indexing: Keywords: Cultural issues; ethical; palliative care; quality of life; supportive care
Entry Date(s): Date Created: 20260924 Date Completed: 20260924 Latest Revision: 20260924
Update Code: 20260925
DOI: 10.1136/bmjopen-2025-110213
PMID: 42785943
Βάση Δεδομένων: MEDLINE