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The challenges experienced by Ukrainian refugees accessing General Practice: a descriptive cross-sectional study
Niall O'Reilly1, Emmet Smithwick1, Eoin Murphy1
1Cork Postgraduate Specialist GP Training, St Mary's Health Campus, 144 Templeacre Avenue, Cork, T23 Y7KN, Ireland.
Family Practice
|March 19, 2025
Summary
Ukrainian refugees face significant barriers accessing primary care in Ireland, including issues with transport, communication, and mental health support. Addressing these challenges requires national resources to improve healthcare access for this vulnerable population.
Area of Science:
- Public Health
- Healthcare Access
- Refugee Health
Background:
- The war in Ukraine has caused a significant refugee crisis across Europe.
- Limited research exists on refugee access to primary care, with no studies focusing on Ukrainian refugees.
- Understanding barriers is crucial for improving care for this marginalized group.
Purpose of the Study:
- To identify the specific barriers Ukrainian refugees encounter when accessing General Practice (GP) in Ireland.
Main Methods:
- A 63-item questionnaire was distributed to Ukrainian refugees in Ireland.
- Qualitative comments were collected via free-text responses.
- Thematic analysis was used to analyze the qualitative data.
Main Results:
- 368 questionnaires were completed, revealing significant challenges.
- 75.4% were not asked about mental health; 25% faced transport difficulties.
- 55% needed a translator, but only one-third received one; self-reported health was poor.
Conclusions:
- National resources are essential to address the primary care access challenges faced by Ukrainian refugees.
- Key themes identified include disparity in patient autonomy, perceived disregard for refugee experiences, and healthcare access difficulties.
- Improving primary care access is paramount given current capacity challenges in General Practice.
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