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September 14, 2026Health ExpectationsOpen Access

Navigating Emergency Care After Injury: A Qualitative Study of Asylum Seekers and Refugees in England and Wales Using the Candidacy Framework (BE SURE Study)

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Authors

AKAshrafunnesa KhanomLJLydia JonesHKHanifah M. Khanom

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Overview

Qualitative study reveals persistent systemic, linguistic, and structural barriers to emergency injury care among asylum seekers and refugees, highlighting the need for equitable navigation support.

Key Points

  • To examine how asylum seekers and refugees in England and Wales recognize, navigate, and negotiate access to emergency and pre-hospital care following an acute injury.
  • Conducted qualitative focus groups with 35 asylum seekers and refugees recruited through community advocacy organizations across four regions in England and Wales.
  • Applied framework analysis to map transcripts and emergent qualitative themes onto the seven domains of the Candidacy Framework.
  • Participants recognized when injuries warranted emergency medical attention, but help-seeking was frequently hindered by fear, uncertainty, cultural norms, and structural exclusion.
  • Communication difficulties were the most pervasive and persistent barrier across all candidacy domains, interacting with complex referral pathways and immigration-related concerns to delay care.

Cite This Study

Khanom et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b3440926e14a848b20c1https://doi.org/10.1111/hex.70861
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