Burns Rachel, Pathak Neha, Campos-Matos Ines, Zenner Dominik, Vittal Katikireddi Srinivasa, Muzyamba Morris C, Miranda J Jaime, Gilbert Ruth, Rutter Harry, Jones Lucy, Williamson Elizabeth, Hayward Andrew C, Smeeth Liam, Abubakar Ibrahim, Hemingway Harry, Aldridge Robert W
Centre for Public Health Data Science, University College London, London, UK.
Institute of Epidemiology and Healthcare, University College London, London, UK.
Wellcome Open Res. 2019 Jan 17;4:4. doi: 10.12688/wellcomeopenres.15007.1. eCollection 2019.
In 2017, 15.6% of the people living in England were born abroad, yet we have a limited understanding of their use of health services and subsequent health conditions. This linked population-based cohort study aims to describe the hospital-based healthcare and mortality outcomes of 1.5 million non-European Union (EU) migrants and refugees in England. We will link four data sources: first, non-EU migrant tuberculosis pre-entry screening data; second, refugee pre-entry health assessment data; third, national hospital episode statistics; and fourth, Office of National Statistics death records. Using this linked dataset, we will then generate a population-based cohort to examine hospital-based events and mortality outcomes in England between Jan 1, 2006, and Dec 31, 2017. We will compare outcomes across three groups in our analyses: 1) non-EU international migrants, 2) refugees, and 3) general population of England. We will obtain approval to use unconsented patient identifiable data from the Secretary of State for Health through the Confidentiality Advisory Group and the National Health Service Research Ethics Committee. After data linkage, we will destroy identifying data and undertake all analyses using the pseudonymised dataset. The results will provide policy makers and civil society with detailed information about the health needs of non-EU international migrants and refugees in England.
2017年，居住在英格兰的人口中有15.6%出生在国外，但我们对他们使用医疗服务的情况以及随后的健康状况了解有限。这项基于人群的队列关联研究旨在描述150万非欧盟移民和难民在英格兰接受的以医院为基础的医疗保健情况及死亡结局。我们将关联四个数据源：第一，非欧盟移民入境前结核病筛查数据；第二，难民入境前健康评估数据；第三，国家医院就诊统计数据；第四，国家统计局死亡记录。利用这个关联数据集，我们将生成一个基于人群的队列，以研究2006年1月1日至2017年12月31日期间英格兰以医院为基础的事件及死亡结局。在分析中，我们将比较三组人群的结局：1）非欧盟国际移民，2）难民，3）英格兰普通人群。我们将通过保密咨询小组和国民医疗服务体系研究伦理委员会获得卫生大臣的批准，以使用未经患者同意的可识别身份的数据。数据关联完成后，我们将销毁识别数据，并使用化名数据集进行所有分析。研究结果将为政策制定者和民间社会提供有关英格兰非欧盟国际移民和难民健康需求的详细信息。
