Scoping Review: Barriers to Primary Care Access Experienced by Immigrants and Refugees in English-Speaking Countries

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Autor/inn/en	Kamran, Hamza; Hassan, Hadi; Ali, Mehr Un Nisa; Ali, Danish; Taj, Moizzuddin; Mir, Zara; Pandya, Munj; Steinberg, Shirley R.; Jamal, Aamir; Zaidi, Mukarram
Titel	Scoping Review: Barriers to Primary Care Access Experienced by Immigrants and Refugees in English-Speaking Countries
Quelle	In: Qualitative Research Journal, 22 (2022) 3, S.401-414 (14 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Kamran, Hamza) ORCID (Hassan, Hadi) ORCID (Ali, Mehr Un Nisa) ORCID (Ali, Danish) ORCID (Taj, Moizzuddin) ORCID (Mir, Zara) ORCID (Pandya, Munj) ORCID (Steinberg, Shirley R.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1443-9883
DOI	10.1108/QRJ-02-2022-0028
Schlagwörter	Primary Health Care; Access to Health Care; Barriers; Immigrants; Refugees; Research Reports; Cultural Differences; English (Second Language); Second Language Learning; Well Being; Physician Patient Relationship; Medical Research; Socioeconomic Status; Foreign Countries; Canada; United States; United Kingdom; Australia; New Zealand + Suchen Sie Ihr Suchwort? Gesundheitsvorsorge; Immigrant; Immigrantin; Immigranten; Flüchtling; Research report; Forschungsbericht; Kultureller Unterschied; English as second language; English; Second Language; Englisch als Zweitsprache; Zweitsprachenerwerb; Well-being; Wellness; Wohlbefinden; Arzt-Patient-Beziehung; Socio-economic status; Sozioökonomischer Status; Ausland; Kanada; USA; Großbritannien; Australien; Neuseeland
Abstract	Purpose: This study examined 46 articles in total, which yielded 5 recurring themes: perceived discrimination, language barriers, socioeconomic barriers, cultural barriers and educational/knowledge barriers. The two most dominant themes found were the inability to speak the country's primary language and belonging to a culture with different practices and values from the host country. The review provides vital insights into the numerous challenges that immigrants and refugees encounter as they navigate through the primary care systems of English-speaking (E-S) countries and potential solutions to overcome these barriers. Design/methodology/approach: Access to adequate healthcare plays a central part in ensuring the physical and mental wellbeing of society. However, vulnerable groups such as immigrants and refugees, face numerous challenges when utilizing these healthcare services. To shed further light on the barriers impacting healthcare quality, the authors' team performed a scoping thematic review of the available literature on immigrant and refugees' experiences in primary healthcare systems across E-S countries. Articles were systematically reviewed while focusing on healthcare perceptions by immigrants, potential barriers and suggestions to improve the quality of primary care. Findings: This work looked at qualitative and quantitative information, attempting to combine both paradigms to give a rich and robust platform with which to devise a further study through focus groups. Qualitative inquiry accounted for 28/46, or 61%, of studies, and quantitative inquiry made up 9/46, or 20%, while 9/46 or 20% combined both qualitative and qualitative. Emerging themes are -perceived ethnic discrimination faced by immigrants accessing primary care, language barriers, socioeconomic barriers, cultural barriers and educational barriers. Research limitations/implications: Most medical journals rely on quantitative data to relate "results" and cases. The authors set out to change ways in which medical reports can be done. Most of the authors were solely trained in quantitative research; consequently, they had to learn to isolate themes and to use a narrative approach in the article. Practical implications: Research implications clearly indicated that using a qualitative (phenomenological) approach with quantitative data created a human and reachable discourse around patient comfort and the realities of immigrants and refugees to E-S countries. The use of this research opens medical practitioners (and patients) to a richer understanding within a usually difficult arena. Social implications: By understanding the qualitative nature of medical research, practitioners, students and mentors are able to bridge medical quantitivity to the human, widening doors to social science and medical collaboratory research. Originality/value: As stated above, this work is important as it understands the human/patient element and de-emphasizes the medical obsession with quantifying the lives of patients through hard data. This is a unique collaboration that relies on the qualitative to pinpoint and define the difficulties of newcomers to E-S countries. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01