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Mamata Pandey, R. Geoffrey Maina, Jonathan Anim Amoyaw, Yiyan Li, Rejina Kamrul, Clara Rocha Michaels, Razawa Maroof
BACKGROUND: Immigrants from culturally, ethnically, and linguistically diverse countries face many challenges during the resettlement phase, which influence their access to healthcare services and health outcomes. The "Healthy Immigrant Effect" or the health advantage that immigrants arrive with is observed to deteriorate with increased length of stay in the host country. METHODS: An exploratory qualitative design, following a community-based research approach, was employed. The research team consisted of health researchers, clinicians, and community members. The objective was to explore the barriers to healthcare access among immigrants with limited English language proficiency. Three focus groups were carried out with 29 women and nine men attending English language classes at a settlement agency in a mid-sized city. Additionally, 17 individual interviews were carried out with healthcare providers and administrative staff caring for immigrants and refugees. RESULTS: A thematic analysis was carried out with transcribed focus groups and healthcare provider interview data. Both the healthcare providers and immigrants indicated that limited language proficiency often delayed access to available healthcare services and interfered with the development of a therapeutic relationship between the client and the healthcare provider. Language barriers also impeded effective communication between healthcare providers and clients, leading to suboptimal care and dissatisfaction with the care received. Language barriers interfered with treatment adherence and the use of preventative and screening services, further delaying access to timely care, causing poor chronic disease management, and ultimately resulting in poor health outcomes. Involving untrained interpreters, family members, or others from the ethnic community was problematic due to misinterpretation and confidentiality issues. CONCLUSIONS: The study emphasises the need to provide language assistance during medical consultations to address language barriers among immigrants. The development of guidelines for recruitment, training, and effective engagement of language interpreters during medical consultation is recommended to ensure high quality, equitable and client-centered care.
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Pandey, M., Maina, R. G., Amoyaw, J. A., Li, Y., Kamrul, R., Michaels, C. R., & Maroof, R. (2021). Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study. BMC Health Services Research, 21(1), 741. https://doi.org/10.1186/s12913-021-06750-4
Pandey, Mamata, et al. "Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study." BMC Health Services Research, vol. 21, no. 1, 2021, pp. 741, https://doi.org/10.1186/s12913-021-06750-4.
Pandey, Mamata, R. Geoffrey Maina, Jonathan Anim Amoyaw, Yiyan Li, Rejina Kamrul, Clara Rocha Michaels, and Razawa Maroof. "Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study." BMC Health Services Research 21, no. 1 (2021): 741. https://doi.org/10.1186/s12913-021-06750-4.
Pandey M., Maina R. G., Amoyaw J. A. [и др.] Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study // BMC Health Services Research. — 2021. — Vol. 21, № 1. — P. 741. — URL: https://doi.org/10.1186/s12913-021-06750-4
@article{pandey2021impacts,
title = {{Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study}},
author = {Mamata Pandey and R. Geoffrey Maina and Jonathan Anim Amoyaw and Yiyan Li and Rejina Kamrul and Clara Rocha Michaels and Razawa Maroof},
journal = {BMC Health Services Research},
year = {2021},
volume = {21},
number = {1},
pages = {741},
doi = {10.1186/s12913-021-06750-4},
url = {https://doi.org/10.1186/s12913-021-06750-4}
}TY - JOUR AU - Pandey, Mamata AU - Maina, R. Geoffrey AU - Amoyaw, Jonathan Anim AU - Li, Yiyan AU - Kamrul, Rejina AU - Michaels, Clara Rocha AU - Maroof, Razawa TI - Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study JO - BMC Health Services Research VL - 21 IS - 1 SP - 741 PY - 2021 DA - 2021/07/26 DO - 10.1186/s12913-021-06750-4 UR - https://doi.org/10.1186/s12913-021-06750-4 ER -
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