Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720952618. doi: 10.1177/2150132720952618.
Understanding barriers in primary health care access faced by Canadian immigrants, especially among women, is important for developing mitigation strategies. The aim of this study was to gain an in-depth understanding of perceived challenges and unmet primary health care access needs of Bangladeshi immigrant women in Canada.
In this qualitative study, we conducted 7 focus groups among a sample of 42 first-generation immigrant women on their experiences in primary health care access in their preferred language, Bangla. Descriptive analysis was used for their socio-demographic characteristics and inductive thematic analysis was applied to the qualitative data.
The hurdles reported included long wait time at emergency service points, frustration from slow treatment process, economic losses resulting from absence at work, communication gap between physicians and immigrant patients, and transportation problem to go to the health care centers. No access to medical records for walk-in doctors, lack of urgent care, and lack of knowledge about Canadian health care systems are a few of other barriers emerged from the focus group discussions.
The community perception about lack of primary health care resources is quite prevalent and is considered as one of the most important barriers by the grassroots community members.
了解加拿大移民，尤其是女性在获得初级医疗保健方面面临的障碍，对于制定缓解策略非常重要。本研究的目的是深入了解加拿大孟加拉裔移民女性在获得初级医疗保健方面的感知挑战和未满足的需求。
在这项定性研究中，我们以首选语言孟加拉语，对 42 名第一代移民女性进行了 7 次焦点小组讨论，以了解她们在初级医疗保健获取方面的经验。对社会人口统计学特征进行描述性分析，并对定性数据进行归纳主题分析。
报告的障碍包括在急诊服务点等待时间长、治疗过程缓慢而感到沮丧、因缺勤而造成的经济损失、医生和移民患者之间的沟通障碍，以及前往医疗保健中心的交通问题。一些其他障碍还包括：门诊医生无法查阅病历、缺乏紧急护理，以及对加拿大医疗保健系统缺乏了解。
社区普遍认为初级医疗保健资源不足，基层社区成员认为这是最重要的障碍之一。
