Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.
AabKa Research & Consultancy, Calgary, AB T1Y 5J2, Canada.
Int J Environ Res Public Health. 2020 Nov 24;17(23):8724. doi: 10.3390/ijerph17238724.
(1) Background: Immigrants represent around 21.9% of the total population in Canada and encounter multifaceted obstacles in accessing and receiving primary healthcare. This literature review explores patient experiences in primary care from the perspective of immigrants and identifies areas for further research and improvement. (2) Methods: A comprehensive search was performed on PubMed, MEDLINE, Embase, SCOPUS, and Google scholar to identify studies published from 2010 to July 2020. Relevant articles were peer-reviewed, in English language, and reported patient experiences in primary healthcare in Canada. (3) Results: Of the 1566 searched articles, 19 articles were included in this review. Overall, the finding from articles were summarized into four major themes: cultural and linguistic differences; socioeconomic challenges; health system factors; patient-provider relationship. (4) Conclusion: Understanding the gaps to accessing and receiving appropriate healthcare is important to shape policies, enhance the quality of services, and deliver more equitable healthcare services. It is therefore pertinent that primary healthcare providers play an active role in bridging these gaps with strong support from policymakers. Understanding and respecting diversity in culture, language, experiences, and systems is crucial in reducing health inequalities and improving access to quality care in a respectful and responsive manner.
(1) 背景：在加拿大，移民约占总人口的 21.9%，他们在获得和接受初级医疗保健方面面临着多方面的障碍。本文献综述从移民的角度探讨了初级保健中的患者体验，并确定了进一步研究和改进的领域。(2) 方法：在 PubMed、MEDLINE、Embase、SCOPUS 和 Google scholar 上进行了全面检索，以确定 2010 年 7 月至 2020 年期间发表的研究。相关文章经过同行评审，为英文，并报告了加拿大初级医疗保健中的患者体验。(3) 结果：在搜索到的 1566 篇文章中，有 19 篇被纳入本综述。总体而言，文章的发现总结为四个主要主题：文化和语言差异；社会经济挑战；卫生系统因素；医患关系。(4) 结论：了解在获得和接受适当医疗保健方面的差距对于制定政策、提高服务质量以及提供更公平的医疗保健服务非常重要。因此，初级保健提供者在政策制定者的大力支持下，在弥合这些差距方面发挥积极作用是非常重要的。理解和尊重文化、语言、经验和系统的多样性，对于减少健康不平等以及以尊重和响应的方式改善获得优质护理的机会至关重要。
