Yang Micah, Parackal Sherly, Gurung Gagan, Subramaniam Rathan M
Department of Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand.
Department of General Practice and Rural Medicine, University of Otago, Dunedin, New Zealand.
J Prim Health Care. 2023 Mar;15(1):30-37. doi: 10.1071/HC22132.
Introduction Information on the responsiveness of the New Zealand (NZ) health system to Asians to enable navigation of healthcare services is currently lacking. Barriers experienced by Asian patients to enable optimal navigation of, and engagement with, healthcare services are also sparse. Aim This research aimed to: (1) document and analyse resources available on the websites of general practices that aid in optimal health care navigation for NZ Asians; and (2) explore the barriers perceived by Asian migrants to navigating the NZ Health System, particularly primary care. Methods This study involved qualitative document analysis of existing resources on general practice websites. Information on perceived barriers and experiences of navigating the health system was collected through semi-structured interviews (n = 9). Results Overall, 293 general practice websites were analysed. The themes from content analysis were: availability of basic information, linguistic accessibility, and culturally appropriate support for patients. Relevant and reliable information facilitating effective navigation of the NZ health system by Asians was lacking. Interview data supported the findings about the general practices, with participants reporting significant difficulties navigating and understanding NZ primary care services. Discussion Current navigational resources presume knowledge that Asian migrants do not often possess. Participants felt this lack of accessible information acutely, and it influenced how they perceived and engaged with healthcare services. Increased accessibility through resources in Asian languages, including an overview of how Health NZ functions in providing health care and professional interpreter services, would be critical to increase appropriate engagement with healthcare services and thus contribute to better health outcomes for Asians.
引言 目前缺乏有关新西兰医疗系统对亚洲人响应能力的信息，以便于他们使用医疗服务。关于亚洲患者在实现最佳医疗服务使用和参与方面所面临的障碍的信息也很少。
目的 本研究旨在：（1）记录和分析普通诊所网站上有助于新西兰亚洲人实现最佳医疗导航的可用资源；（2）探讨亚洲移民在使用新西兰医疗系统，特别是初级医疗服务时所感知到的障碍。
方法 本研究涉及对普通诊所网站现有资源的定性文献分析。通过半结构化访谈（n = 9）收集了有关使用医疗系统的感知障碍和经历的信息。
结果 总体而言，分析了293个普通诊所网站。内容分析的主题包括：基本信息的可用性、语言可及性以及对患者的文化适宜支持。缺乏有助于亚洲人有效使用新西兰医疗系统的相关且可靠的信息。访谈数据支持了关于普通诊所的研究结果，参与者报告在使用和理解新西兰初级医疗服务方面存在重大困难。
讨论 当前的导航资源假定亚洲移民通常不具备的知识。参与者深切感受到这种信息获取的不足，这影响了他们对医疗服务的认知和参与方式。通过提供亚洲语言的资源来提高可及性，包括新西兰卫生部在提供医疗服务方面的运作概述以及专业口译服务，对于增加对医疗服务的适当参与并从而为亚洲人带来更好的健康结果至关重要。
