Patient-reported experiences in primary health care access of Nepalese immigrant women in Canada
International Journal of Migration, Health and Social Care
ISSN: 1747-9894
Article publication date: 21 October 2022
Issue publication date: 3 November 2022
Abstract
Purpose
Canada has a globally recognized universal health-care system. However, immigrants experience a number of obstacles in obtaining primary health care (PHC) that may differ within various communities due to the intersection of culture, gender and other identities. To date, no research has been done on the difficulties Nepalese immigrant women in Canada may face accessing PHC. The purpose of this study was to learn about their perceptions of barriers to PHC access and to share the findings with a wide range of stakeholders, including health-care providers and policymakers.
Design/methodology/approach
The authors conducted a community-engaged qualitative study in Calgary, Alberta, Canada. A total of six focus group discussions (FGD) among 34 participants (each FGD consisted of 5–7 participants) were conducted. The authors collected demographic information before each focus group. The FGDs were audio recorded and transcribed verbatim. The transcriptions were coded and analysed thematically.
Findings
The focus groups identified long wait times as a major barrier to receiving PHC services. Long wait times in emergency rooms, unable to see family doctors when they were sick, tedious referral procedures, long waits at the clinic even after scheduling an appointment, family responsibilities and work all impacted their access to PHC. Further, a lack of proficiency in English was another significant barrier that impeded effective communication between physicians and immigrant women patients, thus compromising the quality of care. Other barriers mentioned included lack of access to medical records for walk-in doctors, insufficient lab/diagnostic services, a lack of urgent care services and unfamiliarity with the Canadian health-care system.
Originality/value
Accessible PHC is essential for the health of immigrant populations in Canada. This study recognizes the extent of the barriers among a relatively less studied immigrant population group, Nepalese immigrant women, which will help effectively shape public policy and improve access to PHC for the versatile immigrant population fabric in Canada.
Keywords
Acknowledgements
Ethics approval: This study received ethics approval from the CHREB of University of Calgary.
Consent to participate: Informed consent was obtained from all the participants.
Author contribution: Tanvir C. Turin, Rudra Dahal, and Bishnu Bahadur Bajgain conceived research study. Tanvir C. Turin designed the methods for the study. Rudra Dahal, Kalpana Thapa Bajgain, Kamala Adhikari, and Bishnu Bahadur Bajgain conducted initial community engagement and mobilisation initiatives for participant recruitment and facilitated the arrangements of the FGDs. Rudra Dahal and Bishnu Bahadur Bajgain conducted the FGDs and compiled the field notes. Rudra Dahal transcribed and translated the FGDs. Rudra Dahal, Iffat Naeem, and Tanvir C. Turin analysed and interpreted the data. Kalpana Thapa Bajgain, Bishnu Bahadur Bajgain, and Kamala Adhikari helped contextualisation of the interpretation by using the ethno-cultural lens. Rudra Dahal, Iffat Naeem, Nashit Chowdhury, and Tanvir C. Turin drafted the manuscript. Kalpana Thapa Bajgain, Bishnu Bahadur Bajgain, and Kamala Adhikari critically appraised the draft for intellectual contribution.
Citation
Dahal, R., Thapa Bajgain, K., Bahadur Bajgain, B., Adhikari, K., Naeem, I., Chowdhury, N. and Turin, T.C. (2022), "Patient-reported experiences in primary health care access of Nepalese immigrant women in Canada", International Journal of Migration, Health and Social Care, Vol. 18 No. 4, pp. 315-331. https://doi.org/10.1108/IJMHSC-03-2021-0028
Publisher
:Emerald Publishing Limited
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