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Health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study

BACKGROUND: Migrants often face worse health outcomes in countries of transit and destination because of challenges such as financial constraints, employment problems, lack of a network of social support, language and cultural differences, and difficulties accessing health services. As understanding...

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Autores principales: Ofosu, Nicole N., Luig, Thea, Mumtaz, Naureen, Chiu, Yvonne, Lee, Karen K., Yeung, Roseanne O., Campbell-Scherer, Denise L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CMA Impact Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449020/
https://www.ncbi.nlm.nih.gov/pubmed/37607747
http://dx.doi.org/10.9778/cmajo.20220222
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author Ofosu, Nicole N.
Luig, Thea
Mumtaz, Naureen
Chiu, Yvonne
Lee, Karen K.
Yeung, Roseanne O.
Campbell-Scherer, Denise L.
author_facet Ofosu, Nicole N.
Luig, Thea
Mumtaz, Naureen
Chiu, Yvonne
Lee, Karen K.
Yeung, Roseanne O.
Campbell-Scherer, Denise L.
author_sort Ofosu, Nicole N.
collection PubMed
description BACKGROUND: Migrants often face worse health outcomes in countries of transit and destination because of challenges such as financial constraints, employment problems, lack of a network of social support, language and cultural differences, and difficulties accessing health services. As understanding how the migrant context affects patient–provider engagement is critical to the provision of contextually appropriate care, this study aimed at understanding primary health care provider perspectives on challenges and opportunities of the intercultural care process for migrant patients with diabetes and obesity. METHODS: This qualitative study within a multimethod, participatory research project involved primary care providers in clinics and primary care networks in Edmonton, Alberta, between September 2019 and February 2020. We explored health care providers’ approaches to diabetes and obesity management, and experiences of and challenges with intercultural care. We conducted a thematic analysis using an interpretive qualitative approach. RESULTS: We conducted 9 interviews and 4 focus groups and identified 3 themes: a shift from traditional weight loss–centred approaches; relationships and navigating cultural distance; and importance of and limitations in identifying and addressing root causes and barriers. Health care providers encounter considerable nonmedical challenges when supporting immigrant patients, such as navigating cultural distance and working with patients’ financial constraints. INTERPRETATION: The nonmedical challenges we identified can hinder the process of chronic disease management. Thus, in addition to educational programs and trainings to enhance the cultural competency of health care providers, incorporating avenues for cultural brokering in health care can provide invaluable support in patient–provider engagements to mitigate these challenges.
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spelling pubmed-104490202023-08-25 Health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study Ofosu, Nicole N. Luig, Thea Mumtaz, Naureen Chiu, Yvonne Lee, Karen K. Yeung, Roseanne O. Campbell-Scherer, Denise L. CMAJ Open Research BACKGROUND: Migrants often face worse health outcomes in countries of transit and destination because of challenges such as financial constraints, employment problems, lack of a network of social support, language and cultural differences, and difficulties accessing health services. As understanding how the migrant context affects patient–provider engagement is critical to the provision of contextually appropriate care, this study aimed at understanding primary health care provider perspectives on challenges and opportunities of the intercultural care process for migrant patients with diabetes and obesity. METHODS: This qualitative study within a multimethod, participatory research project involved primary care providers in clinics and primary care networks in Edmonton, Alberta, between September 2019 and February 2020. We explored health care providers’ approaches to diabetes and obesity management, and experiences of and challenges with intercultural care. We conducted a thematic analysis using an interpretive qualitative approach. RESULTS: We conducted 9 interviews and 4 focus groups and identified 3 themes: a shift from traditional weight loss–centred approaches; relationships and navigating cultural distance; and importance of and limitations in identifying and addressing root causes and barriers. Health care providers encounter considerable nonmedical challenges when supporting immigrant patients, such as navigating cultural distance and working with patients’ financial constraints. INTERPRETATION: The nonmedical challenges we identified can hinder the process of chronic disease management. Thus, in addition to educational programs and trainings to enhance the cultural competency of health care providers, incorporating avenues for cultural brokering in health care can provide invaluable support in patient–provider engagements to mitigate these challenges. CMA Impact Inc. 2023-08-22 /pmc/articles/PMC10449020/ /pubmed/37607747 http://dx.doi.org/10.9778/cmajo.20220222 Text en © 2023 CMA Impact Inc. or its licensors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Research
Ofosu, Nicole N.
Luig, Thea
Mumtaz, Naureen
Chiu, Yvonne
Lee, Karen K.
Yeung, Roseanne O.
Campbell-Scherer, Denise L.
Health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study
title Health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study
title_full Health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study
title_fullStr Health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study
title_full_unstemmed Health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study
title_short Health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study
title_sort health care providers’ perspectives on challenges and opportunities of intercultural health care in diabetes and obesity management: a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449020/
https://www.ncbi.nlm.nih.gov/pubmed/37607747
http://dx.doi.org/10.9778/cmajo.20220222
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