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Usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in Spain: a qualitative study of general practitioners

OBJECTIVES: Some migrant groups are disproportionately affected by key infectious diseases in European countries. These pose a challenge for healthcare systems providing care to these groups. We aimed to explore the views of general practitioners (GPs) on the acceptability, adaptability and feasibil...

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Autores principales: Gonçalves, Alessandra Queiroga, Sequeira-Aymar, Ethel, Aguilar Martín, Carina, Dalmau Llorca, Maria Rosa, Cruz, Angeline, Evangelidou, Stella, Hargreaves, Sally, Requena-Mendez, Ana, Jacques-Aviñó, Constanza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670956/
https://www.ncbi.nlm.nih.gov/pubmed/36385020
http://dx.doi.org/10.1136/bmjopen-2022-065645
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author Gonçalves, Alessandra Queiroga
Sequeira-Aymar, Ethel
Aguilar Martín, Carina
Dalmau Llorca, Maria Rosa
Cruz, Angeline
Evangelidou, Stella
Hargreaves, Sally
Requena-Mendez, Ana
Jacques-Aviñó, Constanza
author_facet Gonçalves, Alessandra Queiroga
Sequeira-Aymar, Ethel
Aguilar Martín, Carina
Dalmau Llorca, Maria Rosa
Cruz, Angeline
Evangelidou, Stella
Hargreaves, Sally
Requena-Mendez, Ana
Jacques-Aviñó, Constanza
author_sort Gonçalves, Alessandra Queiroga
collection PubMed
description OBJECTIVES: Some migrant groups are disproportionately affected by key infectious diseases in European countries. These pose a challenge for healthcare systems providing care to these groups. We aimed to explore the views of general practitioners (GPs) on the acceptability, adaptability and feasibility of a multidisease screening programme based on an innovative clinical decision-support system for migrants (the ISMiHealth tool), by examining the current gaps in healthcare provision and areas of good practice and the usefulness and limitations of training in the health needs of migrants. METHODS: We undertook a qualitative descriptive study and carried out a series of focus groups (FGs) taking a pragmatic utilitarian approach. Participants were GPs from the four primary healthcare (PHC) centres in Catalonia, Spain, that piloted an intervention of the ISMiHealth tool. GPs were recruited using purposive and convenience sampling. FG discussions were transcribed and analysed using thematic content analysis. RESULTS: A total of 29 GPs participated in four FGs. Key themes identified were: (1) GPs found the ISMiHealth tool to be very useful for helping to identify specific health problems in migrants, although there are several additional barriers to screening as part of PHC, (2) the importance of considering cultural perspectives when caring for migrants, and of the impact of migration on mental health, (3) the important role of PHC in healthcare provision for migrants and (4) key proposals to improve screening of migrant populations. GPs also highlighted the urgent need, to shift to a more holistic and adequately resourced approach to healthcare in PHC. CONCLUSIONS: GPs supported a multidisease screening programme for migrant populations using the ISMiHealth tool, which aided clinical decision-making. However, intercultural participatory approaches will need to be adopted to address linguistic and cultural barriers to healthcare access that exist in migrant communities.
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spelling pubmed-96709562022-11-18 Usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in Spain: a qualitative study of general practitioners Gonçalves, Alessandra Queiroga Sequeira-Aymar, Ethel Aguilar Martín, Carina Dalmau Llorca, Maria Rosa Cruz, Angeline Evangelidou, Stella Hargreaves, Sally Requena-Mendez, Ana Jacques-Aviñó, Constanza BMJ Open General practice / Family practice OBJECTIVES: Some migrant groups are disproportionately affected by key infectious diseases in European countries. These pose a challenge for healthcare systems providing care to these groups. We aimed to explore the views of general practitioners (GPs) on the acceptability, adaptability and feasibility of a multidisease screening programme based on an innovative clinical decision-support system for migrants (the ISMiHealth tool), by examining the current gaps in healthcare provision and areas of good practice and the usefulness and limitations of training in the health needs of migrants. METHODS: We undertook a qualitative descriptive study and carried out a series of focus groups (FGs) taking a pragmatic utilitarian approach. Participants were GPs from the four primary healthcare (PHC) centres in Catalonia, Spain, that piloted an intervention of the ISMiHealth tool. GPs were recruited using purposive and convenience sampling. FG discussions were transcribed and analysed using thematic content analysis. RESULTS: A total of 29 GPs participated in four FGs. Key themes identified were: (1) GPs found the ISMiHealth tool to be very useful for helping to identify specific health problems in migrants, although there are several additional barriers to screening as part of PHC, (2) the importance of considering cultural perspectives when caring for migrants, and of the impact of migration on mental health, (3) the important role of PHC in healthcare provision for migrants and (4) key proposals to improve screening of migrant populations. GPs also highlighted the urgent need, to shift to a more holistic and adequately resourced approach to healthcare in PHC. CONCLUSIONS: GPs supported a multidisease screening programme for migrant populations using the ISMiHealth tool, which aided clinical decision-making. However, intercultural participatory approaches will need to be adopted to address linguistic and cultural barriers to healthcare access that exist in migrant communities. BMJ Publishing Group 2022-11-15 /pmc/articles/PMC9670956/ /pubmed/36385020 http://dx.doi.org/10.1136/bmjopen-2022-065645 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle General practice / Family practice
Gonçalves, Alessandra Queiroga
Sequeira-Aymar, Ethel
Aguilar Martín, Carina
Dalmau Llorca, Maria Rosa
Cruz, Angeline
Evangelidou, Stella
Hargreaves, Sally
Requena-Mendez, Ana
Jacques-Aviñó, Constanza
Usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in Spain: a qualitative study of general practitioners
title Usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in Spain: a qualitative study of general practitioners
title_full Usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in Spain: a qualitative study of general practitioners
title_fullStr Usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in Spain: a qualitative study of general practitioners
title_full_unstemmed Usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in Spain: a qualitative study of general practitioners
title_short Usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in Spain: a qualitative study of general practitioners
title_sort usefulness and practicality of a multidisease screening programme targeting migrant patients in primary care in spain: a qualitative study of general practitioners
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670956/
https://www.ncbi.nlm.nih.gov/pubmed/36385020
http://dx.doi.org/10.1136/bmjopen-2022-065645
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