Refugees' perceptions of primary care: What makes a good doctor's visit?

Redesigning primary care is a national priority, as the United States (US) struggles with issues of poor access, high cost, and suboptimal quality. Refugees are among the populations who suffer from America’s disjointed health care system, resulting in disproportionate health disparities. Although t...

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Autores principales:	Anne Mutitu, Bev Zabler, Jeana Holt
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2019
Materias:	refugees primary care patient-centered care; patient satisfaction; patient experience; quality of care; nurse-led care; qualitative method Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4099aa9d9aaf4a1fac86f3172cf75013
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spelling	oai:doaj.org-article:4099aa9d9aaf4a1fac86f3172cf750132021-11-15T04:28:53ZRefugees' perceptions of primary care: What makes a good doctor's visit?2372-0247https://doaj.org/article/4099aa9d9aaf4a1fac86f3172cf750132019-11-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss3/5https://doaj.org/toc/2372-0247Redesigning primary care is a national priority, as the United States (US) struggles with issues of poor access, high cost, and suboptimal quality. Refugees are among the populations who suffer from America’s disjointed health care system, resulting in disproportionate health disparities. Although there are many studies on refugee health, few share refugees' perceptions of primary care. We asked local refugees who were seen for primary care services at a midwestern academic nurse-led clinic, what makes a good doctor's visit?  The clinic served as the hub of a federally funded refugee Community Centered Health Home (CCHH) pilot project. This qualitative study adds to the growing body of literature that captures the voices of resettled refugees as they reflect on their health care experiences in their new home. The purpose of this study was to elicit the criteria refugees used to evaluate the quality of their care. Individual interviews were conducted with seven refugees as part of the larger CCHH pilot project. Through qualitative thematic analysis, four themes were identified that participants considered aspects of a "good visit": 1.  The ability to communicate without language barriers; 2. Open reciprocal dialogue with providers; 3. Provider professionalism; and 4. Accurate diagnosis and treatment. We offer recommendations to improve patient experience in the refugee population which may lead to better health outcomes. Future study is proposed to gain knowledge of how refugee perceptions of quality of care may change over time as they become more familiar with US health care system. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>Anne MutituBev ZablerJeana HoltThe Beryl Institutearticlerefugeesprimary carepatient-centered care; patient satisfaction; patient experience; quality of care; nurse-led care; qualitative methodMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	refugees primary care patient-centered care; patient satisfaction; patient experience; quality of care; nurse-led care; qualitative method Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	refugees primary care patient-centered care; patient satisfaction; patient experience; quality of care; nurse-led care; qualitative method Medicine (General) R5-920 Public aspects of medicine RA1-1270 Anne Mutitu Bev Zabler Jeana Holt Refugees' perceptions of primary care: What makes a good doctor's visit?
description	Redesigning primary care is a national priority, as the United States (US) struggles with issues of poor access, high cost, and suboptimal quality. Refugees are among the populations who suffer from America’s disjointed health care system, resulting in disproportionate health disparities. Although there are many studies on refugee health, few share refugees' perceptions of primary care. We asked local refugees who were seen for primary care services at a midwestern academic nurse-led clinic, what makes a good doctor's visit?  The clinic served as the hub of a federally funded refugee Community Centered Health Home (CCHH) pilot project. This qualitative study adds to the growing body of literature that captures the voices of resettled refugees as they reflect on their health care experiences in their new home. The purpose of this study was to elicit the criteria refugees used to evaluate the quality of their care. Individual interviews were conducted with seven refugees as part of the larger CCHH pilot project. Through qualitative thematic analysis, four themes were identified that participants considered aspects of a "good visit": 1.  The ability to communicate without language barriers; 2. Open reciprocal dialogue with providers; 3. Provider professionalism; and 4. Accurate diagnosis and treatment. We offer recommendations to improve patient experience in the refugee population which may lead to better health outcomes. Future study is proposed to gain knowledge of how refugee perceptions of quality of care may change over time as they become more familiar with US health care system. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Anne Mutitu Bev Zabler Jeana Holt
author_facet	Anne Mutitu Bev Zabler Jeana Holt
author_sort	Anne Mutitu
title	Refugees' perceptions of primary care: What makes a good doctor's visit?
title_short	Refugees' perceptions of primary care: What makes a good doctor's visit?
title_full	Refugees' perceptions of primary care: What makes a good doctor's visit?
title_fullStr	Refugees' perceptions of primary care: What makes a good doctor's visit?
title_full_unstemmed	Refugees' perceptions of primary care: What makes a good doctor's visit?
title_sort	refugees' perceptions of primary care: what makes a good doctor's visit?
publisher	The Beryl Institute
publishDate	2019
url	https://doaj.org/article/4099aa9d9aaf4a1fac86f3172cf75013
work_keys_str_mv	AT annemutitu refugeesperceptionsofprimarycarewhatmakesagooddoctorsvisit AT bevzabler refugeesperceptionsofprimarycarewhatmakesagooddoctorsvisit AT jeanaholt refugeesperceptionsofprimarycarewhatmakesagooddoctorsvisit
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Refugees' perceptions of primary care: What makes a good doctor's visit?

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