Experiences of communication barriers between physicians and immigrant patients: A systematic review and thematic synthesis

Ahmed, Salim; Lee, Sonya; Shommu, Nusrat; Rumana, Nahid; Turin, Tanvir Chowdhury

doi:10.35680/2372-0247.1181

Cited by 56 publications

(50 citation statements)

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“…Immigrant and refugee patients on the other side are members of a heterogeneous population with a diverse mixture of cultures (Dias et al, 2012 ). Hence, it may be challenging for healthcare professionals to decode, and invite behaviours that include prejudice, stereotyping, and/or avoidance (Ahmed et al, 2017 ; Derose et al, 2007 ). Moreover, these aspects may influence professional behaviour and communication to become more directive, which effectively limits shared decision-making.…”

Section: Introductionmentioning

confidence: 99%

“…These approaches invite active participation in the medical consultation by asking questions, sharing their resources and social support, and by expressing their concerns and expectations. Immigrant patients, however, are reluctant to engage with the healthcare system and tend to be hesitant when speaking with healthcare professionals (Ahmed et al, 2017 ). The commonly applied approaches for person-centred healthcare are especially challenging for immigrant patients.…”

Section: Introductionmentioning

confidence: 99%

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Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Radl-Karimi

Nicolaisen

Sodemann

et al. 2020

International Journal of Qualitative Studies on Health and Well

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Purpose Immigrant patients run a risk of receiving lower quality of care. Co-production, as the concept of how to collaboratively create valuable healthcare service for the patient, offers a new perspective that might help. The scoping review aimed at identifying and analysing factors facilitating co-production between immigrant patients and healthcare professionals. Methods We searched seven scientific databases for peer-reviewed publications of all study designs. Two reviewers independently screened the publications for eligibility and performed data extraction. Data were analysed by applying an inductive, interpretive approach for data synthesis. Results Fifteen publications were included for analysis. We identified six factors hat facilitate co-production: 1) prioritizing co-production in the organization, 2) providing a safe environment that promotes trust and patience, 3) using a language the patient understands, 4) respecting the patient’s knowledge and priorities, 5) improvising with knowledge and courage, and 6) engaging in self-reflection. Conclusions The scoping review illustrated that co-production with immigrant patients can be successful if the system and professionals are interested and prepared. Immigrant patients could be a valuable source of information and powerful co-producers of their own health. The study contributed to a growing body of research on patient-professional co-production in healthcare and might also prove relevant for other disadvantaged patient groups.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Radl-Karimi

Nicolaisen

Sodemann

et al. 2020

International Journal of Qualitative Studies on Health and Well

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show abstract

“…Even care providers who are motivated to be non-prejudiced may stereotype immigrant patients because they struggle with the great diversity of the patient group. 3–5 Immigrant patients do not only differ from the main population; they are also a heterogeneous group themselves. They differ by ethnicity, culture, religion and their reason for migration.…”

Section: Introductionmentioning

confidence: 99%

Coproduction of healthcare service with immigrant patients: protocol of a scoping review

et al. 2018

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IntroductionImmigrant patients often meet barriers to patient-centred healthcare in their new host countries. Given the heterogeneity of patients from ethnic minorities, established strategies for patient centredness might not work in their case. The concept of coproduction provides a new perspective on how to collaboratively create the highest possible value for both the patient and the healthcare system. The concept acknowledges that all service is coproduced and directs attention to the relationship between patient and care provider. Coproduction is still a new concept in healthcare and its use with vulnerable groups of patients requires further study. This protocol outlines a scoping review to be conducted on the current knowledge on coproduction of service by immigrants and their service providers in the healthcare sector.Methods and analysisWe will use Joanna Briggs methodology for scoping reviews. The data will stem from the following databases: PubMed, Scopus, Ovid EMBASE, EBSCO CINAHL, EBSCO PsycINFO, Cochrane Library and Web of Science. We will also screen the websites of national authorities and research organisations for publications and review the literature lists of the identified articles for relevant references. We will include all types of literature on coproduction of healthcare or social service by immigrants and service providers, including their relationship with one another, communication and collaboration. Two reviewers will independently screen eligible publications and extract data using a checklist developed for this scoping review.Ethics and disseminationThe results of the study will provide an innovative perspective on the coproduction of value in healthcare service by immigrant patients and care providers. We will present the results at national and international conferences, seminars and other events with relevant stakeholders and immigrant patients, and publish them in a peer-reviewed journal.

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“…The idea of interpreters as cultural insiders is not new, as other have proposed increased roles for interpreters to augment patient care and experiences ( 7 ). Even so, medical interpreters continue to be scarce, so additional requirements for cultural immersion could pose further obstacles to access and utilization ( 8 , 9 ). Further, interpreters can sometimes be too overbearing and function as co-diagnosticians and history-takers ( 10 , 11 ).…”

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confidence: 99%

Language and Cultural Discordance: Barriers to Improved Patient Care and Understanding

Soled

2020

Journal of Patient Experience

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Providing optimal health care to patients whose first language is not English remains a major challenge. Medical students, residents, and attendings receive limited cultural competency training, but these short sporadic training courses are not nearly enough to give physicians the proper resources or preparation to understand all their patients’ beliefs. Medical interpreters can fill this gap and strengthen health care for these already marginalized communities. It is important to reconceptualize medical interpreters as true collaborators in medicine who can provide valuable insights that extend beyond language interpretation at the bedside. Physicians would benefit from the insights of these professionals who can function as both language and cultural interpreters who know these patient communities well. Improved communication between physicians and interpreters would not violate traditional physician–patient boundaries but would instead strengthen this relationship to provide the best possible care.

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Experiences of communication barriers between physicians and immigrant patients: A systematic review and thematic synthesis

Cited by 56 publications

References 0 publications

Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Coproduction of healthcare service with immigrant patients: protocol of a scoping review

Language and Cultural Discordance: Barriers to Improved Patient Care and Understanding

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