Provider Satisfaction in Clinical Encounters With Ethnic Immigrant Patients

Health professional perceptions regarding healthcare provision to immigrants in Catalonia

“…It contrasts with some authors' association of this perception to the difficulties generated in the process of care (Kamath et al 2003), rather than to the increase in population size. These difficulties are, however, perceived in the provision of care to immigrants and translates into feelings of work overload, anxiety and frustration with the results of the care process that have been described by professionals in other contexts (Ohmans et al 1996), and also widely associated with an inadequacy of resources ).…”

“…The analysis of the provision of health care to immigrants from providers' point of view is in its infancy. Most research has been conducted in countries with longer immigration tradition such as US, Canada, UK and The Netherlands, mainly with nursing professionals and relating to the provision of care to specific immigrants' groups It provides, however, a first insight of the difficulties faced by health professionals in providing care to immigrants (Kamath et al 2003;Hultsjö and Hjelm 2005): communication-language, informal translators-and cultural barriers-differing cultural beliefs and practice, unexpected behaviours shown by patients or relatives-limited cultural competency of health care staff, and to lesser extent, professionals' perceptions and attitudes. According to these studies, these difficulties would limit the establishment of an appropriate patientdoctor relationship (Kamath et al 2003), exchange of information between staff and patient (Hultsjö and Hjelm 2005), and it would result in a loss of effectiveness in their practice as well as a lowering of job satisfaction (Kamath et al 2003).…”

Health and Disease in Context: A Community-Based Social Medicine Curriculum

“…Studies suggest that most practicing physicians in the United States do not understand the full extent or nature of health disparities in their country, and that neither practicing physicians nor trainees have an adequate understanding of the U.S. health care system and its challenges. 6 -9 Physicians also report feeling ill-equipped to care for and communicate effectively with individuals of different cultures and backgrounds, 10,11 and studies further suggest that most medical trainees become increasingly cynical and less concerned about social context as their training progresses. [12][13][14] In this article, we describe an attempt to help fill that gap in training for medical residents at Oregon Health and Science University (OHSU) through a community-based social medicine curriculum that we-members of the internal medicine residency faculty at OHSU, and staff at Central City Concern (CCC)-designed.…”

Learning to live with type 1 diabetes from the perspective of young non‐western immigrants in Denmark

“…The metabolic control of some participants had improved after being transferred to an adult department and introduced to more intensive and flexible insulin regimens. These regimens might have been initiated earlier, however, and could indicate that the paediatric teams had insufficient cultural competence or reduced expectations of the abilities of immigrant patients/families – described as discrimination in care (Kamath et al. 2003, Rhodes & Nocon 2003).…”