Article: Perception of barriers and facilitators in the continuity of care for precarious migrants in general practice
Sante publique (Vandoeuvre-les-Nancy, France)
2023 Volume 35, Issue 2, Page(s) 171–181
Abstract: Introduction: Continuity of care is essential for the diagnosis and treatment of somatic and mental conditions in precarious migrants. This study explored the barriers and facilitators in the continuity of care provided to precarious migrants in general ...
Title translation | Perception des freins et facilitateurs de la continuité des soins délivrés aux migrants précaires en médecine générale |
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Abstract | Introduction: Continuity of care is essential for the diagnosis and treatment of somatic and mental conditions in precarious migrants. This study explored the barriers and facilitators in the continuity of care provided to precarious migrants in general practice. Methods: A qualitative study was carried out based on semi-directed interviews with twenty precarious migrants. The term “medical follow-up” was used in the interview grid to represent the concept of continuity of care. The verbatims were analyzed using the grounded theory approach, with data analysis triangulation. Results: Precarious migrants described the medical follow-up as repeated access to the same doctor for all their health problems. This follow-up was limited by difficulties in accessing health insurance and guidance in the health system, and by language and cultural barriers. Conversely, the physician’s clinical and interpersonal skills, the presence of a translator, the support from the migrants’ family circle and associations, and some organizations of the care structure facilitated their medical follow-up. Conclusions: Relational, managerial, and informational continuities of care provided to precarious migrants should be optimized in a synergistic manner. To achieve this, it is necessary to improve doctors’ training in communication with migrants, medical information sharing and migrants’ education to the appropriate use of the healthcare system, in order to encourage their gradual empowerment in their care pathway. |
MeSH term(s) | Humans ; Transients and Migrants ; Health Services Accessibility ; Qualitative Research ; General Practice ; Continuity of Patient Care ; Perception |
Language | French |
Publishing date | 2023-07-16 |
Publishing country | France |
Document type | English Abstract ; Journal Article |
ZDB-ID | 1465524-x |
ISSN | 2104-3841 ; 0995-3914 |
ISSN (online) | 2104-3841 |
ISSN | 0995-3914 |
DOI | 10.3917/spub.232.0171 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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