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870402.pdf (1.23 MB)

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2024-10-09

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cc-by (c) Lurgain Jone, G. et al., 2024
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/216534

Exploring cultural competence barriers in the primary care sexual and reproductive health centres in Catalonia Spain: perspectives from immigrant women and healthcare providers

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Recurs relacionat

https://doi.org/10.1186/s12939-024-02290-5

Resum

Background: Immigrant populations, especially women, continue facing challenges in accessing quality healthcare, particularly sexual and reproductive health services (SRH). Poor cultural competent health systems contribute to communication challenges between immigrant women and healthcare providers perpetuating health disparities. This exploratory study describes these communication barriers from the perspective of Moroccan and Pakistani immigrant women and healthcare providers within the Catalan health system and its implications to ensure an equitable provision of SRH services. Methods: An exploratory-descriptive qualitative study was conducted in various municipalities of Barcelona with high concentration of immigrants. Eight focus groups (N = 51) and semi-structured interviews (N = 22) with Moroccan and Pakistani immigrant women were combined with key informant interviews (N = 13) with healthcare professionals. Thematic analysis and data triangulation were performed primarily using an inductive approach. Results: Language barriers and cultural differences in health needs, expectations, care-seeking behaviours and understanding of quality healthcare provision hindered the ability of immigrant women and providers to interact effectively. Limited availability of intercultural mediators and inadequate cultural competence training opportunities for health staff were also identified. Findings suggest a lack of minority representation in the Catalan health workforce and leadership roles. Conclusion: This study reinforces the evidence of persistent inequities in accessing healthcare among immigrant populations by focusing on the cultural competence barriers of the Catalan health system in the provision and access to SRH services. The regularization of adequately trained intercultural mediators, quality training in cultural competence for health staff and a commitment to increase workforce diversity would contribute to improve intercultural communication between immigrant patients and providers. An urgent call to action in this direction is needed to ensure an equitable access to SRH services among immigrant women.

Matèries

Comunicació en medicina, Salut reproductiva, Centres d'atenció primària, Migrants

Matèries (anglès)

Communication in medicine, Reproductive health, Community health services, Migrants

Citació

Col·leccions

Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

LURGAIN, Jone G., et al. Exploring cultural competence barriers in the primary care sexual and reproductive health centres in Catalonia Spain: perspectives from immigrant women and healthcare providers. International Journal for Equity in Health. 2024. Vol. 23, num. 1. ISSN 1475-9276. [consulted: 3 of August of 2026]. Available at: https://hdl.handle.net/2445/216534

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