TITLE

Access to general practice for Pacific peoples: a place for cultural competency

AUTHOR(S)
Ludeke, Melissa; Puni, Ronald; Cook, Lynley; Pasene, Maria; Abe, Gillian; Sopoaga, Faafetai
PUB. DATE
June 2012
SOURCE
Journal of Primary Health Care;Jun2012, Vol. 4 Issue 2, p123
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
INTRODUCTION: Access to primary health care services has been identified as a problem for Pacific peoples. Although cost is the most frequently cited barrier to Pacific service utilisation, some research has indicated that access may also be influenced by features of mainstream primary care services. This study aimed to identify features of mainstream general practice services that act as barriers to accessing these services for Pacific peoples in order to explore strategies that providers could adopt to enable their practices to be more welcoming, accessible and appropriate for Pacific peoples. METHODS: Pacific participants were recruited through Pacific networks known to Pegasus Health and via 'snowball' sampling. In total, 20 participants participated in one of three focus groups. A semi-structured interview explored the participants' views and experiences of mainstream general practice care. Thematic analysis was utilised to interpret the data. FINDINGS: The analysis revealed five themes highlighting non-financial features of mainstream general practice services that may influence the availability and acceptability of these services to Pacific peoples: language and communication; rushed consultations; appointment availability; reception; and Pacific presence. CONCLUSION: The findings indicate that all personnel within the primary care setting have the ability to directly engage in the improvement of the health status of Pacific peoples in New Zealand by developing cultural competency and incorporating flexibility and diversity into the care and service they provide.
ACCESSION #
76475153

 

Related Articles

  • Effectiveness of primary health care evaluated by a longitudinal ecological approach. Stein, Airton T.; Harzheim, Erno // Journal of Epidemiology & Community Health;Jan2006, Vol. 60 Issue 1, p3 

    The article presents information on a study carried out to measure the effectiveness of primary health care evaluated by a longitudinal ecological approach in Brazil. From the perspective of public policies, the study provides important evidence for managers, professionals, and population on a...

  • Public health services provided in the framework of general practitioners’ clusters. Sándor, János; Kósa, Karolina; Fürjes, Gergely; Papp, Magor; Csordás, Ágnes; Rurik, Imre; Ádány, Róza // European Journal of Public Health;Aug2013, Vol. 23 Issue 4, p530 

    The article discusses the community health oriented services provided in the framework of general practitioners' (GPs) clusters in Europe. These services include health promotion activities in community settings, health status assessments, and chronic medical care. It suggests the need for the...

  • DEVELOPING RESILIENCE TO TACKLE HEALTH AND SOCIAL INEQUALITIES. Aranda, Kay; Hart, Angie // Primary Health Care;Nov2015, Vol. 25 Issue 10, p18 

    Resilience has become a popular way to promote health and wellbeing, not just among patients but also healthcare and social care professionals coping with heavy workloads and stressful environments. Commonly defined as the ability to bounce back while living or working in adverse, challenging or...

  • The Role of the Community Nurse in Promoting Health and Human Dignity-Narrative Review Article. MUNTEAN, Ana; TOMITA, Mihaela; UNGUREANU, Roxana // Iranian Journal of Public Health;Oct2013, Vol. 42 Issue 10, p1077 

    Background: Population health, as defined by WHO in its constitution, is out "a physical, mental and social complete wellbeing". At the basis of human welfare is the human dignity. This dimension requires an integrated vision of health care. The ecosystemical vision of Bronfenbrenner allows...

  • Importance of community engagement in primary health care: the case of Afghan refugees. Cheng, I-Hao; Wahidi, Sayed; Vasi, Shiva; Samuel, Sophia // Australian Journal of Primary Health;2015, Vol. 21 Issue 3, p262 

    Refugees can experience problems accessing and utilising Australian primary health care services, resulting in suboptimal health outcomes. Little is known about the impact of their pre-migration health care experiences. This paper demonstrates how the Afghan pre-migration experiences of primary...

  • Cuba's primary health care revolution: 30 years on. Reed, Gail // Bulletin of the World Health Organization;May2008, Vol. 86 Issue 5, p327 

    The article focuses on the condition of the primary health care system in Cuba. According to the author, that health authorities in the country are always giving a large credit for the nation's health indicators in preventing dreadful diseases through their support in their primary health care...

  • Barriers and Facilitators of Treatment for Depression in a Latino Community: A Focus Group Study. Uebelacker, Lisa; Marootian, Beth; Pirraglia, Paul; Primack, Jennifer; Tigue, Patrick; Haggarty, Ryan; Velazquez, Lavinia; Bowdoin, Jennifer; Kalibatseva, Zornitsa; Miller, Ivan // Community Mental Health Journal;Feb2012, Vol. 48 Issue 1, p114 

    We conducted focus groups with Latinos enrolled in a Medicaid health plan in order to ask about the barriers to and facilitators of depression treatment in general as well as barriers to participation in depression telephone care management. Telephone care management has been designed for and...

  • Problems measuring community health status at a local level: Papua New Guinea's health information system. Ashwell, H. E. S.; Barclay, L. // Rural & Remote Health;Oct-Dec2010, Vol. 10 Issue 4, p1 

    Introduction: The Papua New Guinea Department of Health monitors the performance of the health system using a computerised national health information system. This article draws on the recent evaluation of a national-wide donor-project community development initiative to highlight the problems...

  • Prospects of using community directed intervention strategy in delivering health services among Fulani Nomads in Enugu State, Nigeria. Okeibunor, Joseph C.; Onyeneho, Nkechi G.; Nwaorgu, Obioma C.; I'Aronu, Ngozi; Okoye, Ijeoma; Iremeka, Felicia U.; Sommerfeld, Johannes // International Journal for Equity in Health;2013, Vol. 12 Issue 1, p24 

    Background: The Community Directed Interventions (CDI) strategy has proven effective in increasing access to health services in sedentary populations. It remains to be seen if CDI strategy is feasible among nomads given the dearth of demographic and medical data on the nomads. This study thus...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics