Physician behaviours that optimize patient‐centred care
Focus groups with migrant women
Bibliographic Data
| ID | 19507156 |
|---|---|
| Authors | Anna R Gagliardi (0000-0002-5721-809X, Toronto General Hospital Research Institute University Health Network Toronto Ontario Canada, corresponding author), Claire Kim (0000-0003-1282-3090, Toronto General Hospital Research Institute University Health Network Toronto Ontario Canada), Bismah Jameel (Toronto General Hospital Research Institute University Health Network Toronto Ontario Canada) |
| Year | 2020 |
| Volume | 23 |
| Issue | 5 |
| Pages | 1280-1288 |
| Publication date | 2020-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Expectations (JOURNAL) |
| Journal identifiers | ISSN: 1369-6513 • E-ISSN: 1369-7625 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hex.13110 |
| PMID | 32707600 |
| OpenAlex | W3045293867 |
| Language | EN |
| Citations received | 4 |
| References cited | 26 |
BACKGROUND: No prior research studied how to implement patient-centred care (PCC) for migrant women, who face inequities in health-care quality. This study explored migrant women's views about what constitutes PCC and how to achieve it. DESIGN: We conducted a qualitative study involving three focus groups with migrant women living in Toronto, Canada, recruited from English language classes at a community settlement agency, used constant comparative technique to inductively analyse transcripts and interpreted themes against a published PCC framework. PARTICIPANTS: Twenty-three migrant women aged 25-78 from 10 countries participated. RESULTS: Women articulated 28 physician behaviours important to them across six PCC domains: foster a healing relationship, exchange information, address concerns, manage uncertainty, share decisions and enable self-care. They emphasized the PCC domain of exchanging information, which included 13 (46.4%) of 28 behaviours: listen to reason for visit, ask questions, provided detailed explanations, communicate clearly, ensure privacy and provide additional information. Women said that instead of practising these behaviours, physicians rushed through discussions, and ignored or dismissed their concerns and questions. As a result, women said that physicians may not fully understand their problem, and they may refrain from stating important details or avoid seeking care. CONCLUSIONS: This research characterized the lack of PCC experienced by migrant women and revealed specific physician behaviours to optimize PCC for migrant women. Research is needed to develop and evaluate the impact of strategies targeted at migrant women, physicians and health-care systems to support PCC for migrant women
Family medicine · Focus group · Health care · Political science · Qualitative research · Sociology · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Primary Care and Health Outcomes · Psychology
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| Unique citing works | 4 |
|---|---|
| Citations per year | 1.33 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |