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Migrant GPs and patients: a cross-sectional study of practice characteristics, patient experiences and migration concordance

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Název: Migrant GPs and patients: a cross-sectional study of practice characteristics, patient experiences and migration concordance
Autoři: Peter P. Groenewegen, Peter Spreeuwenberg, Niro Siriwardena, Coral Sirdifield, Sara Willems
Zdroj: Scand J Prim Health Care
Scandinavian Journal of Primary Health Care, Vol 40, Iss 2, Pp 181-189 (2022)
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
Informace o vydavateli: Informa UK Limited, 2022.
Rok vydání: 2022
Témata: STRATEGIES, General Practice, A900 - Others in medicine & dentistry, COMMUNICATION, family practice, JOB, 03 medical and health sciences, 0302 clinical medicine, DISPARITIES, General Practitioners, Surveys and Questionnaires, Concordance, patient experiences, Medicine and Health Sciences, Humans, 10. No inequality, Quality of Health Care, Transients and Migrants, Environmental and Occupational Health, health service research, Original Articles, GENERAL-PRACTITIONERS, INTENTION, immigrant GPs, A900 Others in Medicine and Dentistry, migrant patients, 3. Good health, Europe, Patient Outcome Assessment, Cross-Sectional Studies, HEALTH-CARE, Public Health, Public aspects of medicine, RA1-1270, RACIAL/ETHNIC CONCORDANCE, FOREIGN-BORN, discrimination
Popis: To investigate practice type and location of native and immigrant general practitioners (GPs); effects of migration status concordance between GPs and patients on experiences of patients in key areas of primary care quality and discrimination. Secondary analysis of GP and patient survey data from QUALICOPC (Quality and Costs of Primary Care), a cross-sectional study of GPs and their patients in 34 countries, performed between 2011 and 2013. We explored practice type and location of native and immigrant GPs and the experiences of native patients and patients with a migration background of communication, continuity, comprehensiveness, accessibility, and discrimination, using multilevel analysis. Concordance was modelled as a cross-level interaction between migration status of GPs and patients. Percentages of immigrant GPs varied widely. In Europe, this was highest in England and Luxemburg (40% of GPs born abroad) and lowest in Bulgaria and Romania (1%). The practice population of immigrant GPs more often included an above average proportion of people from ethnic minorities. There were no differences in main effects of patient experiences following a visit to an immigrant or native GP, in four core areas of primary care or in discrimination. However, people from first-generation migrant background more often experienced discrimination, in particular when visiting a native GP. Patient experiences did not vary with GPs’ migration status. Although experience of discrimination was uncommon, first-generation migrant patients experienced more discrimination. Primary care should provide non-discriminatory care, through GP awareness of unconscious bias and training to address this. Key messagesThere were large differences in percentage of migrant GPs between countries.Migrant GPs’ practices had an above average proportion of people from ethnic minorities.In general, patients’ experienced discrimination from GPs and practice staff was low, but first-generation migrant patients more often experienced discrimination.First-generation migrant patients more often experienced discrimination when they visited a native GP. There were large differences in percentage of migrant GPs between countries. Migrant GPs’ practices had an above average proportion of people from ethnic minorities. In general, patients’ experienced discrimination from GPs and practice staff was low, but first-generation migrant patients more often experienced discrimination. First-generation migrant patients more often experienced discrimination when they visited a native GP.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
Jazyk: English
ISSN: 1502-7724
0281-3432
DOI: 10.1080/02813432.2022.2069719
DOI: 10.6084/m9.figshare.19766878.v2
DOI: 10.6084/m9.figshare.19766878
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/35575141
https://doaj.org/article/2ce10fe9e82849578bb68c32949715a3
https://biblio.ugent.be/publication/8762000
https://biblio.ugent.be/publication/8762000/file/8762001
http://doi.org/10.1080/02813432.2022.2069719
http://hdl.handle.net/1854/LU-8762000
https://biblio.ugent.be/publication/8762000
https://hdl.handle.net/1854/LU-8762000
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....22da37cf1dd3b6a0f0d6283f31bb49ba
Databáze: OpenAIRE
Popis
Abstrakt:To investigate practice type and location of native and immigrant general practitioners (GPs); effects of migration status concordance between GPs and patients on experiences of patients in key areas of primary care quality and discrimination. Secondary analysis of GP and patient survey data from QUALICOPC (Quality and Costs of Primary Care), a cross-sectional study of GPs and their patients in 34 countries, performed between 2011 and 2013. We explored practice type and location of native and immigrant GPs and the experiences of native patients and patients with a migration background of communication, continuity, comprehensiveness, accessibility, and discrimination, using multilevel analysis. Concordance was modelled as a cross-level interaction between migration status of GPs and patients. Percentages of immigrant GPs varied widely. In Europe, this was highest in England and Luxemburg (40% of GPs born abroad) and lowest in Bulgaria and Romania (1%). The practice population of immigrant GPs more often included an above average proportion of people from ethnic minorities. There were no differences in main effects of patient experiences following a visit to an immigrant or native GP, in four core areas of primary care or in discrimination. However, people from first-generation migrant background more often experienced discrimination, in particular when visiting a native GP. Patient experiences did not vary with GPs’ migration status. Although experience of discrimination was uncommon, first-generation migrant patients experienced more discrimination. Primary care should provide non-discriminatory care, through GP awareness of unconscious bias and training to address this. Key messagesThere were large differences in percentage of migrant GPs between countries.Migrant GPs’ practices had an above average proportion of people from ethnic minorities.In general, patients’ experienced discrimination from GPs and practice staff was low, but first-generation migrant patients more often experienced discrimination.First-generation migrant patients more often experienced discrimination when they visited a native GP. There were large differences in percentage of migrant GPs between countries. Migrant GPs’ practices had an above average proportion of people from ethnic minorities. In general, patients’ experienced discrimination from GPs and practice staff was low, but first-generation migrant patients more often experienced discrimination. First-generation migrant patients more often experienced discrimination when they visited a native GP.
ISSN:15027724
02813432
DOI:10.1080/02813432.2022.2069719