TY - JOUR
T1 - Exploring barriers to primary care for migrants in Greece in times of austerity
T2 - Perspectives of service providers
AU - Papadakaki, Maria
AU - Lionis, Christos
AU - Saridaki, Aristoula
AU - Dowrick, Christopher
AU - De Brún, Tomas
AU - O’Reilly-De Brún, Mary
AU - O’Donnell, Catherine A.
AU - Burns, Nicola
AU - Van Weel-Baumgarten, Evelyn
AU - Van Den Muijsenbergh, Maria
AU - Spiegel, Wolfgang
AU - MacFarlane, Anne
N1 - Publisher Copyright:
© 2017 The Author(s).
PY - 2017/10/2
Y1 - 2017/10/2
N2 - Background: Migration in Europe is increasing at an unprecedented rate. There is an urgent need to develop ‘migrant-sensitive healthcare systems’. However, there are many barriers to healthcare for migrants. Despite Greece’s recent, significant experiences of inward migration during a period of economic austerity, little is known about Greek primary care service providers’ experiences of delivering care to migrants. Objectives: To identify service providers’ views on the barriers to migrant healthcare. Methods: Qualitative study involving six participatory learning and action (PLA) focus group sessions with nine service providers. Data generation was informed by normalization process theory (NPT). Thematic analysis was applied to identify barriers to efficient migrant healthcare. Results: Three main provider and system-related barriers emerged: (a) emphasis on major challenges in healthcare provision, (b) low perceived control and effectiveness to support migrant healthcare, and (c) attention to impoverished local population. Conclusion: The study identified major provider and system-related barriers in the provision of primary healthcare to migrants. It is important for the healthcare system in Greece to provide appropriate supports for communication in cross-cultural consultations for its diversifying population.
AB - Background: Migration in Europe is increasing at an unprecedented rate. There is an urgent need to develop ‘migrant-sensitive healthcare systems’. However, there are many barriers to healthcare for migrants. Despite Greece’s recent, significant experiences of inward migration during a period of economic austerity, little is known about Greek primary care service providers’ experiences of delivering care to migrants. Objectives: To identify service providers’ views on the barriers to migrant healthcare. Methods: Qualitative study involving six participatory learning and action (PLA) focus group sessions with nine service providers. Data generation was informed by normalization process theory (NPT). Thematic analysis was applied to identify barriers to efficient migrant healthcare. Results: Three main provider and system-related barriers emerged: (a) emphasis on major challenges in healthcare provision, (b) low perceived control and effectiveness to support migrant healthcare, and (c) attention to impoverished local population. Conclusion: The study identified major provider and system-related barriers in the provision of primary healthcare to migrants. It is important for the healthcare system in Greece to provide appropriate supports for communication in cross-cultural consultations for its diversifying population.
KW - Attitudes
KW - Capacity
KW - Financial crisis
KW - Migrants
KW - Primary healthcare
UR - http://www.scopus.com/inward/record.url?scp=85034639852&partnerID=8YFLogxK
U2 - 10.1080/13814788.2017.1307336
DO - 10.1080/13814788.2017.1307336
M3 - Article
C2 - 28388310
AN - SCOPUS:85034639852
SN - 1381-4788
VL - 23
SP - 128
EP - 134
JO - European Journal of General Practice
JF - European Journal of General Practice
IS - 1
ER -