Barriers and facilitators to culturally sensitive care in general practice: a reflexive thematic analysis.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL
Robin Vandecasteele, Lenzo Robijn, Sara Willems, Stéphanie De Maesschalck, Peter A J Stevens
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Abstract

Background: This study investigated the perceived barriers and potential facilitators for culturally sensitive care among general practitioners in Flanders. Understanding these dynamics is crucial for improving healthcare quality and equity.

Methodology: Twenty-one in-depth interviews were conducted with Flemish GPs. Braun and Clarke's reflexive thematic analysis was employed to develop and interpret themes that elucidate shared underlying meanings and capture the nuanced challenges and strategies related to cultural sensitivity in healthcare.

Results: Two core themes were generated: GPs' uncertainty and opposition. These themes manifest in emotional responses such as frustration, miscomprehension, and feelings of helplessness, influencing relational outcomes marked by patient disconnect and reduced motivation for cultural sensitivity. The barriers identified are exacerbated by resource scarcity and limited intercultural contact. Conversely, facilitators include structural elements like interpreters and individual strategies such as engagement, aimed at enhancing GPs' confidence in culturally diverse encounters. A meta-theme of perceived lack of control underscores the challenges, particularly regarding language barriers and resource constraints, highlighting the critical role of GPs' empowerment through enhanced intercultural communication skills.

Conclusion: Addressing GPs' uncertainties and oppositions can mitigate related issues, thereby promoting comprehensive culturally sensitive care. Essential strategies include continuous education and policy reforms to dismantle structural barriers. Moreover, incentivizing culturally sensitive care through quality care financial incentives could bolster GP motivation. These insights are pivotal for stakeholders-practitioners, policymakers, and educators-committed to advancing culturally sensitive healthcare practices and, ultimately, for fostering more equitable care provision.

全科医疗中文化敏感性护理的障碍和促进因素:反思性专题分析。
研究背景本研究调查了佛兰德地区全科医生对文化敏感性护理的认知障碍和潜在促进因素。了解这些动态因素对于提高医疗质量和公平性至关重要:对佛兰德全科医生进行了 21 次深入访谈。采用布劳恩和克拉克的反思性主题分析法来制定和解释主题,以阐明共同的基本含义,并捕捉与医疗保健中的文化敏感性相关的细微挑战和策略:结果:产生了两个核心主题:全科医生的不确定性和反对。这些主题表现为挫败感、误解和无助感等情绪反应,影响了以患者脱节和文化敏感性动机降低为特征的关系结果。资源匮乏和有限的跨文化接触加剧了所发现的障碍。与此相反,促进因素包括翻译人员等结构性要素和参与等个人策略,旨在增强全科医生在不同文化接触中的信心。缺乏控制感这一元主题强调了所面临的挑战,尤其是在语言障碍和资源限制方面,突出了全科医生通过提高跨文化交流技能来增强自身能力的关键作用:结论:解决全科医生的不确定性和反对意见可以缓解相关问题,从而促进全面的文化敏感性护理。基本策略包括持续教育和政策改革,以消除结构性障碍。此外,通过优质护理经济激励措施来鼓励文化敏感性护理,可以提高全科医生的积极性。这些见解对于致力于推进文化敏感性医疗保健实践的利益相关者--从业者、政策制定者和教育者--至关重要,并最终促进提供更公平的医疗保健服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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