Are dementia services meeting the needs of Chinese New Zealanders? A qualitative study of Chinese general practitioners.

Abstract

Introduction: There is limited literature on dementia care, support, or services within the New Zealand Chinese community, despite the Chinese community being one of the largest Asian ethnic groups in New Zealand.

Aim: This study aimed to explore Chinese general practitioners' (GPs') perspectives on dementia services for the Chinese population in New Zealand; their perceived barriers and shortfalls, as well as improvement opportunities.

Methods: A qualitative study investigating the perspectives of Chinese GPs across metropolitan Auckland, New Zealand was performed. Semi-structured in-depth interviews were conducted in 2024. The interviews were recorded, transcribed, and thematically analysed.

Results: Ten participants were interviewed. Thematic analysis of the interviews generated four main themes: (i) under-recognition of dementia and lack of dementia information; (ii) stigma and seeking help for dementia; (iii) lack of Chinese friendly dementia services, and (iv) support for dementia, with the overarching theme of language and cultural barriers.

Discussion: There are significant barriers to accessing dementia services for the Chinese population in New Zealand, rooted in language and cultural differences, low awareness, stigma, and systemic inefficiencies. Addressing these barriers requires a multifaceted approach that includes culturally tailored services, public education, care coordination, and policy changes.