What makes a good general practitioner consultation for refugees: perspectives of Africans from refugee backgrounds in Australia
摘要
General practitioners (GPs) are usually patients from refugee backgrounds’ first encounter with mainstream Australian health systems and services. Therefore, GP consultations are expected to be responsive to patients from refugee backgrounds' needs and expectations. However, for patients from refugee backgrounds, their views on what makes a good GP consultation are largely unknown. This study, therefore, explored, from the perspectives of Africans from refugee backgrounds, what makes a good GP consultation.
MethodsThis exploratory, qualitative study was conducted with 19 Africans from refugee backgrounds living in Southwestern Sydney, New South Wales, Australia. Semi-structured interviews were conducted via Zoom. The interviews were transcribed verbatim, and the data were analysed thematically.
ResultsThematic analysis of the data identified four interrelated themes that constitute what makes a good GP consultation from the participants’ perspectives. The themes included providers' 1) cultural awareness and knowledge of the complexity of refugee healthcare; 2) recognition of the necessity of interpreting in refugee healthcare; 3) respect for rights and choices; and 4) knowledge of and interest in patients’ other social issues that determine overall health.
ConclusionParticipants’ descriptions of what makes a good GP consultation for refugees reflect important topics, such as patient-centred care and the role of culture in refugee health and wellbeing. Individual GPs, especially those working with patients from refugee backgrounds, can learn about patients’ perceptions and expectations to deliver services that are appropriate and responsive for equitable health outcomes.