Défis et facilitateurs pour les professionnels de santé fournissant des soins primaires aux réfugiés et aux demandeurs d’asile dans les pays à haut revenu : une étude systématique et une synthèse thématique des recherches qualitatives

Added April 24, 2018

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Twenty-six articles were included in a thematic analysis of the challenges and facilitators for health professionals providing primary health care for refugees and asylum seekers in high-income countries. Three analytical concepts (medical encounter, health system, asylum and resettlement) made it possible to describe various challenges and facilitators.

Primary health care providers often face challenges in providing culturally sensitive and effective care for refugees and asylum seekers in resettled countries. This systematic review aimed to identify challenges and facilitators for care through a thematic analysis of 26 articles involving 357 participants. Three analytical constructs were identified to encompass the challenges and enablers for effective healthcare: healthcare encounter, healthcare and asylum system, and resettlement. In the context of health encounters, factors identified included the presence of trusting relationships, communication, cultural understanding, social conditions, and meeting time. On the level of the health system, factors identified included training and guidance, professional support, community services, resources and capacity. Other challenges and facilitators were also associated with factors related to asylum and resettlement, such as policy restrictions, migrant status and perceived abuse of resources. The authors conclude their systematic study with recommendations related to clinical practice as well as to health policy. migrant status and perceived abuse of resources. The authors conclude their systematic study with recommendations related to clinical practice as well as to health policy. migrant status and perceived abuse of resources. The authors conclude their systematic study with recommendations related to clinical practice as well as to health policy.

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