Competence trust among providers as fundamental to a culturally competent primary healthcare system for immigrant families
Autor: | Ruta Valaitis, Margaret Black, K. Bruce Newbold, Jan M. Sargeant, Sandra Isaacs |
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Rok vydání: | 2012 |
Předmět: |
Canada
National Health Programs media_common.quotation_subject Immigration Primary health care Emigrants and Immigrants Trust Community Networks Health Services Accessibility Humans Culturally competent Cultural Competency Care Planning Competence (human resources) Qualitative Research media_common Primary Health Care business.industry Public Health Environmental and Occupational Health Network mapping Public relations Service provider business Psychology Cultural competence Qualitative research |
Zdroj: | Primary Health Care Research & Development. 14:80-89 |
ISSN: | 1477-1128 1463-4236 |
Popis: | Aim To explore how an organization's trust in the cultural competency of other service providers (competence trust) can influence the effectiveness of a services network in meeting the needs of recent immigrant families. Background Primary health care for recent immigrants arriving in Canada is delivered through a network of community-based services. To ensure the functioning of the network and its ability to facilitate access to needed services for new arrivals, network members need to be able to work together collaboratively. A case study involving services for an urban community in Atlantic Canada was undertaken in 2009 to explore how service organizations worked together to address the needs of recent immigrant families with young children. This paper focuses on provider perceptions of cultural competency among local service organizations and how this influenced trust and desire to work together for the benefit of families. Methods The case study utilized both social network analysis and qualitative inquiry methodology. Twenty-one of 27 selected organizations responded to the online social network survey, and 14 key informant interviews were conducted. Social network measures and network mapping were used to demonstrate trusting relationships and associated interactions, while interview data were used to explain the relationships observed. Findings Perceived cultural competency affected the degree of trust and collaboration within the services network when addressing the needs of recent immigrant families. Competence trust toward other providers increased the desire and commitment to work together, while lack of competence trust created avoidance. Non-government organizations were identified among the most culturally competent. The perceived positive and negative experiences of families with different providers influenced the level of trust among network members. The development of systemic cultural competences within a services network is needed in order to improve collaborations and access to services for immigrant families. |
Databáze: | OpenAIRE |
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