Brokering for the primary healthcare needs of recent immigrant families in Atlantic, Canada

被引:14
|
作者
Isaacs, Sandra [1 ,2 ]
Valaitis, Ruta [3 ]
Newbold, K. Bruce [4 ,5 ]
Black, Margaret [1 ]
Sargeant, Jan [6 ,7 ]
机构
[1] McMaster Univ, Sch Nursing, Hamilton, ON, Canada
[2] Publ Hlth Agcy Canada, Guelph, ON N1H 8J1, Canada
[3] McMaster Univ, Sch Nursing, Primary Hlth Care Nursing, Hamilton, ON, Canada
[4] McMaster Univ, McMaster Inst Environm & Hlth, Hamilton, ON, Canada
[5] McMaster Univ, Sch Geog & Earth Sci, Hamilton, ON, Canada
[6] Univ Guelph, Ontario Vet Coll, Ctr Publ Hlth & Zoonoses, Guelph, ON N1G 2W1, Canada
[7] Univ Guelph, Ontario Vet Coll, Populat Med, Guelph, ON N1G 2W1, Canada
来源
关键词
broker organizations; case study; cultural competency; immigrant families; primary health care; service systems; social network analysis;
D O I
10.1017/S1463423612000229
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Aim: This case study describes how broker organizations supported a network of community-based services to work together to address the primary healthcare needs of recent immigrant families with young children. Background: In parts of Canada with low levels of immigration compared with large urban centres, service providers may need to collaborate more closely with one another so that cultural competencies and resources are shared. Providers within Atlantic Canada, with its relatively small immigrant population, were faced with such a challenge. Methods: Social network analysis and qualitative inquiry were the methods used within this case study. Twenty-seven organizations and four proxy organizations representing other organization types were identified as part of the network serving a geographically bounded neighbourhood within a mid-sized urban centre in Atlantic Canada in 2009. Twenty-one of the 27 organizations participated in the network survey and 14 key informants from the service community were interviewed. Findings: Broker organizations were identified as pivotal for ensuring connections among network members, for supporting immigrant family access to services through their involvement with multiple providers, and for developing cultural competence capacities in the system overall. Network cohesiveness differed depending on the type of need being addressed, as did the organizations playing the role of broker. Service providers were able to extend their reach through the co-location of services in local centres and schools attended by immigrant families and their children. The study demonstrates the value of ties across service sectors facilitated by broker organizations to ensure the delivery of comprehensive services to young immigrant families challenged by an unfamiliar system of care.
引用
收藏
页码:63 / 79
页数:17
相关论文
共 50 条
  • [1] The Familial Context of Adolescent Language Brokering Within Immigrant Chinese Families in Canada
    Hua, Josephine M.
    Costigan, Catherine L.
    [J]. JOURNAL OF YOUTH AND ADOLESCENCE, 2012, 41 (07) : 894 - 906
  • [2] The Familial Context of Adolescent Language Brokering Within Immigrant Chinese Families in Canada
    Josephine M. Hua
    Catherine L. Costigan
    [J]. Journal of Youth and Adolescence, 2012, 41 : 894 - 906
  • [3] Adolescent interpreters: Language brokering in Russian immigrant families in Germany
    Schulz, Sebastian
    Titzmann, Peter F.
    Michel, Andrea
    [J]. ZEITSCHRIFT FUR ENTWICKLUNGSPSYCHOLOGIE UND PADAGOGISCHE PSYCHOLOGIE, 2013, 45 (03): : 161 - 171
  • [4] Barriers to Access of Primary Healthcare by Immigrant Populations in Canada: A Literature Review
    Salim Ahmed
    Nusrat S. Shommu
    Nahid Rumana
    Gary R. S. Barron
    Sonja Wicklum
    Tanvir C. Turin
    [J]. Journal of Immigrant and Minority Health, 2016, 18 : 1522 - 1540
  • [5] Barriers to Access of Primary Healthcare by Immigrant Populations in Canada: A Literature Review
    Ahmed, Salim
    Shommu, Nusrat S.
    Rumana, Nahid
    Barron, Gary R. S.
    Wicklum, Sonja
    Turin, Tanvir C.
    [J]. JOURNAL OF IMMIGRANT AND MINORITY HEALTH, 2016, 18 (06) : 1522 - 1540
  • [6] Family change and economic wellbeing in Canada: The case of recent immigrant families with children
    Liu, JY
    Kerr, D
    [J]. INTERNATIONAL MIGRATION, 2003, 41 (04) : 113 - 140
  • [7] Unmet Primary Health Care Needs among Nepalese Immigrant Population in Canada
    Bajgain, Bishnu Bahadur
    Chowdhury, Mohammad Z. I.
    Dahal, Rudra
    Bajgain, Kalpana Thapa
    Adhikari, Kamala
    Chowdhury, Nashit
    Turin, Tanvir C.
    [J]. HEALTHCARE, 2023, 11 (15)
  • [8] Access to Healthcare for Immigrant Children in Canada
    Salami, Bukola
    Mason, Alleson
    Salma, Jordana
    Yohani, Sophie
    Amin, Maryam
    Okeke-Ihejirika, Philomena
    Ladha, Tehseen
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (09)
  • [9] Middle Eastern Transnational Families and Ethnic Networks: a Story of Immigrant Mobilities to and from Atlantic Canada
    Evangelia Tastsoglou
    Serperi Sevgur
    [J]. Journal of International Migration and Integration, 2023, 24 : 1103 - 1119
  • [10] Middle Eastern Transnational Families and Ethnic Networks: a Story of Immigrant Mobilities to and from Atlantic Canada
    Tastsoglou, Evangelia
    Sevgur, Serperi
    [J]. JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION, 2023, 24 (SUPPL 6) : 1103 - 1119