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“Basically, everything needs to be adapted”: provider perceptions of challenges and recommendations for effective health care with Karen people

“Basically, everything needs to be adapted”: provider perceptions of challenges and... Karen people from Burma are a new population in resettlement countries. While research increasingly documents their health needs, few studies describe how health-care providers adapt their practices to serve this group. The purpose of this study was to explore the experiences of providers who work with Karen patients/clients in health settings, documenting the challenges they face, how they adapt their practice and recommendations.Design/methodology/approachThis study used a qualitative survey and one phone interview with a total of 20 providers who had first-hand experience caring for Karen people in health settings. Data were analyzed using qualitative content analysis.FindingsTwo main categories described challenges providers faced in working with Karen people in health settings: system-level challenges and interpersonal communication challenges. Five main categories described specific strategies and support needed to adapt practice for Karen patients in health settings: strategies for improving communication and mutual understanding; partnering with Karen staff, interpreters and cultural brokers; strategies for building trust and rapport; addressing needs related to case management, care coordination and social determinants of health; recommendations for provider training.Originality/valueThis paper contributes suggestions for adapting practice to meet the health needs of Karen people from the perspective of health-care providers in a location that is nationally recognized for its excellence in refugee health. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Migration Health and Social Care Emerald Publishing

“Basically, everything needs to be adapted”: provider perceptions of challenges and recommendations for effective health care with Karen people

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References (42)

Publisher
Emerald Publishing
Copyright
© Emerald Publishing Limited
ISSN
1747-9894
eISSN
1747-9894
DOI
10.1108/ijmhsc-01-2022-0001
Publisher site
See Article on Publisher Site

Abstract

Karen people from Burma are a new population in resettlement countries. While research increasingly documents their health needs, few studies describe how health-care providers adapt their practices to serve this group. The purpose of this study was to explore the experiences of providers who work with Karen patients/clients in health settings, documenting the challenges they face, how they adapt their practice and recommendations.Design/methodology/approachThis study used a qualitative survey and one phone interview with a total of 20 providers who had first-hand experience caring for Karen people in health settings. Data were analyzed using qualitative content analysis.FindingsTwo main categories described challenges providers faced in working with Karen people in health settings: system-level challenges and interpersonal communication challenges. Five main categories described specific strategies and support needed to adapt practice for Karen patients in health settings: strategies for improving communication and mutual understanding; partnering with Karen staff, interpreters and cultural brokers; strategies for building trust and rapport; addressing needs related to case management, care coordination and social determinants of health; recommendations for provider training.Originality/valueThis paper contributes suggestions for adapting practice to meet the health needs of Karen people from the perspective of health-care providers in a location that is nationally recognized for its excellence in refugee health.

Journal

International Journal of Migration Health and Social Care – Emerald Publishing

Published: Oct 12, 2022

Keywords: Karen refugees; Burma; Newly resettled refugees; Cross-cultural health care; Refugee health; Refugee integration; Health equity

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