Barriers and facilitators to transition from pediatric to adult healthcare for immigrant youth with chronic health conditions.
J Pediatr Nurs
; 77: e487-e494, 2024.
Article
em En
| MEDLINE
| ID: mdl-38760303
ABSTRACT
PURPOSE:
The objective of this study was to investigate the experience of first- and second- generation immigrant youth living with chronic health conditions in Canada, their parents or caregivers, and healthcare and service providers who care for immigrant youth, regarding the transition from pediatric to adult healthcare. DESIGN ANDMETHODS:
We conducted semi-structured individual interviews and focus groups. Youth were 1st or 2nd generation immigrants, aged 16-25, with pediatric-onset chronic health conditions. Parents or caregivers had raised youth children as described. Providers delivered healthcare or other services to immigrant populations. Thematic analysis was conducted of all transcripts.RESULTS:
Twenty youth, 14 parents/caregivers and five service providers participated. Most participants described healthcare transition as very difficult to navigate. Two major themes emerged across participant narratives 1. Barriers to transition lack of family experience in Canada, language, discrimination, financial strain, stigma, and long wait times. Some of these barriers are specific to newcomer families, but others are generalizable to the Canadian population. 2. Facilitators of transition youth independence, youth acting as cultural bridges within their families, and cross-sector support between healthcare, education, social work and settlement services.CONCLUSIONS:
Immigrant youth and their families face a broad range of barriers to healthcare transition. The collaborative nature of cross-sector support effectively addressed some of the barriers faced by newcomer families. PRACTICE IMPLICATIONS Clinicians should provide immigrant youth and their families with accessible information about the health condition and how to navigate the adult healthcare system prior to transition, particularly when language barriers exist.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Grupos Focais
/
Emigrantes e Imigrantes
/
Transição para Assistência do Adulto
/
Acessibilidade aos Serviços de Saúde
Limite:
Adolescent
/
Adult
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Female
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Humans
/
Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article