ArticleBMC health services research2012
An exploration of the enablers and barriers in access to the Dutch healthcare system among Ghanaians in Amsterdam.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sexual Health Help-Seeking Behavior among Migrants from Sub-Saharan Africa and South East Asia living in High Income Countries: A Systematic Review.International journal of environmental research and public health · 2018Pooled it
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- Yemeni refugees' health literacy and experience with the Dutch healthcare system: a qualitative study.BMC public health · 2023Article
- Access to Health-Related Information, Health Services, and Welfare Services among South and Southeast Asian Immigrants in Japan: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Socio-cultural barriers to the delivery and utilisation of child healthcare services in rural Ghana: a qualitative study.BMC health services research · 2022Article
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- Does migrant background predict to what extent colorectal cancer patients want to be informed about their life expectancy? - a cross-sectional analysis.International journal for equity in health · 2019Article
- Healthcare bricolage in Europe's superdiverse neighbourhoods: a mixed methods study.BMC public health · 2019Article
- Access to Norwegian healthcare system - challenges for sub-Saharan African immigrants.International journal for equity in health · 2019Article
- Know where to go: evidence from a controlled trial of a healthcare system information intervention among immigrants.BMC public health · 2018Article
- Healthcare access for refugee women with limited literacy: layers of disadvantage.International journal for equity in health · 2017Article
- Use of healthcare services in the region of origin among patients with an immigrant background in Denmark: a qualitative study of the motives.BMC health services research · 2016Article
- Ukrainian-Speaking Migrants' Concerning the Use of Interpreters in Healthcare Service: A Pilot Study.The open nursing journal · 2016Article
- Quality of life and coping strategies among immigrant women living with pain in Denmark: a qualitative study.BMJ open · 2015Article
- Differences between Roma and non-Roma in how social support from family and friends helps to overcome health care accessibility problems.International journal for equity in health · 2015Article
- Is channel segmentation necessary to reach a multiethnic population with weight-related health promotion? An analysis of use and perception of communication channels.Ethnicity & health · 2015Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSub-Saharan African populations are growing in many European countries. Data on the health of these populations are rare. Additionally, many sub-Saharan African migrants are confronted with issues of low socio-economic status, acculturation and language difficulties, which may hamper their access to health care. Despite the identification of some of those barriers, little is known about the enabling factors. Knowledge about the enablers and barriers in access to healthcare experienced is important in addressing their health needs and promoting healthcare access. This study aimed to investigate the enabling factors as well as barriers in access to the Dutch healthcare system among the largest sub-Saharan African migrant group (Ghanaians) living in Amsterdam, the Netherlands.
methodsSix focus groups were conducted from November 2009 to February 2010. A semi-structured interview guideline was used. Discussions were conducted in English or Twi (Ghanaian dialect), recorded and transcribed verbatim. Analysis was based on the Andersen model of healthcare utilisation using MAXQDA software.
resultsKnowledge and perceived quality of the health system, awareness of diseases, family and community support, community initiatives and availability of social support were the main enablers to the healthcare system. Difficulties with the Dutch language and mistrust in health care providers were major barriers in access to healthcare.
conclusionsAccess to healthcare is facilitated mainly by knowledge of and the perceived efficiency and quality of the Dutch healthcare system. However, poor Dutch language proficiency and mistrust in health care providers appear to be important barriers in accessing healthcare. The enablers and barriers identified by this study provide useful information for promoting healthcare access among this and similar Sub-Saharan African communities.
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