ArticleBMJ open2019
Providing care to refugees through mainstream general practice in the southern health region of New Zealand: a qualitative study of primary healthcare professionals' perspectives.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Primary healthcare models for refugees involving nurses: a systematic review and narrative synthesis.BMJ global health · 2025Pooled it
- Between Vulnerability and Deservingness: Social Imaginaries About Migrants Among Primary Health Care Nurses.Healthcare (Basel, Switzerland) · 2026Article
- Expectations Shaped Elsewhere: Refugee Experiences of Healthcare in Aotearoa New Zealand.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Factors influencing general practice nurse's implementation of culturally responsive care, using normalization process theory: A cross-sectional study.Journal of advanced nursing · 2025Article
- Utilisation of specialist mental health and addiction services in New Zealand: a comparative analysis of refugees with the general population.BMC health services research · 2025Article
- Doctors' experience providing primary care for refugee women living with chronic pain: a qualitative study.BMC health services research · 2024Article
- Barriers to and Recommendations for Equitable Access to Healthcare for Migrants and Refugees in Aotearoa, New Zealand: An Integrative Review.Journal of immigrant and minority health · 2024Review
- Health Beliefs and Barriers to Healthcare of Rohingya Refugees.Journal of racial and ethnic health disparities · 2023Article
- Structural Origins of Poor Health Outcomes in Documented Temporary Foreign Workers and Refugees in High-Income Countries: A Review.Healthcare (Basel, Switzerland) · 2023Review
- General practitioners' perspectives on the management of refugee health: a qualitative study.BMJ open · 2023Article
- Vaccine hesitancy and its determinants among refugee parents resettled in Aotearoa New Zealand.Human vaccines & immunotherapeutics · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the perspectives of primary healthcare (PHC) professionals providing care to refugees through mainstream general practice.
designQualitative exploratory design with semistructured interviews subjected to inductive thematic analysis. SETTING AND
participantsNine general practices enrolled in the Dunedin Refugee Resettlement Programme, in New Zealand (NZ)'s southern health region. Participants included nine general practitioners and six practice nurses.
resultsThree analytical constructs were identified: relational engagement with refugees, refugee healthcare delivery and providers' professional role shaped by complexity. Building meaningful relational connections involved acknowledging refugees' journeys by getting to know them as people. This was instrumental for the development of an empathetic understanding of the complex human trajectories that characterise refugees' journeys to NZ. Participants encountered challenges in providing care to refugees with respect to time-limited consultations, variable use of interpreter services, fragmentation of care between agencies and need for improved health infrastructure to ensure a fluid interface between PHC, secondary care and community support services. The current business model of NZ general practice was perceived to interfere with value-driven care and discouraged tailoring of care to specific patient groups, raising concerns about the 'fit' of mainstream general practice to address the complex healthcare needs of refugees. Meeting the needs of refugees across the social determinants of health involved a lot of 'behind the scenes work' particularly in the absence of shared information systems and the lack of well-established referral pathways to connect refugees to services beyond the health sector. This led to providers feeling overwhelmed and uncertain about their ability to provide appropriate care to refugees.
conclusionsThis study provides rich context-specific findings that enhance PHC responsiveness to the needs of refugees in NZ.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.