ArticleInternational journal of qualitative studies on health and well-being2022
'Getting shut down and shut out': Exploring ACB patient perceptions on healthcare access at the physician-patient level in Canada.
Article in International journal of qualitative studies on health and well-being, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Understanding COVID-19 Vaccine Hesitancy in Black, East Asian, and Eastern European Diasporic Communities in Toronto: A Scoping Review.International journal of social determinants of health and health services · 2026Article
- Defining the Black population in Canadian health research: a scoping review.BMC public health · 2026Article
- Scaling Up a Diabetes Prevention Program in Geographically and Ethnoculturally Diverse Urban Regions of Canada: Protocol for a Hybrid Type 2 Implementation-Effectiveness Study.JMIR research protocols · 2026Article
- Factors associated with self-rated health in Black Canadians: A cross-sectional study.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Healthcare lived experiences of African, Caribbean, and Black individuals in Alberta living with HIV/AIDS: A phenomenological study.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- "We are mothers, sisters, and lovers too": Examining young Black women's experiences navigating sex and sexual health.American journal of community psychology · 2024Article
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- Impact of the COVID-19 Pandemic on Black Communities in Canada.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe experiences of African, Caribbean and Black (ACB) Canadians are seldom explored in the Canadian context. Family physicians act as a gateway to the rest of the healthcare system and are necessary to provide proper patient care. However, Canada's history with colonialism may impact the socio-cultural context in which patients receive care.
method41 participants from Waterloo Region, Ontario, were engaged in eight focus groups to discuss their experiences in the healthcare system. Data were analysed following thematic analysis.
resultsStyle of care, racism and discrimination and a lack of cultural competence hindered access. oor Inadequate cultural competence was attributed to western and biomedical approaches, poor understanding of patients' context, physicians failing to address specific health concerns, and racism and discrimination. Participants highlighted that the two facilitators to care were having an ACB family physician and fostering positive relationships with physicians.
conclusionParticipants predominantly expressed dissatisfaction in physicians' approaches to care, which were compounded by experiences of racism and discrimination. Findings demonstrate how ACB patients are marginalized and excluded from the healthcare syste Iimplications for better access to care included utilizing community healthcare centres, increasing physicians' capacity around culturally inclusive care, and increasing access to ACB physicians.
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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.