A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory

<p>Abstract</p> <p>Background</p> <p>Immigration is not a new phenomenon but, rather, has deep roots in human history. Documents from every era detail individuals who left their homelands and struggled to reestablish their lives in other countries. The aim of this study...

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Main Authors: Dastjerdi Mahdieh, Olson Karin, Ogilvie Linda
Format: Article
Language:English
Published: BMC 2012-09-01
Series:International Journal for Equity in Health
Subjects:
Online Access:http://www.equityhealthj.com/content/11/1/55
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author Dastjerdi Mahdieh
Olson Karin
Ogilvie Linda
author_facet Dastjerdi Mahdieh
Olson Karin
Ogilvie Linda
author_sort Dastjerdi Mahdieh
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Immigration is not a new phenomenon but, rather, has deep roots in human history. Documents from every era detail individuals who left their homelands and struggled to reestablish their lives in other countries. The aim of this study was to explore and understand the experience of Iranian immigrants who accessed Canadian health care services. Research with immigrants is useful for learning about strategies that newcomers develop to access health care services.</p> <p>Methods</p> <p>The research question guiding this study was, “What are the processes by which Iranian immigrants learn to access health care services in Canada?” To answer the question, a constructivist grounded theory approach was applied. Initially, unstructured interviews were conducted with 17 participants (11 women and six men) who were adults (at least 18 years old) and had immigrated to Canada within the past 15 years. Eight participants took part in a second interview, and four participants took part in a third interview.</p> <p>Results</p> <p>Using a constructivist grounded theory approach, “tackling the stumbling blocks of access” emerged as the core category. The basic social process (BSP), becoming self-sufficient, was a transitional process and had five stages: becoming a stranger; feeling helpless; navigating/seeking information; employing strategies; and becoming integrated and self-sufficient. We found that “tackling the stumbling blocks of access” was the main struggle throughout this journey. Some of the immigrants were able to overcome these challenges and became proficient in accessing health care services, but others were unable to make the necessary changes and thus stayed in earlier stages/phases of transition, and sometimes returned to their country of origin.</p> <p>Conclusion</p> <p>During the course of this journey a substantive grounded theory was developed that revealed the challenges and issues confronted by this particular group of immigrants. This process explains why some Iranian immigrants are able to access Canadian health care effectively while others cannot. Many elements, including language proficiency, cultural differences, education, previous experiences, financial status, age, knowledge of the host country’s health care services, and insider and outsider resources work synergistically in helping immigrants to access health care services effectively and appropriately.</p>
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spelling doaj.art-3f1247137044469ba765c0d298aa3e352022-12-21T23:15:19ZengBMCInternational Journal for Equity in Health1475-92762012-09-011115510.1186/1475-9276-11-55A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theoryDastjerdi MahdiehOlson KarinOgilvie Linda<p>Abstract</p> <p>Background</p> <p>Immigration is not a new phenomenon but, rather, has deep roots in human history. Documents from every era detail individuals who left their homelands and struggled to reestablish their lives in other countries. The aim of this study was to explore and understand the experience of Iranian immigrants who accessed Canadian health care services. Research with immigrants is useful for learning about strategies that newcomers develop to access health care services.</p> <p>Methods</p> <p>The research question guiding this study was, “What are the processes by which Iranian immigrants learn to access health care services in Canada?” To answer the question, a constructivist grounded theory approach was applied. Initially, unstructured interviews were conducted with 17 participants (11 women and six men) who were adults (at least 18 years old) and had immigrated to Canada within the past 15 years. Eight participants took part in a second interview, and four participants took part in a third interview.</p> <p>Results</p> <p>Using a constructivist grounded theory approach, “tackling the stumbling blocks of access” emerged as the core category. The basic social process (BSP), becoming self-sufficient, was a transitional process and had five stages: becoming a stranger; feeling helpless; navigating/seeking information; employing strategies; and becoming integrated and self-sufficient. We found that “tackling the stumbling blocks of access” was the main struggle throughout this journey. Some of the immigrants were able to overcome these challenges and became proficient in accessing health care services, but others were unable to make the necessary changes and thus stayed in earlier stages/phases of transition, and sometimes returned to their country of origin.</p> <p>Conclusion</p> <p>During the course of this journey a substantive grounded theory was developed that revealed the challenges and issues confronted by this particular group of immigrants. This process explains why some Iranian immigrants are able to access Canadian health care effectively while others cannot. Many elements, including language proficiency, cultural differences, education, previous experiences, financial status, age, knowledge of the host country’s health care services, and insider and outsider resources work synergistically in helping immigrants to access health care services effectively and appropriately.</p>http://www.equityhealthj.com/content/11/1/55ImmigrantsRefugeesHealth careAccessIraniansCanadaConstructivist grounded theory
spellingShingle Dastjerdi Mahdieh
Olson Karin
Ogilvie Linda
A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory
International Journal for Equity in Health
Immigrants
Refugees
Health care
Access
Iranians
Canada
Constructivist grounded theory
title A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory
title_full A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory
title_fullStr A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory
title_full_unstemmed A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory
title_short A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory
title_sort study of iranian immigrants experiences of accessing canadian health care services a grounded theory
topic Immigrants
Refugees
Health care
Access
Iranians
Canada
Constructivist grounded theory
url http://www.equityhealthj.com/content/11/1/55
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