Home > Review Articles > Child and youth health > “I haven’t even taken them to the doctors, because I have that fear of what to expect ”: a qualitative description study exploring perceptions and experiences of early childhood healthcare among ethnically diverse caregivers in Aotearoa New Zealand

“I haven’t even taken them to the doctors, because I have that fear of what to expect ”: a qualitative description study exploring perceptions and experiences of early childhood healthcare among ethnically diverse caregivers in Aotearoa New Zealand

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Authors:
Summary:

Ensuring trusting relationships and positive health encounters for ethnically diverse caregivers of preschool children requires a non-judgemental, competent, and culturally sensitive approach by healthcare professionals and services. This was the finding of a qualitative study of 145 caregivers who identified as Māori, Pacific, Asian and/or European. Caregivers relied on multiple sources of health information, in particular trusting providers or other caregivers who had children. They were often disappointed that health providers did not build trusting relationships to support positive experiences. Caregivers often felt judged by providers when accessing care and felt pressure to conform. They were frustrated by slowness and fragmentation of the health system. Caregivers had to be proactive and assertive to ensure their child received care amidst numerous barriers, including discrimination and bias. Policies are required to alleviate the indirect costs of accessing healthcare, prioritising of whānau/family-centred car

Comment:
An excellent piece of research from this team. Reading it reminded me of a nursing colleague’s experience with her child who had multiple health and disability hospital admissions. Her amazing ability to ‘navigate complexity’ was recorded as ‘over-demanding mother’ in the ‘Disease Classifications’ section.
Reference: Lancet Reg Health West Pac. 2023;40:100882.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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