Competence trust among providers as fundamental to a culturally competent primary healthcare system for immigrant families
Open accessAbstract
Aim: To explore how an organization's trust in the cultural competency of other service providers ( competence trust ) can influence the effectiveness of a services network in meeting the needs of recent immigrant families. Background: Primary health care for recent immigrants arriving in Canada is delivered through a network of community-based services. To ensure the functioning of the network and its ability to facilitate access to needed services for new arrivals, network members need to be able to work together collaboratively. A case study involving services for an urban community in Atlantic Canada was undertaken in 2009 to explore how service organizations worked together to address the needs of recent immigrant families with young children. This paper focuses on provider perceptions of cultural competency among local service organizations and how this influenced trust and desire to work together for the benefit of families. Methods: The case study utilized both social network analysis and qualitative inquiry methodology. Twenty-one of 27 selected organizations responded to the online social network survey, and 14 key informant interviews were conducted. Social network measures and network mapping were used to demonstrate trusting relationships and associated interactions, while interview data were used to explain the relationships observed. Findings: Perceived cultural competency affected the degree of trust and collaboration within the services network when addressing the needs of recent immigrant families. Competence trust toward other providers increased the desire and commitment to work together, while lack of competence trust created avoidance. Non-government organizations were identified among the most culturally competent. The perceived positive and negative experiences of families with different providers influenced the level of trust among network members. The development of systemic cultural competences within a services network is needed in order to improve collaborations and access to services for immigrant families.
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Widanaralalage, B. K., Jennings, S., Dando, C. J., & Mackenzie, J.-M. (2025) · BMC Psychology · doi:10.1186/s40359-025-02706-z · Cited by 6 · see citing works
“While recognising the diversity within ethnic minority communities, many survivors shared a sense of common identity and values associated with Asian communities, underscoring the importance of culturally competent services [68].”
- Authors
- Isaacs, S., Valaitis, R., Newbold, K. B., Black, M., & Sargeant, J.
- Affiliations
- Public Health Agency of Canada (CA)
- McMaster University (CA)
- Ontario Veterinary College (CA)
- Corresponding author
- Isaacs, Sandra
- Venue
- Primary Health Care Research & Development
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-07-13
- Volume
- 14
- Issue
- 1
- Pages
- 80-89
- ISSN
- 1463-4236 (ISSN-L)
- 1477-1128
- OpenAlex
- W2335371608
- Cited by
- 27
- References
- 31
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 2 · 2015: 1 · 2014: 2
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Primary Health Care Research & Development (publishedVersion)
- PubMed (publishedVersion)
- Funders
- McMaster University
- Topics
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- competence trust, cultural competence, immigrant families, primary care, service networks, inter-organizational trust, collaboration, non-governmental organizations, access to services, families with young children, social network analysis
- MeSH terms
- Canada, Health Services Accessibility, Humans, National Health Programs, Primary Health Care, Community Networks, Trust, Qualitative Research, Emigrants and Immigrants, Cultural Competency
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