A descriptive phenomenology study of newcomers’ experience of maternity care services: Chinese women’s perspectives.
Open accessAbstract
BACKGROUND: Maternity health care available in Canada is based on the needs of women born in Canada and often lacks the flexibility to meet the needs of immigrant women. The purpose of this study was to explore immigrant Chinese women's experiences in accessing maternity care, the utilization of maternity health services, and the obstacles they perceived in Canada. METHODS: This descriptive phenomenology study used in-depth semi-structured interviews to examine immigrant Chinese women's experiences. Fifteen participants were recruited from the Chinese community in Toronto, Canada by using purposive sampling. The interviews were digitally recorded and transcribed verbatim into written Chinese. The transcripts were analyzed using Colaizzi's (1978) phenomenological method. RESULTS: Six themes were extracted from the interviews: (1) preference for linguistically and culturally competent healthcare providers, with obstetricians over midwives, (2) strategies to deal with the inconvenience of the Canadian healthcare system (3) multiple resources to obtain pregnancy information, (4) the merits of the Canadian healthcare system, (5) the need for culturally sensitive care, and (6) the emergence of alternative supports and the use of private services. CONCLUSIONS: The findings provide new knowledge and understanding of immigrant Chinese women's experiences in accessing maternity health services within a large metropolitan Canadian city. Participants described two unique experiences within the themes: preference for linguistically and culturally competent healthcare providers, with obstetricians over midwives, and the emergence of alternative supports and the use of private services. Few studies of immigrant maternity service access have identified these experiences which may be linked to cultural difference. Further investigation with women from different cultural backgrounds is needed to develop a comprehensive understanding of immigrant women's experiences with maternity care.
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The lower EOHCS-Episodic scores among people who have English as their first language may be explained in part by research showing that newcomers whose first language is not English tend to rate their satisfaction with care highly, reflecting appreciation for access to care that may be less accessible in their countries of origin.
“The lower scores among people who have English as their first language may be explained, in part, by research showing that newcomers whose first language is not English tend to rate their satisfaction with care quite highly, reflecting some peoples’ appreciation for access to care that may be less accessible in their countries of origin [81–84].”
From Using a health equity lens to measure patient experiences of care in diverse health care settings (2024) · cites this paper as [83]
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- Authors
- Lee, T.-Y., Landy, C. K., Wahoush, O., Khanlou, N., Liu, Y.-C., & Li, C.-C.
- Affiliations
- York University (CA)
- McMaster University (CA)
- National Yang Ming University (TW)
- National Defense Medical Center (TW)
- Corresponding author
- Lee, Tsorng-Yeh
- Venue
- BMC Health Services Research
- Published
- 2014-03-07
- Volume
- 14
- Issue
- 1
- Pages
- 114-114
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC3975855
- OpenAlex
- W2160055193
- Cited by
- 60
- References
- 35
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 3 · 2023: 15 · 2022: 4 · 2021: 7 · 2020: 8 · 2019: 2 · 2018: 1 · 2017: 8 · 2016: 3 · 2015: 2 · 2014: 1
- FWCI
- 15.16
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- York University
- Topics
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Sociology and Political Science › Migration, Identity, and Health
- Keywords
- maternity care access, immigrant health, culturally competent care, language barriers, pregnancy information, barriers to care, Toronto
- MeSH terms
- Adult, Attitude to Health, Canada, China, Female, Health Services Accessibility, Humans, Interviews as Topic, Maternal Health Services, Pregnancy, Emigrants and Immigrants, Cultural Competency, Patient Preference
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