This paper examines the manner in which Vietnamese refugees acces the healthcare system in Victoria, British Columbia. A major theme of this study was the identification of barriers to health care access and provision as perceived by refugees and health care providers, as well as areas of overlap between the two sets of perceptions. The study was based on interview protocols developed with key informants followed by structured samples of 20 Vietnamese and 20 health care workers. The major issue identified by both groups was problematic interpretation of patient symptoms and health care provider recommendations. Lack of health care worker understanding of traditional remedies for common ailments was also identified as a barrier to health care access and utilization. The special problems of unemployment, depression, surviving torture and getting assistance are all made more difficult for refugees living in a smaller urban centre which lacks sufficiently large ethnic populations to assist in service provision. A number of suggestions are made which might ameliorate the difficulties of refugees living in smaller communities. These include municipally based client advocates and special translation training for existing hospital staff. © 1995.

Health care access sudden death ethnomedicine language Refugees

Vietnam unemployment Physician-Patient Relations Communication Barriers immigrant Culture depression refugee health care personnel Dreams human Health Behavior Refugees ethnic group Aged interview Attitude of Health Personnel male Medicine, Traditional Canada female Viet Nam clinical article Folklore Conference Paper Death, Sudden health care adult health care access Religion and Medicine British Columbia Health Services Accessibility Middle Age Torture