Résumé :
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The focus of this research study is to examine the challenges that immigrants, including asylum seekers, humanitarian parolees, refugees, and undocumented immigrants face in accessing healthcare and receiving quality care in the United States, with a specific emphasis on the city of Philadelphia. Taking place at the Nationalities Service Center (NSC), a non-profit organization that provides social and legal services to immigrant population, this cross-sectional study employed a mixed-methods approach, incorporating interviews with clients of NSC and online surveys with direct service staff members to gain an understanding of client healthcare experiences. The analysis of participant interviews revealed several main themes related to healthcare challenges experienced by clients, including high cost of care, language barriers, racism and discrimination, the complexity of the healthcare system, and long wait times in the emergency room. The surveys revealed that language and cultural barriers, as well as a lack of knowledge of the system and economic barriers, were perceived by staff to be main challenges for clients in healthcare. The findings underscore the significant challenges posed by cultural and language barriers, as well as limited knowledge of the healthcare system. The study highlights the need for targeted interventions, including language assistance services, cultural competence training for healthcare providers, and initiatives to address economic barriers.
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