title: Barriers to care for Cambodian patients with diabetes: results from a qualitative study.
abstract: Racial and ethnic disparities in diabetes care have been well documented. While root causes have been explored for some minority groups, less is known about smaller immigrant populations such as Cambodians. In this study, we sought to explore the potential barriers to care for Cambodian patients with diabetes. We conducted five focus groups with three study groups: health care providers, bilingual Khmer frontline staff, and Cambodian patients with diabetes. Focus groups findings revealed that certain cultural beliefs, low health literacy, and language barriers strongly affect Cambodian patients' understanding of diabetes and self-management, as well as clinicians' ability to care effectively for Cambodian patients with diabetes. Our study supports previous literature and also adds several new insights not previously described. We recommend education for health care providers on patient-centered, cross-cultural care with an emphasis on the needs of Cambodians as well as culturally appropriate diabetes education for patients.
authors.affiliation: Disparities Solutions Center, Mongan Institute for Health Policy, Massachusetts General Hospital, MA, USA. mrrenfrew@partners.org
authors.forename: Megan R
authors.initials: MR
authors.lastname: Renfrew
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Taing
authors.forename: Marya J
authors.initials: MJ
authors.lastname: Cohen
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Betancourt
authors.forename: Roger
authors.initials: R
authors.lastname: Pasinski
authors.forename: Alexander R
authors.initials: AR
authors.lastname: Green
mesh_terms: D001213:Asian; D002160:Cambodia / Q000208:ethnology; D003144:Communication Barriers; D054521:Cultural Competency; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology*; D005260:Female; D017144:Focus Groups; D006442:Glycated Hemoglobin; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care / Q000458:organization & administration*; D036301:Qualitative Research
chemical_list: D006442:Glycated Hemoglobin