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Table 1 Interview structure

From: Refugee healthcare needs and barriers to accessing healthcare services in New Zealand: a qualitative phenomenological approach

Focus

Key Questions

Refugee healthcare needs

• Which healthcare professionals do refugees see most frequently?

• How do refugees gain an understanding of health services?

• What are some common health-related issues that refugees experience?

• How supportive and responsive are health care delivery systems are towards refugee healthcare needs?

• How accepting are we of refugee healthcare choices (e.g., the use of traditional healers/medicine)?

• To what extent does the refugee experience in the country of origin affect the understanding of healthcare services on arrival?

Current barriers in accessing healthcare services

• Is there a reliance on accident and emergency services even where non-emergency treatment was appropriate?

• What are some challenges faced by refugees in accessing primary healthcare in NZ?

• How can we improve access to medicines and pharmacists?

• To what extent do refugees under or over-report symptoms of ill health?

• Do you think our health care system is adequately resourced to care for refugee patients and their families?

• What in your opinion is a barrier to refugees attending a healthcare service?

• Are there certain groups of refugees who are less likely to feel settled and/or have intrinsic barriers towards access to health?

• To what extent do you believe our services are ‘culturally competent’? How does this translate across to refugee access to healthcare services?

• Do you believe there is continuity of care across the different healthcare services?

Future healthcare direction

• Do you believe our healthcare services are responding sufficiently to perceived or expressed needs?

• How do refugees feel about the quality of the services that they access?

• How much influence do refugees believe they have in deciding the future direction of the services that they access?

• What channels are there for refugees to provide feedback, and/or make suggestions about the direction of healthcare services?

• Are healthcare services responding with enough momentum to refugee healthcare needs?

• Do you foresee a role for pharmacists at the heart of health services that care for refugees?

• How can pharmacists become involved in the refugee healthcare journey?

• What do you believe are some barriers in refugees accessing pharmaceutical services?

• How well do you believe refugees are integrating into New Zealand society?

• What are your visions for the future direction of refugee healthcare in New Zealand?