Refugee and healthcare providers in Anchorage, Alaska: Understanding cross-cultural medical encounters

Refugees are part of the increasing cultural and ethnic diversity of Anchorage's population (over 90 languages are now spoken in Anchorage homes), a trend that has implications for the delivery of culturally appropriate healthcare services. This pilot study examined cross-cultural medical encounters between healthcare providers and refugees in Anchorage. In-depth, semi-structured interviews were conducted with healthcare providers (N=10) and refugees, primarily from Laos (Hmong) and Africa (Sudanese) (N=9). These qualitative data were analyzed for thematic content regarding healthcare barriers, cross-cultural challenges, keys to success and areas of agreement and differences in perceptions. Refugees in Anchorage have a generally positive perception of local healthcare providers who display cross-cultural empathy and take time to establish trust despite time limits, lack of mental health services, language difficulties and differing health beliefs. Recommendations are offered for healthcare organizations and providers in overcoming the identified barriers and challenges for healthcare provision to these populations.