Unseen Struggles: Visualizing Barriers in Healthcare Access and Utilization Among Skilled Immigrants in America.

Background: While much of the existing literature focuses on immigrant populations' general access to care, limited attention has been given to the experiences of skilled immigrant workers—a growing majority of immigrants in the United States. This study fills a critical gap by examining the unique...

Descripción completa

Detalles Bibliográficos
Publicado en:Health & Social Care in the Community Vol. 2026; pp. 1 - 12
Autor principal: Imanpour, Sara
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 8/31/2026
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196657542&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 196657542
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        09660410
        EVX
      jtl: Health & Social Care in the Community
      issn: 09660410
      maglogo: Y
    pubinfo:
      dt: 8/31/2026
      vid: 2026
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        196657542
        196657542
        196657542
        10.1155/hsc/6479822
        196657542
      ppf: 1
      ppct: 11
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: C
          – @attributes:
              type: P
      tig:
        atl: Unseen Struggles: Visualizing Barriers in Healthcare Access and Utilization Among Skilled Immigrants in America.
      aug:
        au: Imanpour, Sara
        affil: School of Business, , Pennsylvania State University, , Harrisburg, USA, psu.edu
      sug:
        subj:
          Health Services Accessibility
          Health Resource Utilization
          Immigrants Psychosocial Factors
          Healthcare Disparities
          Photography
          Patient Attitudes
          Human
          Focus Groups
          Grounded Theory
          Health Literacy
          Fear
          Discrimination
          Culture
          Holistic Care
          Stigma
          United States
          Action Research
          Adult
          Middle Age
          Purposive Sample
          Male
          Female
          Armenia
          Iran
          Afghanistan
          Iraq
          Syria
          Palestine
          Turkiye
          Qualitative Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: While much of the existing literature focuses on immigrant populations' general access to care, limited attention has been given to the experiences of skilled immigrant workers—a growing majority of immigrants in the United States. This study fills a critical gap by examining the unique barriers that skilled immigrants encounter when accessing and utilizing healthcare services. Method: Using photovoice methodology, this study engaged skilled immigrants in visually documenting and narrating their healthcare experiences. Transcripts from focus group discussions were analyzed using grounded theory, with Kilbourne's framework for health disparities guiding the interpretation of findings across individual, provider, and system‐level domains. Results: At the individual level, participants reported limited health literacy and a fear of being judged or discriminated against, which hindered their ability to advocate for their health. Cultural disconnects during medical encounters further exacerbated these challenges. At the provider level, participants identified a lack of holistic and culturally responsive care. System‐level barriers included fragmented care coordination and the absence of outreach programs to engage and support skilled immigrant communities. Conclusions: Skilled immigrants face a distinct set of healthcare barriers shaped by cultural dissonance, perceived stigma, and systemic inattention to their needs. Their reluctance to seek clarification or assert their health concerns—often rooted in their high‐status professional backgrounds—underscores the inadequacy of a one‐size‐fits‐all healthcare system. Addressing these multifaceted barriers is crucial to advancing health equity and designing inclusive care models that recognize the complex realities of skilled immigrant populations.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N