Diverse pathways to care for children with stomach pain in a Canadian cosmopolitan city.

摘要: In Montreal, Quebec, 31% of the population is born outside Canada. Yet, only 9% patient consultations for symptoms associated with functional gastrointestinal disorders (FGIDs) are from immigrants at Paediatric Gastroenterology Clinic Sainte-Justine's University Hospital Centre. This discrepancy inspired a multidisciplinary exploratory study (anthropological and paediatric) to examine sociological, interpretative pragmatic aspects immigrant non-immigrant patients family life FGIDs. paper examines between paediatric FGIDs presents different pathways care utilised by families. Semi-structured interviews were carried out November 2008 June 2009, children their parents. total, 38 families recruited: 27 (including child experiencing abdominal pain, his/her siblings, mother and/or father as well any other significant individual living in home) community 11 gastroenterology clinic. A comparative analysis groups focused on perceptions, meanings actions taken relieve/alleviate symptoms. Immigrant alternate combine therapeutic environments: home, alternative healing therapies medical paths care. Our suggests that culture (as set values, beliefs ways being), social interactions within clinic, shape The highlights centrality receptiveness – more widely dimensions all encounters. Treatment disparities help us understand these patients' world intricate relationships values milieux, culture, practices symptom management rationales guiding diverse actions.