Experiences of older Greek patients with limited English proficiency in general practice: a qualitative study

Older adults from culturally and linguistically diverse backgrounds often face communication barriers in general practice, which compromise care quality and patient safety. Limited English proficiency (LEP) is a key determinant of these barriers, yet little is known about how older patients with LEP experience communication from general practice.

To identify the experiences and preferences for communication from Australian general practice by older Greek patients with LEP.

An exploratory, qualitative, descriptive research design was used. The study took place in a Greek community club in south-east Melbourne, Australia.

Ten older Greek persons with LEP and two informal carers were interviewed in a mix of both English and Greek. Interviews lasted 20-45 minutes, were audio-recorded, transcribed verbatim, and translated to English. Data were analysed using reflexive thematic analysis.

Participants described diverse experiences. The following three themes emerged: 1) perceptions towards, and knowledge of, participants' doctor's clinic; 2) experiences of communication from general practice clinics; and 3) preferences for communication from general practice and what drives them.

The preferences and needs for communication from general practice clinics among this group were influenced by age and language-related factors. It is important to consider these factors when designing and implementing communication systems in general practice.