Health Care Services, Racial and Ethnic Minorities and Underserved Populations: Patient and Provider Perspectives

2005 ◽  
Keyword(s):  
Health Care ◽  
Ethnic Minorities ◽  
Health Care Services ◽  
Underserved Populations ◽  
Racial And Ethnic Minorities ◽  
Care Services ◽  
Provider Perspectives ◽  
Patient And Provider Perspectives

Addressing inequities in access to primary health care: lessons for the training of health care professionals from a regional medical school

2011 ◽  
Vol 17 (4) ◽  
pp. 362 ◽  
Author(s):  
Sarah Larkins ◽  
Tarun Sen Gupta ◽  
Rebecca Evans ◽  
Richard Murray ◽  
Robyn Preston
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Professional Education ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Underserved Populations ◽  
Health Sector ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Attention to the inequitable distribution and limited access to primary health care resources is key to addressing the priority health needs of underserved populations in rural, remote and outer metropolitan areas. There is little high-quality evidence about improving access to quality primary health care services for underserved groups, particularly in relation to geographic barriers, and limited discussion about the training implications of reforms to improve access. To progress equity in access to primary health care services, health professional education institutions need to work with both the health sector and policy makers to address issues of workforce mix, recruitment and retention, and new models of primary health care delivery. This requires a fundamental shift in focus from these institutions and the health sector, to each view themselves as partners in an integrated teaching, research and service-oriented health system. This paper discusses the challenges and opportunities for primary health care professionals, educators and the health sector in providing quality teaching and clinical experiences for increasing numbers of health professionals as a result of the reform agenda. It then outlines some practical strategies based on theory and evolving experience for dealing with some of these challenges and capitalising on opportunities.

scholarly journals Use of health care services by ethnic minorities in The Netherlands: do patterns differ?

2006 ◽  
Vol 16 (4) ◽  
pp. 388-393 ◽  
Author(s):  
Ellen Uiters ◽  
Walter L.J.M. Devillé ◽  
Marleen Foets ◽  
Peter P. Groenewegen
Keyword(s):  
Health Care ◽  
The Netherlands ◽  
Ethnic Minorities ◽  
Health Care Services ◽  
Care Services ◽  
Use Of Health Care

scholarly journals Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes

2002 ◽  
Vol 8 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Kamaldeep Bhui ◽  
Dinesh Bhugra
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Ethnic Minorities ◽  
Health Care Services ◽  
Pathways To Care ◽  
National Health Care ◽  
Care Services ◽  
Health Related ◽  
The Individual

A substantial body of research indicates that, for people from Black and Asian ethnic minorities, access to, utilisation of and treatments prescribed by mental health services differ from those for White people (Lloyd & Moodley, 1992; for a review see Bhui, 1997). Pathways to mental health care are important, and the widely varying pathways taken in various societies may reflect many factors: the attractiveness and cultural appropriateness of services; attitudes towards services; previous experiences; and culturally defined lay referral systems (Goldberg, 1999). Contact with mental health care services may be imposed on the individual, but people who choose to engage with services usually do so only if they think that their changed state of functioning is health-related and potentially remediable through these services. In such cases, they will contact whoever they perceive to be the most appropriate carer, and these carers are often not part of a national health care network.

Telemental health in treatment of ethnic minorities in EU

2011 ◽  
Vol 26 (S2) ◽  
pp. 2194-2194
Author(s):  
D. Mucic
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Ethnic Minorities ◽  
Health Care Services ◽  
Mother Tongue ◽  
Physical Contact ◽  
Telemental Health ◽  
Care Services ◽  
Health Application

Access to adequate mental health care services is one of the identified problems within EU mental health services. Increased migration into and within EU cause the increased demands for clinicians with selected skills.TeleMental Health applications could improve access to mental health care in rural, remote and under-served as well as in metropolitan areas all around EU. Telepsychiatry is the most common telemental health application. Furthermore, there are various internet based approaches to treatment of mental conditions on distance. Transcultural telepsychiatry model, developed in Denmark during last decade was aimed to treat ethnic minorities via their own mothertongue(s) by use of telepsychiatry. Patient satisfaction rapported within telepsychiatry service in Denmark is very high. The restricted physical contact and non-verbal communication of telepsychiatry compensates by the fact that the doctor and patient spoke the same language and had similar cultural and/or national references.Ongoing international telepsychiatry collaboration established between Sweden and Denmark is a success that may be exported to other european countries. The experiences from this pioneer international transcultural telepsychiatry service may contribute to further development an European Telepsychiatry Network. However, this model may be used as an inspiration for conducting of larger international telepsychiatry service capable to provide mental health care toward diversity of patient populations underserved on their mother tongue within EU.

scholarly journals The Anatomy of Teleneurosurgery in China

2011 ◽  
Vol 2011 ◽  
pp. 1-12 ◽  
Author(s):  
Xiaohong Gao
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Underserved Populations ◽  
Communication Technologies ◽  
Information Communication Technologies ◽  
Information Communication ◽  
Delivery Of Healthcare ◽  
Care Services ◽  
Vast Territory

With its huge population and vast territory, China faces a great challenge in providing modern advanced health care services to all parts of the country. The advances of information communication technologies (ICTs) and the advent of internet have revolutionised the means in the delivery of healthcare via telemedicine to remote and underserved populations, which to a certain extent has been very well exploited in China, especially where 70% peasants residing in the rural areas. This paper reviews the latest development in telemedicine infrastructure in China with the focus on the development of teleneurosurgery, drawing from the results gained from a 3-year networking project between Europe and China on telemedicine (TIME, 2005–2007) funded by European Commission under Asia ICT programme, with an aim to shape up envisages of future medical care in China. Comparison with its counterparts in Europe is also addressed.

Maldistributed Health Care Services: Restructuring the Current Regulatory System

1980 ◽  
Vol 6 (3) ◽  
pp. 406-423
Author(s):  
J. David Canarie
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Underserved Populations ◽  
Care Delivery ◽  
Health Planning ◽  
Regulatory System ◽  
Health Care Delivery System ◽  
Present System ◽  
Care Services ◽  
Regulatory Approach

AbstractThe American health care delivery system currently suffers from a variety of problems; among the most intractable of these is a maldistribution of health care services. This Note focuses on two aspects of this problem: unnecessary hospital beds, and medically underserved populations. The Note also discusses the related issues of hospital cost inflation and inefficient use of limited resources. It then examines the current statutory remedies for these problems, and subjects their effectiveness to a two-tiered test. The Note concludes that the existing mechanisms, while partially effective, ultimately result in a fragmented, uncoordinated, and unsuccessful health care regulatory system. Moreover, the Note suggests not only that the existing statutes fail to solve the problems they were enacted to correct, but that they actually add to health care inflation and complicate health planning by subjecting the entire health care industry to uncertainty. This Note proposes a comprehensive regulatory approach that will resolve health care imbalances in a manner that avoids the shortcomings inherent in the present system.

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