Strategic approaches to health and health care services for ethnic minority groups

2007 ◽  
pp. 206-242
Author(s):  
Bhopal Raj S.
Keyword(s):  
Health Care ◽  
Ethnic Minority ◽  
Health Care Services ◽  
Minority Groups ◽  
Ethnic Minority Groups ◽  
Care Services

Ethnic origin and access to electronic health services

2016 ◽  
Vol 22 (4) ◽  
pp. 791-803 ◽  
Author(s):  
Gustavo S Mesch
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Medical Information ◽  
Minority Groups ◽  
Ethnic Origin ◽  
Disadvantaged Groups ◽  
Care Services ◽  
Internet Users ◽  
Diversification Hypothesis

E-health holds the promise of changing the delivery of health care by extending and enhancing its reach, and democratizing and improving the access of disadvantaged groups to health care services. This study investigated ethnic inequalities in access to e-health information, communication and electronic services in Israel. Based on the diversification hypothesis, we expected that disadvantaged ethnic groups would be more likely to use e-health services to compensate for their lack of social capital. Data gathered from a representative sample of Internet users in Israel (n=1371) provided partial support for the hypothesis, indicating that in multicultural societies, disadvantaged groups are more motivated than the majority group to use the Internet to access medical information. However, despite expectations, minority groups were less likely to access e-health services. Implications of the findings are discussed.

Race and Health Disparities in Adults With Intellectual and Developmental Disabilities Living in the United States

2014 ◽  
Vol 52 (6) ◽  
pp. 409-418 ◽  
Author(s):  
Haleigh M Scott ◽  
Susan M Havercamp
Keyword(s):  
Health Care ◽  
Developmental Disabilities ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Hispanic Americans ◽  
The United States ◽  
Care Utilization ◽  
Intellectual And Developmental Disabilities ◽  
Ethnic Minority Groups ◽  
Racial Ethnic

Abstract Research has documented disparities in health care and access for people with intellectual and developmental disabilities (IDD) and people in racial and ethnic minority groups. Though both populations are underserved, the additive impact of being both a member of a racial/ethnic minority and having IDD is largely unknown. This study uses data from a nationally representative survey to explore health service utilization among adults with IDD belonging to minority racial/ethnic groups compared to adults with IDD who are White. The results of this study indicated that racial/ethnic minority groups are disadvantaged in several essential areas of health care utilization and that Hispanic Americans are particularly underserved. Additional research is needed to identify and address the factors driving this difference.

scholarly journals Accessibility of health care experienced by persons with dementia from ethnic minority groups and formal and informal caregivers: A scoping review of European literature

Dementia ◽  
2021 ◽  
pp. 147130122110553
Author(s):  
Gözde Duran-Kiraç ◽  
Özgül Uysal-Bozkir ◽  
Ronald Uittenbroek ◽  
Hein van Hout ◽  
Marjolein I. Broese van Groenou
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Ethnic Minority ◽  
Ethnic Minorities ◽  
Access To Health Care ◽  
Minority Groups ◽  
Informal Caregivers ◽  
Ethnic Minority Groups ◽  
People With Dementia ◽  
Access To Health

The number of persons with dementia from ethnic minority backgrounds is increasing. However, ethnic minority groups use health care services less frequently compared to the general population. We conducted a scoping review and used the theoretical framework developed by Levesque to provide an overview of the literature concerning access to health care for ethnic minority people with dementia and (in)formal caregivers. Studies mentioned barriers in (1) the ability to perceive a need for care in terms of health literacy, health beliefs and trust, and expectations; (2) the ability to seek care because of personal and social values and the lack of knowledge regarding health care options; and (3) lack of person-centered care as barrier to continue with professional health care. Studies also mentioned barriers experienced by professionals in (1) communication with ethnic minorities and knowledge about available resources for professionals; (2) cultural and social factors influencing the professionals’ attitudes towards ethnic minorities; and (3) the appropriateness of care and lacking competencies to work with people with dementia from ethnic minority groups and informal caregivers. By addressing health literacy including knowledge about the causes of dementia, people with dementia from ethnic minorities and their informal caregivers may improve their abilities to access health care. Health care professionals need to strengthen their competencies in order to facilitate access to health care for this group.

scholarly journals Specialist palliative care services response to ethnic minority groups with COVID-19: equal but inequitable—an observational study

2021 ◽  
pp. bmjspcare-2021-003083
Author(s):  
Sabrina Bajwah ◽  
Jonathan Koffman ◽  
Jamilla Hussain ◽  
Andy Bradshaw ◽  
Mevhibe B Hocaoglu ◽  
...  
Keyword(s):  
Palliative Care ◽  
Ethnic Minority ◽  
Online Survey ◽  
Minority Groups ◽  
Categorical Variables ◽  
Free Text ◽  
Ethnic Minority Groups ◽  
Cross Sectional ◽  
Care Services ◽  
Palliative Care Services

ObjectivesTo develop insights into response of palliative care services caring for people from ethnic minority groups during COVID-19.MethodsCross-sectional online survey of UK palliative care services response to COVID-19. Quantitative data were summarised descriptively and χ2 tests used to explore relationships between categorical variables. Free text comments were analysed using reflexive thematic analysis.Results277 UK services responded. 168 included hospice teams (76% of all UK hospice teams). Services supporting those from ethnic minority groups were more likely to include hospital (p<0.001) and less likely to include hospice (p<0.001) or home care teams (p=0.008). 34% (93/277) of services had cared for patients with COVID-19 or families from ethnic minority groups. 66% (61/93) of these services stated no difference in how they supported or reached these groups during the pandemic.Three themes demonstrated impact of policy introduced during the pandemic, including: disproportionate adverse impact of restricted visiting, compounded communication challenges and unmet religious and faith needs. One theme demonstrated mistrust of services by ethnic minority groups, and the final theme demonstrated a focus on equal and individualised care.ConclusionsPolicies introduced during the COVID-19 pandemic may have adversely impacted those from ethnic minority groups making these at-risk populations even more vulnerable. The palliative care response may have been equal but inequitable. During the para-COVID-19 period, systemic steps, including equality impact assessments, are urgently needed.

Teaching Sociocultural Psychiatry Throughout the Lifespan

2019 ◽  
pp. 245-260
Author(s):  
Priya Sehgal ◽  
Maya Nauphal ◽  
Justin A. Chen
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Disparities ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Medical Training ◽  
Cultural Humility ◽  
Ethnic Minority Groups ◽  
And Training ◽  
Racial And Ethnic Minority

In response to persistent and growing health disparities among racial and ethnic minority groups in the United States, health care institutions have started to enhance cultural competency education and training in both health care organizations and medical education. This effort to integrate culture into professional guidelines and training curricula has been consistent among the psychiatric workforce over the last few decades. While these efforts to address mental health disparities among racial and ethnic minority groups are welcomed, much more work is needed to integrate sociocultural education into medical training. This chapter describes the evolution of sociocultural medical education from teaching cultural competence to cultural humility, with its opportunities and challenges. Using a case-based approach, the authors propose general principles from existing curricula that can help psychiatric faculty design and teach sociocultural curricula for psychiatry trainees in diverse settings.

The sensitivity of United Kingdom health-care services to the diverse needs of Chinese-origin older people

2009 ◽  
Vol 30 (3) ◽  
pp. 383-401 ◽  
Author(s):  
RUBY C. M. CHAU ◽  
SAM WAI-KAM YU
Keyword(s):  
Health Care ◽  
United Kingdom ◽  
Older People ◽  
Health Care Services ◽  
Minority Groups ◽  
Cultural Backgrounds ◽  
Care Services ◽  
Chinese Origin ◽  
Service Staff ◽  
Chinese Older People

ABSTRACTThis paper is a contribution to the debate on how to make health-care services in the United Kingdom more responsive to the needs of older people who are members of recent immigrant groups. The focus is on the Chinese-origin elders, and the objective is to demonstrate their diverse migrant histories, cultural backgrounds and attitudes to both ‘traditional’ and Western health-care practices. The underlying argument is that if National Health Service staff had a better understanding of the diversity of Chinese older people, this would make an important contribution to making the service more sensitive to their needs. To develop this argument, this paper carries out three main analytical tasks. The first is to discuss the range of strategies adopted by Chinese people in general and Chinese older people in particular to improve their health. The second is to study Chinese people's heritage of exploring different methods to organise health in response to foreign culture. The third considers the ways in which the sensitivity of British health-care services to the needs of ethnic-minority groups can be improved, with a focus on the culturagram instrument and procedure. Three contrasting examples are presented.

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