Bringing gender sensitivity into healthcare practice: A systematic review

Çelik, Halime; Lagro‐Janssen, Toine; Widdershoven, Guy; Abma, Tineke

doi:10.1016/j.pec.2010.07.016

Cited by 87 publications

(102 citation statements)

References 30 publications

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“…In particular, researchers have focused on the differential life trajectories of women and men as they are framed and inculcated by structural dynamics [12, 14, 32, 38–40]. Gender equity for example is a concept that allows for an understanding that sometimes different groups of women and men have different health needs, resulting from the intersection of a variety of social and biological factors [41].…”

Section: Ethics Grants a Right To Health Carementioning

confidence: 99%

“…Of particular import are the diverse challenges and needs experienced by differently gendered groups of migrant women and men. A recognised social determinant of health, gender exacerbates the barriers to care encountered by those migrants whose gender identity, beliefs and prior life experiences differ from those of the host culture and health system norms regarding sex and gender practices [12–14]. …”

Section: Introductionmentioning

confidence: 99%

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Health and legal literacy for migrants: twinned strands woven in the cloth of social justice and the human right to health care

Vissandjée

Short

Bates

2017

BMC Int Health Hum Rights

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BackgroundBased on an analysis of published literature, this paper provides an over-view of the challenges associated with delivering on the right to access quality health care for international migrants to industrialized countries, and asks which group of professionals is best equipped to provide services that increase health and legal literacy. Both rights and challenges are approached from a social justice perspective with the aim of identifying opportunities to promote greater health equity. That is, to go beyond the legal dictates enshrined in principles of equality, and target as an ethical imperative a situation where all migrants receive the particular assistance they need to overcome the barriers that inhibit their equitable access to health care. This assistance is especially important for migrant groups that are further disadvantaged by differing cultural constructions of gender. Viewing the topic from this perspective makes evident a gap in both research literature and policy. The review has found that while health literacy is debated and enshrined as a policy objective, and consideration is given to improving legal literacy as a means of challenging social injustice in developing nations, however, no discussion has been identified that considers assisting migrants to gain legal literacy as a step toward achieving not only health literacy and improved health outcomes, but critical participation as members of their adoptive society.ConclusionIncreasing migrant health literacy, amalgamated with legal literacy, aids migrants to better access their human right to appropriate care, which in turn demonstrably assists in increasing social engagement, citizenship and productivity. However what is not evident in the literature, is which bureaucratic or societal group holds responsibility for assisting migrants to develop critical citizenship literacy skills. This paper proposes that a debate is required to determine both who is best placed to provide services that increase health and legal literacy, and how they should be resourced, trained and equipped.

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Section: Ethics Grants a Right To Health Carementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health and legal literacy for migrants: twinned strands woven in the cloth of social justice and the human right to health care

Vissandjée

Short

Bates

2017

BMC Int Health Hum Rights

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“…According to Berry (2006), health care staff tends to use leading questions to make Aside from using leading questions, the staff's questions differed between male and female patients. Proponents of gender-sensitive health care recommend this as a way for coming to terms with gender inequalities in health care (e.g., Celik et al 2010). The assumption is that the sexes are indeed different; ailments manifest themselves differently and male and female patients communicate in dissimilar ways.…”

Section: Communication As a Challenging Actionmentioning

confidence: 99%

“…sensitive health care" emerged (Celik et al 2010;Briones-Vozmediano, Vives-Cases, and Peiró-Pérez 2012), in which health professionals use their competence in perceiving existing gender differences and incorporate these into their treatment of patients. However, if health professionals use biological differences to explain social differences, they may ascribe patients stereotypical characteristics (Agerström, Carlsson, and Rooth 2007;Foss and Sundby 2003), which may influence how they treat patients in terms of speech, acts, gestures, facial and tone of voice (Westerståhl and Björkelund 2003).…”

Section: Introductionmentioning

confidence: 99%

Gendered Communicative Construction of Patients in Consultation Settings

et al. 2014

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This study aimed to explore the communication in consultations between patients and health care staff from a gender perspective. We used 23 tape-recorded consultations between patients with Atrial Fibrillation and five nurses and five physicians at cardiac outpatient clinics at six different hospitals in southern Sweden during the autumn of 2009 to explore the verbal gendered constructions of patients.Through critical discourse analysis, we revealed that the male patients tended to describe their ailments with performance-oriented statements, whereas the female patients usually used emotional-oriented statements. The staff downplayed the male patients' questions and statements, while they acknowledged concern toward the female patients. Both the patients and the staff made conclusions according to a mutual construction. Male patients were constructed as competent, and female patients as fragile through gender-stereotypical communication. Open-ended statements and questions enabled consultations to be less limited by gender stereotypes. 2This study aimed to explore the communication in consultations between patients and health care staff from a gender perspective. We used 23 tape-recorded consultations between patients with Atrial Fibrillation and nurses and physicians at cardiac outpatient clinics at six different hospitals in southern Sweden during the autumn of 2009 and explored the verbal gendered constructions of patients through interactions between patients and caregivers in clinical settings. Through critical discourse analysis, we revealed that the male patients tended to describe their ailments with performance-oriented statements, whereas the female patients usually used emotional-oriented statements. The staff downplayed the male patients' questions and statements, while they acknowledged concern toward the female patients. Both the patients and the staff made conclusions according to a mutual construction. Male patients were constructed as competent, and female patients as fragile through gender-stereotypical communication. Open-ended statements and questions enabled consultations to be less limited by gender stereotypes.

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“…Existing research reveals only little success in the implementation of gender policies in national contexts, despite the availability of gender-sensitive tools and guidelines in healthcare research and practice (Celikab et al, 2011;Ghodsee et al, 2010;Woodward, 2008).…”

Section: Introductionmentioning

confidence: 99%

Mainstreaming gender into healthcare: A scoping exercise into policy transfer in England and Germany

Kuhlmann

Annandale

2012

Current Sociology

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Across the globe the concept of gender mainstreaming is indicative of substantive transformations, and healthcare is a particularly important policy arena. Yet existing research reveals only modest success in the implementation of gender policies in national healthcare systems, despite the availability of complex tools and guidelines. This article introduces an approach that links gender mainstreaming with approaches into policy transfer as dynamic processes of translation involving active players. In a scoping exercise the authors select England and Germany as case studies and draw on document analysis, other secondary sources and additional expert information. The analysis reveals varieties of translation of gender mainstreaming into national healthcare systems -even within the legal framework of the European Union -and the crucial relevance of feminist actors. The study raises more general questions on the nature of international policy-making in relation to national and local healthcare institutions and policy entrepreneurs.

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Bringing gender sensitivity into healthcare practice: A systematic review

Cited by 87 publications

References 30 publications

Health and legal literacy for migrants: twinned strands woven in the cloth of social justice and the human right to health care

Health and legal literacy for migrants: twinned strands woven in the cloth of social justice and the human right to health care

Gendered Communicative Construction of Patients in Consultation Settings

Mainstreaming gender into healthcare: A scoping exercise into policy transfer in England and Germany

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