Challenges in Healthcare in Multi-Ethnic Societies: Communication as a Barrier to Achieving Health Equity

Kale, Emine; Kumar, Bernadette Nirmal

doi:10.5772/38259

Cited by 7 publications

(5 citation statements)

References 29 publications

(12 reference statements)

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“…For example, increasing the demand for medications can affect the functionality of the health-care system ( 20 , 21 ). In line with our findings, other studies have shown that individuals’ assumptions and beliefs have a significant effect on service recipients’ cultural component, and mutual understanding between service providers and recipients can improve the quality of the services ( 21 , 22 ).…”

Section: Discussionsupporting

confidence: 92%

Barriers of health equity in the Iranian health system from the medical ethics viewpoint

Nezamoleslami¹,

Mohamadi²,

Larijani³

et al. 2023

jmehm

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In order to lessen health inequalities, the obstacles to health equity will need to be identified. This study aimed at investigating the barriers to access to health-care services from the medical ethics point of view. Data were collected through a qualitative study by performing semi- structured interviews. Purposive sampling was used to recruit participants involved in health provision and/or management. Content analysis was done using MAXQDA software. Overall, 30 interviews were conducted. The content analysis of the interviews identified two themes including “micro factors” and “macro factors”, five sub-themes including “cultural, financial, geographical, social and religious barriers”, and 44 codes. Based on our findings, differences in individuals’ perceptions, cultural control, religious beliefs and social stigmas create cultural barriers. Financial barriers consist of the financial connection between service recipients and service providers, insurance premiums, and inadequate coverage of health-care services. The most important geographical barriers identified in our study were differences in urbanization, inequality in various geographical areas, marginalization, and inequality in resource distribution. Finally, differences in the level of income, education and occupational diversity were among the social barriers. Given the wide range of barriers to access to health-care services, a comprehensive plan covering various dimensions of health equity should be implemented. To this end, innovative and progressive strategies emphasizing the principles of equity and social equality should be developed.

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Section: Discussionsupporting

confidence: 92%

Barriers of health equity in the Iranian health system from the medical ethics viewpoint

Nezamoleslami¹,

Mohamadi²,

Larijani³

et al. 2023

jmehm

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show abstract

“…Equity in health care means equal access to health services, equal utilisation for equal needs and equal quality of care [14]. Communication barriers jeopardise such equity [15]: patients who speak a minority language will not have the same opportunity to communicate with a health care provider as patients who speak the majority language do. For example, equal access and quality of care is compromised if doctors and patients cannot communicate sufficiently to effectively diagnose the patient's problem, make a decision regarding how to address it, and formulate a plan for how to treat it.…”

Section: Introductionmentioning

confidence: 99%

Invisible rights: Barriers and facilitators to access and use of interpreter services in health care settings by Polish migrants in Norway

Czapka

Gerwing

Sagbakken

2018

Scand J Public Health

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Aims: Polish migration to Norway is a relatively new phenomenon. Many Polish migrants do not speak Norwegian or have insufficient knowledge of the language, which makes it difficult or impossible to communicate with health personnel. The main aim of the study was to identify barriers and facilitators to Polish migrants' access and use of interpreter services in health care settings in Norway.Methods: 19 semi-structured interviews with Polish migrants were carried out in 2013 and 2014. Thematic analysis was performed to identify barriers and facilitators related to the use of interpreter services.Results: Participants often received information regarding their health condition and treatment in a language they did not fully understand. They reported that their access to interpretation services was limited or denied for a variety of reasons, such as reluctance of health personnel to book an interpreter and overestimation of patient's language skills. In many cases, using friends, relatives or bilingual staff instead of professional interpreters compromised the quality of interpretation. Conclusions:Even though migrants are entitled to free interpreter services, Polish migrants experience several barriers accessing interpreters in health care settings. A variety of practices such as selective use and use of unqualified and ad hoc interpreters reveals a failure to meet recommended standards of interpretation services. Not involving professional interpreters in language discordant consultations constitutes a serious threat to practitioners' ability to work as competent professionals, potentially risking the quality and safety of healthcare for these patients.

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“…While the importance of overcoming language and cultural barriers in health care for international migrant women is clear, known barriers that challenge migrants' means to achieve positive health outcomes such as payment schemes for health care coverage, health system navigation, perceptions of health and illness, gender roles, and health literacy 53–55 could impede the effectiveness of culturally and linguistically tailored interventions. For example, one study demonstrated that a culturally tailored intervention was only effective in increasing mammography screening uptake for women covered by health insurance.…”

Section: Discussionmentioning

confidence: 99%

Interventions to Support International Migrant Women's Reproductive Health in Western-Receiving Countries: A Systematic Review and Meta-Analysis

et al. 2021

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Purpose: The reproductive health outcomes of international migrant women differ in comparison with receiving-country-born women, depending on country of birth and immigrant status. Effective interventions to support the reproductive health of international migrant women are not well known. Methods: We conducted a systematic review and meta-analysis of studies between 2010 and 2017 evaluating interventions directly or indirectly affecting the reproductive health (as defined by the World Health Organization) of international migrant women in Western-receiving countries. Results: Sixteen studies representing 5080 migrants were identified. Interventions consisted of linguistically (e.g., translated brochures) or culturally adapted (e.g., cultural narratives) routine care or new interventions. Meta-analysis showed that interventions increased rates of preventive reproductive health activities, including mammography, condom use, and Pap test completion, by almost 18% (95% confidence interval 7.61–28.3) compared with usual care or interventions not adapted to migrant women. Conclusion: Culturally and linguistically adapted care practices congruent with target populations of international migrant women are effective in improving their reproductive health outcomes, particularly their participation in preventative reproductive health activities.

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Challenges in Healthcare in Multi-Ethnic Societies: Communication as a Barrier to Achieving Health Equity

Cited by 7 publications

References 29 publications

Barriers of health equity in the Iranian health system from the medical ethics viewpoint

Barriers of health equity in the Iranian health system from the medical ethics viewpoint

Invisible rights: Barriers and facilitators to access and use of interpreter services in health care settings by Polish migrants in Norway

Interventions to Support International Migrant Women's Reproductive Health in Western-Receiving Countries: A Systematic Review and Meta-Analysis

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