Abstract:
BACKGROUND:Ethnic minority patients seem to be confronted with barriers when using health services. Yet, care providers are often oblivious to these barriers, although they may share to some extent the burden of responsibility for them. In order to enlighten care providers, as to the potential pitfalls that may exist, there is a need to explore the different factors in the creation of the barriers. OBJECTIVE:Therefore, the objective of this paper is to present an overview of the potential barriers and the factors, which may restrict ethnic minority patients from using health services, according to the literature available. METHODS:Articles published from 1990 to 2003 were identified by searching electronic databases and selected through titles and abstracts. The articles were included if deemed to be relevant to study health services use by ethnic minorities, i.e. the different factors in the creation of a barrier. RESULTS:There were 54 articles reviewed. They reported on studies carried out in different countries and among different ethnic minorities. Potential barriers occurred at three different levels: patient level, provider level and system level. The barriers at patient level were related to the patient characteristics: demographic variables, social structure variables, health beliefs and attitudes, personal enabling resources, community enabling resources, perceived illness and personal health practices. The barriers at provider level were related to the provider characteristics: skills and attitudes. The barriers at system level were related to the system characteristics: the organisation of the health care system. CONCLUSION:This review has the goal of raising awareness about the myriad of potential barriers, so that the problem of barriers to health care for different ethnic minorities becomes transparent. In conclusion, there are many different potential barriers of which some are tied to ethnic minorities. The barriers are all tied to the particular situation of the individual patient and subject to constant adjustment. In other words, generalizations should not be made.
journal_name
Fam Practjournal_title
Family practiceauthors
Scheppers E,van Dongen E,Dekker J,Geertzen J,Dekker Jdoi
10.1093/fampra/cmi113subject
Has Abstractpub_date
2006-06-01 00:00:00pages
325-48issue
3eissn
0263-2136issn
1460-2229pii
cmi113journal_volume
23pub_type
杂志文章,评审相关文献
FAMILY PRACTICE文献大全abstract::The functional status of patients was determined during an acute attack of asthma requiring medical intervention. Patients were recruited during two months from general practice: all 28 patients consulting for an acute asthma attack were invited to take part: four refused or were withdrawn from follow up. Matched cont...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/8.4.404
更新日期:1991-12-01 00:00:00
abstract::Positive consultations, where both the GP and the patient had a positive impression, were compared with negative consultations, where both the GP and the patient had a negative impression. The consultations were compared with respect to tasks listed by Pendelton et al. in their 'consultation map', constituting satisfy...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.1.61
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVE:To determine GPs' diagnosis and management of acute infective conjunctivitis (AIC)-one of the commonest but least researched acute infections seen in primary care. METHODS:A postal questionnaire survey of 300 GPs from two Health Authorities in Southern England. RESULTS:236 (78%) GPs returned the questionnai...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/19.6.658
更新日期:2002-12-01 00:00:00
abstract::Principals and trainees in general practice attending training events were asked to give information about their prescribing of drugs, with a focus on the prescribing of benzodiazepines for psychological problems. High prescribers of benzodiazepines believed that a prescription saved consultation time, tended to be in...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/9.4.466
更新日期:1992-12-01 00:00:00
abstract:Introduction:We must study alternatives to structure an effective diabetic retinopathy screening program for Brazilian public health system. Objectives:Evaluate the diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care, accuracy of the family physician in diabetic ret...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx020
更新日期:2017-09-01 00:00:00
abstract::A method of computerized cough sound analysis is described. The sounds of nocturnal and post-exercise coughs from a child with asthma were compared with those from a child without asthma. The spectrographic patterns of voluntary cough at rest from the two children were similar. The pattern seen after exercise from the...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.2.83
更新日期:1989-06-01 00:00:00
abstract:BACKGROUND:Medical end-of-life decisions (ELDs) have been discussed for several years in different countries, but little is known about the involvement of GPs in these ELDs. OBJECTIVES:The aim of the present study was to establish the incidence and characteristics of ELDs by GPs. METHOD:We selected 3999 deaths, a 20%...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmh312
更新日期:2004-06-01 00:00:00
abstract::There is need for a practical model of patient education in the primary care setting that can also be used as a method for teaching primary care residents about patient education. This project modified a previously established and well-defined role for a family nurse in order to provide such a patient care-based learn...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/6.2.114
更新日期:1989-06-01 00:00:00
abstract:BACKGROUND:Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale (MES) was developed by ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmv085
更新日期:2016-02-01 00:00:00
abstract:Background:There remains a need to improve patient safety in primary care settings. Studies have demonstrated that creating high-performing teams can improve patient safety and encourage a safety culture within hospital settings, but little is known about this relationship in primary care. Objective:To examine how tea...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy029
更新日期:2018-12-12 00:00:00
abstract::Attitudes among general practitioners to confidentiality were studied in Denmark in 1980 and in 1984 and in France in 1980 using mailed questionnaires. A number of typical situations in general practice were described. The doctors were asked whether they would disclose information about the patient in the situations d...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/2.4.199
更新日期:1985-12-01 00:00:00
abstract::Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-manageme...
journal_title:Family practice
pub_type: 杂志文章,收录出版,评审
doi:10.1093/fampra/cmp003
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Formal randomized controlled trial results are often reported. The difficulties of doing such trial are not. Developing countries represent a new field in which trials can be undertaken. In this context even less is known about the practicalities involved. METHOD AND RESULTS:A randomized, double-blind, para...
journal_title:Family practice
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/fampra/13.1.98
更新日期:1996-02-01 00:00:00
abstract:BACKGROUND:It is unclear whether discharging patients from renal clinic to primary care is safe. AIM:To determine the characteristics, primary care monitoring and renal outcomes of patients discharged from renal clinic. DESIGN AND SETTING:A retrospective study of 2236 adults discharged from a tertiary renal clinic be...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmz055
更新日期:2020-03-25 00:00:00
abstract:BACKGROUND:In general practice, acute sinusitis is frequently diagnosed and treated with antibiotics. OBJECTIVE:This study aimed to determine the evidence for the effectiveness of antibiotic treatment in acute maxillary sinusitis in adults by assessing the methodological quality of placebo-controlled double-blind rand...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/14.2.124
更新日期:1997-04-01 00:00:00
abstract::This paper describes some of the barriers to caring for people with HIV and AIDS by general practitioners. It is based on a review of the literature and on interviews with individuals. The first section examines the reasons given by interviewees for their involvement in HIV and AIDS care. The next section discusses th...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/10.1.8
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND:Regular aspirin is beneficial after myocardial infarction (MI). Community-based surveys appear to show unsatisfactory uptake of aspirin after MI. This could be due to over-the-counter (OTC) use not being recorded. In a pilot study in one practice, 39% of patients on aspirin after MI used OTC preparations. In...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:
更新日期:1998-04-01 00:00:00
abstract::Cancer of the colon is the second most common malignancy in North America and screening methods are needed for diagnosing the lesions at an early stage. Faecal occult blood screening is a method of secondary prevention which is particularly adaptable to the family practice setting. In order to test the feasibility of ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/3.4.246
更新日期:1986-12-01 00:00:00
abstract:Background:We conducted an educational intervention emphasizing rational antibiotic prescribing in early-career General Practitioners (GP) in vocational training (trainees). The intervention consisted of an online introduction module, an online communication training module, face-to-face workshops, and cases to be disc...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmx074
更新日期:2018-01-16 00:00:00
abstract:BACKGROUND:In recent years, we have investigated both patients' and family doctors' communicative characteristics towards nutrition communication in general practice with several qualitative and quantitative studies. A sound comparison of the survey results between both conversation partners has not been made before. ...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn061
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:Some studies have demonstrated an association between poor continuity of care, high likelihood of 'inappropriate' use of emergency departments (EDs) and avoidable hospitalization. However, we lack data concerning primary care use after an ED visit. OBJECTIVE:Identify the determinants of a visit to the gener...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmy054
更新日期:2019-03-20 00:00:00
abstract::There have been recent campaigns in many countries to address the increasing morbidity and mortality of asthma by promoting better management. This study aimed to evaluate the National Asthma Campaign (NAC), in Australia, and to assess the extent of its impact on reported asthma management. It was a cross-sectional, b...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/10.3.263
更新日期:1993-09-01 00:00:00
abstract:BACKGROUND:To support the management of multimorbid patients in primary care, evidence is needed on prevalent multimorbidity patterns. OBJECTIVE:To identify the common and distinctive multimorbidity patterns. METHODS:Clinical data of 120480 patients (≥55 years) were extracted from 158 general practices in 2002-11. Pr...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmv037
更新日期:2015-10-01 00:00:00
abstract::Recent years have seen a growing recognition of the appropriateness of qualitative methods in family practice. This has been paralleled by an upsurge of interest in focus group discussions as a method. Drawing on the experience of using focus groups with general practice teams as one component of a multi-method study ...
journal_title:Family practice
pub_type: 杂志文章,评审
doi:10.1093/fampra/12.3.328
更新日期:1995-09-01 00:00:00
abstract::Upper respiratory tract infections (URTIs) are a common reason for presentation to general practitioners. The current study used computerised consultation records of 100,222 patients from 17 general practices in New Zealand for the 12-month period 1 July 1991-30 June 1992. URTIs were noted in 8.9% of all consultations...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/12.2.166
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to assess the effectiveness of GPs personally handing out to their patients booklets about minor ailments and self-limiting health problems (minor illnesses). METHODS:The study was a pre-test-post-test, control group design and took place in seven general practices. The particip...
journal_title:Family practice
pub_type: 杂志文章,多中心研究
doi:10.1093/fampra/cmh703
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:recruitment targets to randomized controlled trials (RCTs) are often not met. Many interventions are used to improve recruitment but there is little empirical evidence on whether these approaches work. OBJECTIVE:to examine whether changes to the design and conduct of a primary care-based RCT were associated...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmq050
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:The 'Dartmouth COOP Functional Health Assessment Charts/WONCA' constitute a relatively new derived instrument for assessing health status that is specifically intended for use in primary care on a world-wide basis. It needs further validation in its special area of use. OBJECTIVES:Over a range of countries,...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/14.6.478
更新日期:1997-12-01 00:00:00
abstract::Global community members who experience similar health problems gravitate to each other for information and support. Peers may be more approachable and can relate to the particular living circumstances one experiences. In well-resourced countries, people have opportunities for learning diabetes self-management; howeve...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmn102
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Academic physician burnout is concerning. Too little is known about factors associated with residency programme director burnout. Continued uncertainty risks adverse outcomes including graduate medical education leadership turnover and negative impact on recruiting and retaining under-represented minority re...
journal_title:Family practice
pub_type: 杂志文章
doi:10.1093/fampra/cmaa075
更新日期:2020-11-28 00:00:00