Journal ArticleDOI
Barriers to health care among Asian immigrants in the United States: a traditional review.
TLDR
Four barriers faced by Asian immigrants to participating in the U.S. health care system fully are reviewed, including linguistic discordance between providers and patients, health-related beliefs and cultural incompetency of health systems, as well as broader societal factors that affect health care access and quality.Abstract:
Asian immigrants in the U.S. are far less likely to have health insurance or use health care services than both U.S.-born Asians and non-Hispanic Whites. Furthermore, Asian immigrants who access the U.S. health care system are less likely than non-Hispanic Whites to receive high-quality services. This paper reviews four barriers faced by Asian immigrants to participating in the U.S. health care system fully: (1) linguistic discordance between providers and patients; (2) health-related beliefs and cultural incompetency of health systems; (3) issues related to accessing health services; and (4) discrimination in the health care system. Interventions to improve the health of Asian immigrants must address barriers experienced at multiple levels, including those that occur interpersonally and institutionally, as well as broader societal factors that affect health care access and quality.read more
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Journal Article
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: Qualitative research in such mobile health clinics has found that patients value the informal, familiar environment in a convenient location, with staff who “are easy to talk to,” and that the staff’s “marriage of professional and personal discourses” provides patients the space to disclose information themselves.
Journal ArticleDOI
Discrimination and health inequities.
TL;DR: Even as the number of investigations has dramatically expanded, the scope remains narrow: studies remain focused primarily on interpersonal discrimination, and scant research investigates the health impacts of structural discrimination, a gap consonant with the limited epidemiologic research on political systems and population health.
Journal ArticleDOI
Why do People Avoid Medical Care? A Qualitative Study Using National Data
TL;DR: Reasons for avoiding medical care were nuanced and highly varied, and a conceptual model of medical care avoidance was developed based on these results.
Journal ArticleDOI
Discrimination in the United States: Experiences of black Americans.
Sara N. Bleich,Mary G. Findling,Logan S. Casey,Robert J. Blendon,John M. Benson,Gillian K. SteelFisher,Justin M. Sayde,Carolyn Miller +7 more
TL;DR: The extent of reported discrimination across several areas of life suggests a broad pattern of discrimination against blacks in America, beyond isolated experiences, and suggests a need for more active institutional interventions to address racism in policy and practice.
Journal ArticleDOI
A Scoping Review of Immigrant Experience of Health Care Access Barriers in Canada
TL;DR: In reviewing research of immigrants’ health care experiences, the most common access barriers were found to be language barriers, barriers to information, and cultural differences, indicating inequities in access to Canadian health care services for immigrant populations.
References
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Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: In this article, a panel of experts documents this evidence and explores how persons of color experience the health care environment, examining how disparities in treatment may arise in health care systems and looking at aspects of the clinical encounter that may contribute to such disparities.
Journal ArticleDOI
Memorandum for the study of acculturation
Journal ArticleDOI
Cultural Humility Versus Cultural Competence: A Critical Distinction in Defining Physician Training Outcomes in Multicultural Education
TL;DR: Cultural humility is proposed as a more suitable goal in multicultural medical education that incorporates a lifelong commitment to self-evaluation and self-critique and to developing mutually beneficial and nonpaternalistic clinical and advocacy partnerships with communities on behalf of individuals and defined populations.
Income, Poverty, and Health Insurance Coverage in the United States: 2004
TL;DR: The US Census Bureau report highlights the increasing poverty and racial inequality in America as mentioned in this paper, showing that the poverty rate increased from 12.5 percent in 2003 to 12.7 percent in 2004; 1.1 million more people -a total of 37 million -lived in poverty in 2004.
Journal Article
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: Qualitative research in such mobile health clinics has found that patients value the informal, familiar environment in a convenient location, with staff who “are easy to talk to,” and that the staff’s “marriage of professional and personal discourses” provides patients the space to disclose information themselves.