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Do attitudes and behavior of health care professionals exacerbate health care disparities among immigrant and ethnic minority groups? An integrative literature review


Drewniak, Daniel; Krones, Tanja; Wild, Verina (2017). Do attitudes and behavior of health care professionals exacerbate health care disparities among immigrant and ethnic minority groups? An integrative literature review. International journal of nursing studies, 70:89-98.

Abstract

Objectives
Recent investigations of ethnicity related disparities in health care have focused on the contribution of providers’ implicit biases. A significant effect on health care outcomes is suggested, but the results are mixed. The purpose of this integrative literature review is to provide an overview and synthesize the current empirical research on the potential influence of health care professionals’ attitudes and behaviors towards ethnic minority patients on health care disparities.
Design
Integrative literature review.
Data sources
Four internet-based literature indexes – MedLine, PsychInfo, Sociological Abstracts and Web of Science – were searched for articles published between 1982 and 2012 discussing health care professionals’ attitudes or behaviors towards ethnic minority patients.
Review methods
Thematic analysis was used to synthesize the relevant findings.
Results
We found 47 studies from 12 countries. Six potential barriers to health care for ethnic minorities were identified that may be related to health care professionals’ attitudes or behaviors: Biases, stereotypes and prejudices; Language and communication barriers; Cultural misunderstandings; Gate-keeping; Statistical discrimination; Specific challenges of delivering care to undocumented migrants.
Conclusions
Data on health care professionals’ attitudes or behaviors are both limited and inconsistent. We thus provide reflections on methods, conceptualization, interpretation and the importance of the geographical or socio-political settings of potential studies. More empirical data is needed, especially on health care professionals’ attitudes or behaviors towards (irregular) migrant patients.

Abstract

Objectives
Recent investigations of ethnicity related disparities in health care have focused on the contribution of providers’ implicit biases. A significant effect on health care outcomes is suggested, but the results are mixed. The purpose of this integrative literature review is to provide an overview and synthesize the current empirical research on the potential influence of health care professionals’ attitudes and behaviors towards ethnic minority patients on health care disparities.
Design
Integrative literature review.
Data sources
Four internet-based literature indexes – MedLine, PsychInfo, Sociological Abstracts and Web of Science – were searched for articles published between 1982 and 2012 discussing health care professionals’ attitudes or behaviors towards ethnic minority patients.
Review methods
Thematic analysis was used to synthesize the relevant findings.
Results
We found 47 studies from 12 countries. Six potential barriers to health care for ethnic minorities were identified that may be related to health care professionals’ attitudes or behaviors: Biases, stereotypes and prejudices; Language and communication barriers; Cultural misunderstandings; Gate-keeping; Statistical discrimination; Specific challenges of delivering care to undocumented migrants.
Conclusions
Data on health care professionals’ attitudes or behaviors are both limited and inconsistent. We thus provide reflections on methods, conceptualization, interpretation and the importance of the geographical or socio-political settings of potential studies. More empirical data is needed, especially on health care professionals’ attitudes or behaviors towards (irregular) migrant patients.

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11 citations in Web of Science®
14 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Biomedical Ethics and History of Medicine
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:General Nursing
Language:English
Date:1 May 2017
Deposited On:11 Nov 2019 10:49
Last Modified:23 Feb 2020 08:26
Publisher:Elsevier
ISSN:0020-7489
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.ijnurstu.2017.02.015

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