关键词: ethnic disparity ethnic minority eye care immigrants optometry

Mesh : Delivery of Health Care Emigrants and Immigrants / psychology Eye Diseases / diagnosis psychology therapy Health Knowledge, Attitudes, Practice Health Promotion Health Services Accessibility Health Services Needs and Demand Healthcare Disparities Humans Minority Groups / psychology Optometry Patient Acceptance of Health Care / psychology Resilience, Psychological Socioeconomic Factors

来  源:   DOI:10.1136/bmjopen-2019-033775   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
For many people, settling in a new country is associated with a new identity as an \'ethnic minority\', one that can remain through future generations. People who are culturally distinct from the dominant population group may experience a variety of barriers to accessing healthcare, including linguistic and cultural barriers in communication, navigation of an unfamiliar health system and unconscious or overt discrimination. Here, we outline the protocol of a scoping review to identify, describe and summarise interventions aimed at improving access to eye care for non-Indigenous, non-dominant ethnic groups residing in high-income countries.
We will search MEDLINE, Embase and Global Health from their inception to July 2019. We will include studies of any design that describe an intervention to promote access to eye care for non-Indigenous, non-dominant ethnic groups. Two authors will independently review titles, abstracts and full-text articles for inclusion. Reference lists from all included articles will also be searched. In cases of disagreement between initial reviewers, a third author will help resolve the conflict. For each included article, we will extract data about the target population, details of the intervention delivered and the effectiveness of or feedback from the intervention. Overall findings will be summarised with descriptive statistics and thematic analysis.
This review will summarise existing literature and as such ethics approval is not required. We will publish the review in an open-access, peer-reviewed journal, and draft appropriate summaries for dissemination to the wider community. This wider community could include clinicians, policymakers, health service managers and organisations that work with non-dominant ethnic groups. Our findings will also feed into the ongoing Lancet Global Health Commission on Global Eye Health.
摘要:
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