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Article: Is the English National Health Service meeting the needs of mentally distressed Chinese women?

TitleIs the English National Health Service meeting the needs of mentally distressed Chinese women?
Authors
Issue Date2002
PublisherRoyal Society of Medicine Press Ltd. The Journal's web site is located at http://www.roysocmed.ac.uk/pub/jhsrp.htm
Citation
Journal Of Health Services Research And Policy, 2002, v. 7 n. 4, p. 216-221 How to Cite?
AbstractObjectives: To identify barriers to communication between health care workers and Chinese women living in England, a group who are known to use the National Health Service (NHS) less than other ethnic groups; to consider whether such barriers lead to inequitable access to NHS mental health treatment; and to determine the extent to which this results from institutional racism. Method: A purposive sample of 42 Chinese women living in South-East England aged 29-60 years derived from a primary care group, two secondary mental health service providers and three Chinese associations. Subjects had all consulted a general practitioner and had either experienced mental distress (n = 24) and/or had used traditional Chinese medicine (n = 25). Results: Communication with health care professionals was hindered by a lack of common language and an absence of shared concepts concerning the causes and manifestations of health and illness, particularly mental health. This lack of communication resulted in delayed diagnoses, misunderstood treatment regimens and deterred women from (re-)presenting to the NHS. Among our informants, these types of problem were more acute for those women who were most marginalised from English-language culture. Conclusions: Linguistic and conceptual problems explain Chinese women's relatively poor access to mental health services. The continuing failure to tackle systematically these communication problems through the routine provision of interpretation and advocacy services lays the health care system open to the charge of 'institutional racism'. © The Royal Society of Medicine Press Ltd 2002.
Persistent Identifierhttp://hdl.handle.net/10722/172333
ISSN
2015 Impact Factor: 1.786
2015 SCImago Journal Rankings: 0.765
References

 

DC FieldValueLanguage
dc.contributor.authorGreen, Gen_US
dc.contributor.authorBradby, Hen_US
dc.contributor.authorChan, Aen_US
dc.contributor.authorLee, Men_US
dc.contributor.authorEldridge, Ken_US
dc.date.accessioned2012-10-30T06:21:51Z-
dc.date.available2012-10-30T06:21:51Z-
dc.date.issued2002en_US
dc.identifier.citationJournal Of Health Services Research And Policy, 2002, v. 7 n. 4, p. 216-221en_US
dc.identifier.issn1355-8196en_US
dc.identifier.urihttp://hdl.handle.net/10722/172333-
dc.description.abstractObjectives: To identify barriers to communication between health care workers and Chinese women living in England, a group who are known to use the National Health Service (NHS) less than other ethnic groups; to consider whether such barriers lead to inequitable access to NHS mental health treatment; and to determine the extent to which this results from institutional racism. Method: A purposive sample of 42 Chinese women living in South-East England aged 29-60 years derived from a primary care group, two secondary mental health service providers and three Chinese associations. Subjects had all consulted a general practitioner and had either experienced mental distress (n = 24) and/or had used traditional Chinese medicine (n = 25). Results: Communication with health care professionals was hindered by a lack of common language and an absence of shared concepts concerning the causes and manifestations of health and illness, particularly mental health. This lack of communication resulted in delayed diagnoses, misunderstood treatment regimens and deterred women from (re-)presenting to the NHS. Among our informants, these types of problem were more acute for those women who were most marginalised from English-language culture. Conclusions: Linguistic and conceptual problems explain Chinese women's relatively poor access to mental health services. The continuing failure to tackle systematically these communication problems through the routine provision of interpretation and advocacy services lays the health care system open to the charge of 'institutional racism'. © The Royal Society of Medicine Press Ltd 2002.en_US
dc.languageengen_US
dc.publisherRoyal Society of Medicine Press Ltd. The Journal's web site is located at http://www.roysocmed.ac.uk/pub/jhsrp.htmen_US
dc.relation.ispartofJournal of Health Services Research and Policyen_US
dc.subject.meshAdulten_US
dc.subject.meshChina - Ethnologyen_US
dc.subject.meshCommunication Barriersen_US
dc.subject.meshCritical Pathwaysen_US
dc.subject.meshDepression - Diagnosis - Ethnology - Therapyen_US
dc.subject.meshEnglanden_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Care Surveysen_US
dc.subject.meshHealth Services Accessibilityen_US
dc.subject.meshHealth Services Needs And Demanden_US
dc.subject.meshHumansen_US
dc.subject.meshLanguageen_US
dc.subject.meshLondonen_US
dc.subject.meshMental Health Services - Standardsen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPatient Satisfaction - Ethnologyen_US
dc.subject.meshPrejudiceen_US
dc.subject.meshPrimary Health Care - Standardsen_US
dc.subject.meshProfessional-Patient Relationsen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshState Medicine - Standardsen_US
dc.subject.meshWomen's Health Services - Standardsen_US
dc.titleIs the English National Health Service meeting the needs of mentally distressed Chinese women?en_US
dc.typeArticleen_US
dc.identifier.emailLee, M: leesym@hkucc.hku.hken_US
dc.identifier.authorityLee, M=rp00562en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1258/135581902320432741en_US
dc.identifier.pmid12430565-
dc.identifier.scopuseid_2-s2.0-0036787655en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036787655&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume7en_US
dc.identifier.issue4en_US
dc.identifier.spage216en_US
dc.identifier.epage221en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridGreen, G=7402529312en_US
dc.identifier.scopusauthoridBradby, H=6602857018en_US
dc.identifier.scopusauthoridChan, A=7403168345en_US
dc.identifier.scopusauthoridLee, M=24477918000en_US
dc.identifier.scopusauthoridEldridge, K=19634223000en_US

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