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少数族裔群体在获得痴呆症护理方面的障碍与促进因素:定性研究的元综合分析

Barriers and facilitators in accessing dementia care by ethnic minority groups: a meta-synthesis of qualitative studies.

作者信息

Kenning Cassandra, Daker-White Gavin, Blakemore Amy, Panagioti Maria, Waheed Waquas

机构信息

Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, The University of Manchester, 5th floor, Williamson Building, Oxford Road, Manchester, M13 9PL, UK.

出版信息

BMC Psychiatry. 2017 Aug 30;17(1):316. doi: 10.1186/s12888-017-1474-0.

DOI:10.1186/s12888-017-1474-0
PMID:28854922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5577676/
Abstract

BACKGROUND

It is estimated that there are about 25,000 people from UK ethnic minority groups with dementia. It is clear that there is an increasing need to improve access to dementia services for all ethnic groups to ensure that everyone has access to the same potential health benefits. The aim was to systematically review qualitative studies and to perform a meta-synthesis around barriers and facilitators to accessing care for dementia in ethnic minorities.

METHODS

Databases were searched to capture studies on barriers and facilitators to accessing care for dementia in ethnic minorities. Analysis followed the guidelines for meta-ethnography. All interpretations of data as presented by the authors of the included papers were extracted and grouped into new themes.

RESULTS

Six hundred and eighty four papers were identified and screened. Twenty eight studies were included in the meta-synthesis. The analysis developed a number of themes and these were incorporated into two overarching themes: 'inadequacies' and 'cultural habitus'.

CONCLUSIONS

The two overarching themes lend themselves to interventions at a service level and a community level which need to happen in synergy.

TRIAL REGISTRATION

The review was registered with PROSPERO: CRD42016049326 .

摘要

背景

据估计,英国有大约25000名来自少数族裔群体的痴呆症患者。显然,越来越有必要改善所有族裔群体获得痴呆症服务的机会,以确保每个人都能获得同样的潜在健康益处。目的是系统地回顾定性研究,并围绕少数族裔获得痴呆症护理的障碍和促进因素进行元综合分析。

方法

检索数据库以获取关于少数族裔获得痴呆症护理的障碍和促进因素的研究。分析遵循元民族志指南。提取纳入论文作者所呈现的所有数据解释,并将其归纳为新的主题。

结果

共识别并筛选了684篇论文。28项研究被纳入元综合分析。分析得出了一些主题,并将其纳入两个总体主题:“不足”和“文化习性”。

结论

这两个总体主题适合在服务层面和社区层面进行协同干预。

试验注册

该综述已在PROSPERO注册:CRD42016049326 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/5577676/27c926152bc0/12888_2017_1474_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/5577676/2a259f021d8d/12888_2017_1474_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/5577676/27c926152bc0/12888_2017_1474_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/5577676/2a259f021d8d/12888_2017_1474_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/5577676/27c926152bc0/12888_2017_1474_Fig2_HTML.jpg

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