Ethnic inequality within the elderly population in utilizing healthcare services

Abstract The accessibility of minority ethnic groups to healthcare services is challenging in many societies, most especially among the elderly population. Elderly individuals from minority groups have been found to have lower levels of utilizing healthcare services, including preventive care, inten...

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Main Author: B. Adini
Format: Article
Language:English
Published: BMC 2019-05-01
Series:Israel Journal of Health Policy Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13584-019-0311-y
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author B. Adini
author_facet B. Adini
author_sort B. Adini
collection DOAJ
description Abstract The accessibility of minority ethnic groups to healthcare services is challenging in many societies, most especially among the elderly population. Elderly individuals from minority groups have been found to have lower levels of utilizing healthcare services, including preventive care, intensive hospital care, advanced technological procedures and rehabilitation. Universal health coverage is incapable of addressing all of healthcare’s access inequities and there is a need to assess the overall outcomes, including mortality rates over time, functionality of discharged patients, quality of life and/or unplanned readmissions that may indicate low quality hospital discharge processes. There is a need to investigate the impact of perceived trust/distrust in the healthcare system of elderly patients from minority ethnicities on their willingness to consume medical services. To ensure equity in service provision, there is a need to examine whether medical providers, even unconsciously, prioritize vital services, such as rehabilitation services to populations that share similar social backgrounds. An essential measure is enhancement of health literacy at all levels, from the individual to policy-makers and strategic adoption of health literacy programs that encompass all ethnicities, considering their respective needs, norms and expectations. Ethnic equality in accessing medical services is crucial in view of the numerous migrants and asylum-seekers who look for refuge in varied societies globally. Such populations are perceived as faring worse in healthcare quality of care, and this highlights the need to adapt the healthcare systems to the varied health behaviors, contextual factors, language barriers, lower health literacy levels and limited access to timely care. Improving equity and access to medical care is dependent on enhanced health literacy; policies that consider diverse needs of majority and minority groups; and advanced research. Concurrent implementation of these measures will be well aligned with the global strive to promote the Sustainable Development Goals (SDGs).
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spelling doaj.art-334a2984a9794159a40fe297bf44b9882022-12-22T00:45:58ZengBMCIsrael Journal of Health Policy Research2045-40152019-05-01811410.1186/s13584-019-0311-yEthnic inequality within the elderly population in utilizing healthcare servicesB. Adini0Department of Emergency Management & Disaster Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv UniversityAbstract The accessibility of minority ethnic groups to healthcare services is challenging in many societies, most especially among the elderly population. Elderly individuals from minority groups have been found to have lower levels of utilizing healthcare services, including preventive care, intensive hospital care, advanced technological procedures and rehabilitation. Universal health coverage is incapable of addressing all of healthcare’s access inequities and there is a need to assess the overall outcomes, including mortality rates over time, functionality of discharged patients, quality of life and/or unplanned readmissions that may indicate low quality hospital discharge processes. There is a need to investigate the impact of perceived trust/distrust in the healthcare system of elderly patients from minority ethnicities on their willingness to consume medical services. To ensure equity in service provision, there is a need to examine whether medical providers, even unconsciously, prioritize vital services, such as rehabilitation services to populations that share similar social backgrounds. An essential measure is enhancement of health literacy at all levels, from the individual to policy-makers and strategic adoption of health literacy programs that encompass all ethnicities, considering their respective needs, norms and expectations. Ethnic equality in accessing medical services is crucial in view of the numerous migrants and asylum-seekers who look for refuge in varied societies globally. Such populations are perceived as faring worse in healthcare quality of care, and this highlights the need to adapt the healthcare systems to the varied health behaviors, contextual factors, language barriers, lower health literacy levels and limited access to timely care. Improving equity and access to medical care is dependent on enhanced health literacy; policies that consider diverse needs of majority and minority groups; and advanced research. Concurrent implementation of these measures will be well aligned with the global strive to promote the Sustainable Development Goals (SDGs).http://link.springer.com/article/10.1186/s13584-019-0311-yMinorityInequalityElderly populationEthnicityUtilization of healthcareHealth literacy
spellingShingle B. Adini
Ethnic inequality within the elderly population in utilizing healthcare services
Israel Journal of Health Policy Research
Minority
Inequality
Elderly population
Ethnicity
Utilization of healthcare
Health literacy
title Ethnic inequality within the elderly population in utilizing healthcare services
title_full Ethnic inequality within the elderly population in utilizing healthcare services
title_fullStr Ethnic inequality within the elderly population in utilizing healthcare services
title_full_unstemmed Ethnic inequality within the elderly population in utilizing healthcare services
title_short Ethnic inequality within the elderly population in utilizing healthcare services
title_sort ethnic inequality within the elderly population in utilizing healthcare services
topic Minority
Inequality
Elderly population
Ethnicity
Utilization of healthcare
Health literacy
url http://link.springer.com/article/10.1186/s13584-019-0311-y
work_keys_str_mv AT badini ethnicinequalitywithintheelderlypopulationinutilizinghealthcareservices