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- Publisher Website: 10.1258/135581902320432741
- Scopus: eid_2-s2.0-0036787655
- PMID: 12430565
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Article: Is the English National Health Service meeting the needs of mentally distressed Chinese women?
Title | Is the English National Health Service meeting the needs of mentally distressed Chinese women? |
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Authors | |
Issue Date | 2002 |
Publisher | Royal 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? |
Abstract | Objectives: 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 Identifier | http://hdl.handle.net/10722/172333 |
ISSN | 2023 Impact Factor: 1.9 2023 SCImago Journal Rankings: 0.769 |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Green, G | en_US |
dc.contributor.author | Bradby, H | en_US |
dc.contributor.author | Chan, A | en_US |
dc.contributor.author | Lee, M | en_US |
dc.contributor.author | Eldridge, K | en_US |
dc.date.accessioned | 2012-10-30T06:21:51Z | - |
dc.date.available | 2012-10-30T06:21:51Z | - |
dc.date.issued | 2002 | en_US |
dc.identifier.citation | Journal Of Health Services Research And Policy, 2002, v. 7 n. 4, p. 216-221 | en_US |
dc.identifier.issn | 1355-8196 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/172333 | - |
dc.description.abstract | Objectives: 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.language | eng | en_US |
dc.publisher | Royal Society of Medicine Press Ltd. The Journal's web site is located at http://www.roysocmed.ac.uk/pub/jhsrp.htm | en_US |
dc.relation.ispartof | Journal of Health Services Research and Policy | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | China - Ethnology | en_US |
dc.subject.mesh | Communication Barriers | en_US |
dc.subject.mesh | Critical Pathways | en_US |
dc.subject.mesh | Depression - Diagnosis - Ethnology - Therapy | en_US |
dc.subject.mesh | England | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Health Care Surveys | en_US |
dc.subject.mesh | Health Services Accessibility | en_US |
dc.subject.mesh | Health Services Needs And Demand | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Language | en_US |
dc.subject.mesh | London | en_US |
dc.subject.mesh | Mental Health Services - Standards | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Patient Satisfaction - Ethnology | en_US |
dc.subject.mesh | Prejudice | en_US |
dc.subject.mesh | Primary Health Care - Standards | en_US |
dc.subject.mesh | Professional-Patient Relations | en_US |
dc.subject.mesh | Questionnaires | en_US |
dc.subject.mesh | State Medicine - Standards | en_US |
dc.subject.mesh | Women's Health Services - Standards | en_US |
dc.title | Is the English National Health Service meeting the needs of mentally distressed Chinese women? | en_US |
dc.type | Article | en_US |
dc.identifier.email | Lee, M: leesym@hkucc.hku.hk | en_US |
dc.identifier.authority | Lee, M=rp00562 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1258/135581902320432741 | en_US |
dc.identifier.pmid | 12430565 | - |
dc.identifier.scopus | eid_2-s2.0-0036787655 | en_US |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0036787655&selection=ref&src=s&origin=recordpage | en_US |
dc.identifier.volume | 7 | en_US |
dc.identifier.issue | 4 | en_US |
dc.identifier.spage | 216 | en_US |
dc.identifier.epage | 221 | en_US |
dc.publisher.place | United Kingdom | en_US |
dc.identifier.scopusauthorid | Green, G=7402529312 | en_US |
dc.identifier.scopusauthorid | Bradby, H=6602857018 | en_US |
dc.identifier.scopusauthorid | Chan, A=7403168345 | en_US |
dc.identifier.scopusauthorid | Lee, M=24477918000 | en_US |
dc.identifier.scopusauthorid | Eldridge, K=19634223000 | en_US |
dc.identifier.issnl | 1355-8196 | - |