Biomedicine and the treatment of difference in a Jerusalem emergency department

Orr, Zvika; Jackson, Levi; Alpert, Evan Avraham; Fleming, Mark D.

doi:10.1016/j.socscimed.2023.116345

Cited by 3 publications

(2 citation statements)

References 41 publications

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“…In most cases, the classification was similar; in the few instances where the classification differed, a discussion to resolve differences ensued. As described in Orr et al (2023), we subsequently identified connections between the initial categories, refined them, and combined similar categories. We finalized six core categories that comprised the meaningful thematic clusters around which we organized the findings (Corbin and Strauss 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Cultural competency improves providers' communication and increases patient satisfaction, compliance, and healthcare access (Betancourt et al 2002;Campinha-Bacote 2002;Schuster, Elroy, and Rosen 2018). In the past decade, the needs and challenges of ultra-Orthodox people in Israel have been increasingly acknowledged in the framework of culturally competent healthcare (Freund, Cohen, and Azaiza 2019;Genut et al 2022;Orr et al 2023). Yet, the needs and challenges of religious disaffiliates have been completely ignored in this framework.…”

Section: Conclusion Implications Recommendationsmentioning

confidence: 99%

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Barriers to the Healthcare System Faced by Ultra-Orthodox Religious Disaffiliates

Pinchas-Mizrachi,

Orr,

Zalcman

et al. 2024

Review of Religious Research

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Many religious disaffiliates, similar to immigrants, experience health vulnerabilities. Yet, few studies address their ability to access the healthcare system. This article contributes to filling this void by examining the case of Israeli Jewish ultra-Orthodox disaffiliates. The study analyzes the barriers that hinder these disaffiliates’ access to the healthcare system, adversely affecting their well-being. This research is based on 36 in-depth, semi-structured interviews with ultra-Orthodox disaffiliates, analyzed using qualitative thematic analysis. Six barriers were identified: lack of health-related education and knowledge of the healthcare system, poverty and structural determinants of health, lack of respect for authority, communication gaps, lack of belonging, and stigmas, particularly in mental health. We recommend training healthcare providers and students to better understand and address these barriers and disaffiliates’ unique needs when providing care for them. Specifically, we suggest incorporating this overlooked subject in the frameworks of cultural competency and structural competency, encouraging collaboration between healthcare practitioners and religious disaffiliates to promote equitable and inclusive policies. Implications for community organizations include offering courses, simulations, peer guidance, and consultation for disaffiliates on health-related issues, as well as engaging disaffiliates in self-advocacy. We propose that this study is relevant to disaffiliates from varied insular, high-tension religious communities worldwide.

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Section: Discussionmentioning

confidence: 99%