Chinese Elders' views on their interactions in general practice: a Grounded Theory study

Liu, Zhenmi; Beaver, Kinta; Speed, Shaun

doi:10.1080/13557858.2014.890176

Cited by 12 publications

(36 citation statements)

References 24 publications

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“…This is particularly evident among the migrant community who have no previous experience of disability support services in their home country (Fisher & Glanfield , Liu et al . ). Payne et al .…”

Section: Discussionmentioning

confidence: 97%

“…There is ample evidence to support that limited language skills in English presents a challenge for Chinese people, especially among the first‐generation immigrants, to access mainstream facilities (Wong , Aspinall , Liu et al . ). Although the use of interpreters can help to overcome communication barriers, it is often difficult to locate quality interpreting services (Rochelle & Marks , Koo ).…”

Section: Introductionmentioning

confidence: 97%

“…, Liu et al . ); families are expected to take up the caring role for their family members (Chan , Yu ). Involving ‘outsiders’ implies that the family is failing to fulfil their caring responsibility and will bring further shame to the family (Chan & O'Connor ).…”

Section: Introductionmentioning

confidence: 99%

“…The above studies primarily focus on the experiences of use of health and social care services among older people (Yu , Liu et al . ) and people with mental health issues from the Chinese communities in England (Hiew et al . , Koo , Yeung et al .…”

Section: Introductionmentioning

confidence: 99%

“…A lack of knowledge of services available (Hiew et al 2008, Liu et al 2012 and language difference (Ng et al 2007, Waller et al 2009) create difficulties for Chinese people to access services. There is ample evidence to support that limited language skills in English presents a challenge for Chinese people, especially among the first-generation immigrants, to access mainstream facilities (Wong 2006, Aspinall 2007, Liu et al 2015. Although the use of interpreters can help to overcome communication barriers, it is often difficult to locate quality interpreting services (Rochelle & Marks 2010, Koo 2012.…”

Section: Introductionmentioning

confidence: 99%

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Satisfaction with social care: the experiences of people from Chinese backgrounds with physical disabilities

Yeung

Partridge

Irvine

2015

Health Soc Care Community

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What is known about this topic• Underutilisation of disability support services is common among people from Chinese backgrounds in England.• A lack of knowledge of services available and language difference are known factors that lead to underutilisation.• In traditional Chinese societies, family bears the main responsibility for looking after relatives with health and social care need. What this paper adds• Language difference creates a barrier to negotiating access to and navigating through social care.• The cultural expectation of looking after their own and limited support from their small support network create tension during help-seeking.• The perception that their voices will not be listened to discourages expression of opinions when services are not meeting their needs. AbstractThe satisfaction of social care among service users provides an important indication of how services are performing. Although there is evidence to suggest that people from black and minority ethnic communities experience less satisfaction with social care than majority groups, there is little literature which focuses specifically on people from Chinese backgrounds in England. This article provides an opportunity to hear the voices of people from Chinese backgrounds and their experiences of social care for a physical disability. Individual semi-structured interviews and focus groups were conducted in 2012 and 2013 respectively with people from Chinese backgrounds who lived in England, were aged between 18 and 70, and received social care for a physical disability. Interview and focus group transcripts were analysed using a thematic approach. The findings show that language difference created a structural barrier for most participants to negotiating access to and navigating through social care. Language difference and the cultural expectation that families should look after their own were main factors that explained their late utilisation of social care. Because of limited social support, many families struggled to meet the long-term care needs of their relative with a physical disability and hence initially welcome the input of social care. However, many found that social care could not adequately meet their needs but did not feel that they had the right to voice their dissatisfaction. They would either stop using social care services or become more reliant on their family for support. Chinese welfare organisations play a crucial role to meet the cultural and linguistic needs of people from Chinese backgrounds. Closer collaboration between local authorities and Chinese welfare organisations is needed to enable an effective use of social care and community resources to meet the needs of people from Chinese backgrounds with physical disabilities.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Satisfaction with social care: the experiences of people from Chinese backgrounds with physical disabilities

Yeung

Partridge

Irvine

2015

Health Soc Care Community

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Exploring the ‘Patient Experience’ of Individuals with Limited English Proficiency: A Scoping Review

Yeheskel

Rawal

2018

J Immigrant Minority Health

102

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Individuals with limited English proficiency (LEP) face barriers to safe and high-quality health care. 'Patient-experience' is increasingly viewed as an important component of health care quality. However, the impact of language proficiency on 'patient-experience' is not well-described. This scoping review mapped the literature on the patient experience of individuals with LEP. We reviewed sixty qualitative and mixed-methods studies from EMBASE and MEDLINE published between 2007 and 2017. We identified four major themes: (1) Communication, language barriers, and health literacy, (2) Relationships with health care professionals, (3) Discrimination and intersection with other dimensions of identity, and (4) Cultural safety. We also identified factors that may improve LEP patient experience, including: mitigating language barriers through interpretation or language-concordant providers, offering translated patient resources, and educating health care professionals about cultural safety.

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Barriers and facilitators to health-care access by older Chinese migrants in high-income countries: a mixed-methods systematic review

Guo,

AlSwayied,

Frost

et al. 2024

Ageing and Society

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International migrants face barriers when accessing health-care in their destination countries. For older migrants, there are additional difficulties due to their age and associated health conditions. Chinese migrants are an understudied group with culture-specific barriers in addition to those shared with other migrant groups. This review aims to understand the barriers and facilitators to health-care access faced by older Chinese migrants in high-income countries. Literature from MEDLINE, Web of Science, EMBASE, Scopus, CINAHL Plus and ProQuest (1 January 2000 to 6 October 2021) were retrieved. Quantitative, qualitative and mixed-methods studies focusing on older Chinese migrants' access to, utilisation of and satisfaction with health-care services in high-income countries were included. Studies were appraised using checklists from the Joanna Briggs Institute and the Critical Appraisal Skills Programme. Qualitative and quantitative data were extracted and analysed narratively to identify barriers and facilitators to accessing health-care, then applied to Levesque's five-step health-care access journey framework. We included 33 studies in the analysis. Qualitative evidence identified barriers and facilitators to health-care access in four categories: health-care system, social factors, personal factors and health-care interactions. Quantitative studies found that health status and having insurance were positively associated with using non-preventive care, while time of residence and physician's recommendations were positively associated with using preventive care. Factors that influence older Chinese migrants' access to health care include practical barriers (communication, time and cost), social support (family and community), perceptions of health and care needs (beliefs and knowledge) and interactions with health-care professionals (patient–physician trust and support from physicians). Efforts to overcome universal barriers, acknowledgement of cultural contexts, improvements in translation services, and involvement of Chinese families and communities in health-care outreach will benefit this population.

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Chinese Elders' views on their interactions in general practice: a Grounded Theory study

Cited by 12 publications

References 24 publications

Satisfaction with social care: the experiences of people from Chinese backgrounds with physical disabilities

Satisfaction with social care: the experiences of people from Chinese backgrounds with physical disabilities

Exploring the ‘Patient Experience’ of Individuals with Limited English Proficiency: A Scoping Review

Barriers and facilitators to health-care access by older Chinese migrants in high-income countries: a mixed-methods systematic review

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