Experiences of health service literacy and access amongst Australian young adults from migrant backgrounds

Raymundo, Gianina; Smith‐Merry, Jennifer; McNab, Justin

doi:10.1002/hpja.408

Cited by 7 publications

(4 citation statements)

References 43 publications

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“…In our analysis, the Australian PHC delivery is comprehensive that it provides a wide range of services for a variety of target populations. In terms of the ranges of services, Australian PHC assess and deal with social determinants and / or risk factors [17,24,25,30,36,45,48,53,62,63,65,90,98,99,125], acute and chronic diseases [27,47,52,59,81,82,84,96,97,101,104,105,108,110,111,114,117,118,120 ], mental health [26,46,61,68,126,132], cancer and palliative care including aged care [43,86,103,122], pharmacy and medication safety [35,107], evidence-based practice and knowledge translation [55,…”

Section: Comprehensivenessmentioning

confidence: 99%

“…, in our scoping review, 36 studies[17,25,30,34,36,44,45,50,53,54,61,65,67,71,72,74,75,79,83,85,90,93,95,96,98- 102,116,122,127,128,131-133] assessed various indicators of access to PHC. Of these studies, 15 studies reported service access[36,45,53,54,71,72,74,83,85,90,99,100,102,122,132), three reported acceptability[44,65,75] and the rest of the studies assessed explanatory factors, barriers and challenges of access and coverage of PHC[17,25,30,34,50,61,67,79,93,95,96,98,101,116,127,128,131,133] (Table…”

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confidence: 99%

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Successes and challenges of primary health care in Australia: A scoping review and comparative analysis

et al. 2023

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Introduction Australia has achieved universal health insurance for its population since 1975 -a major step forward for increasing access to primary care (PC). Nevertheless, there are reports of several multi-layered challenges, including inequity, that persist. This analysis aims to undertake a scoping review of the success, explanatory factors, and challenges of Primary Health Care (PHC) in Australia guided by the World Health Organization (WHO)-defined key characteristics of good PC. MethodsWe searched PubMed, Embase, Scopus and Web of Science using key terms related to PHC principles, attributes, system functioning and health care delivery modalities. We also used key PC terminologies used to assess key characteristics of good PC developed by WHO and key terms and attributes from Australia's health care landscape. We then integrated our search terms with the PHC Search Filters developed by Brown, L., et al. (2014). We restricted the search from 2013 to 2021. Two authors independently assessed study eligibility and performed a quality check on the extracted data. We presented findings according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. ResultsWe identified 112 articles on primary health care (PHC), represented from all Australian states and territories. Overall, Australian PHC has achieved comprehensiveness, access and coverage, quality of care, patient / person centeredness and service coordination indicators with exemplary evidence-base practice/ knowledge translation and clinical decision-making practices at the PC settings. Yet, we identified complex and multilayered barriers including geographic and socio-economic berries and inequality, staff dissatisfaction/turn over, low adoption of person-centred care, inadequate sectoral collaboration, and inadequate infrastructure in rural and remote primary care units. ConclusionPrimary health care in Australia, which has evolved through major reforms, has been adapting to the complex health care needs of the socio-culturally diversified nation, and has achieved many of the PC attributes, including service diversity, accessibility, acceptability, and quality of care. Yet, there are persistent gaps in service delivery to socio-economically disadvantaged populations, including indigenous people, culturally and linguistically diverse (CALD) populations, and rural-and remote-residents. These challenges could be mitigated through system-wide and targeted policy-level intervention to further improve service delivery through effective and functional local health service coordination, sectoral integration, and improving health care providers' cultural competence.

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Section: Comprehensivenessmentioning

confidence: 99%

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confidence: 99%

Successes and challenges of primary health care in Australia: A scoping review and comparative analysis

et al. 2023

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“…In addition, literature on immigrants' HSU showed that health belief identification (89) and health literacy (75,98,121) are associated with migrants' HSU, and so are the IMs (58,103). Quality of life (98) was also found to be a facilitator of immigrants' HSU.…”

Section: Predisposing Factorsmentioning

confidence: 99%

“…Acculturation is mentioned as a protective factor in the overwhelming majority of studies on immigrants' HSU (138). These studies explain acculturation by language competence (40,41,43,44,46,60,62,64,65,69,76,77,79,97,114,120,124,139,140) or communication barriers (3,117,121), discrimination or xenophobia (3,42,43,60,65,71,120), cultural differences (62,75,76,79,89,117,121,124), and self-identified (89). All factors induce poor affective comfort during the HSU process.…”

Section: Immigrant-specific Factorsmentioning

confidence: 99%

Health service behaviors of migrants: A conceptual framework

Peng

2023

Front. Public Health

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Universal health coverage is vital to the World Health Organization’s (WHO’s) efforts to ensure access to health as a human right. However, it has been reported that migrants, including both international immigrants and internal migrants, underuse health services. Establishing a conceptual framework to facilitate research on the health service behaviors (HSB) of migrants is particularly important. Many theoretical frameworks explaining the general population’s HSB have been published; however, most theoretical frameworks on migrants’ HSB only focus on international immigrants without the inclusion of internal migrants. Of note, internal migrants are much more abundant than immigrants, and this group faces similar barriers to HSB as immigrants do. Based on theoretical frameworks of immigrants’ HSB and Anderson’s behavior model, the author proposes a new conceptual framework of migrants’ HSB that includes both immigrants and internal migrants. The new conceptual framework divides the determinants into macro-structural or contextual factors, health delivery system characteristics, and characteristics of the population at risk and describes subgroup-specific factors. The author added some variables and reclassified variables in some dimensions, including characteristics of health delivery systems and access to healthcare. The characteristics of health delivery systems comprise the volume, organization, quality, and cost of the health delivery system, while the characteristics of access to healthcare include time accessibility, geographic accessibility, and information accessibility. The outcomes of HSB have been expanded, and relationships between them have been reported. The mediating effects of some variables have also been described. This conceptual framework can facilitate a deep and comprehensive understanding of the HSB determination process for migrants, including internal migrants.

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Cardiovascular health care and health literacy among immigrants in Europe: a review of challenges and opportunities during the COVID-19 pandemic

Wernly

Magnano

et al. 2020

J Public Health (Berl.)

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Objectives Europe is a destination for many migrants, a group whose proportion of the overall population will increase over the next decades. The cardiovascular (CV) risk distribution and outcomes, as well as health literacy, are likely to differ from the host population. Challenges related to migrant health status, cardiovascular risk distribution and health literacy are compounded by the ongoing coronavirus disease 2019 (COVID-2019) crisis. Methods We performed a narrative review of available evidence on migrant CV and health literacy in Europe. Results Health literacy is lower in migrants but can be improved through targeted interventions. In some subgroups of migrants, rates of cardiovascular disease (CVD) risk factors, most importantly hypertension and diabetes, are higher. On the other hand, there is strong evidence for a so-called healthy migrant effect, describing lower rates of CV risk distribution and mortality in a different subset of migrants. During the COVID-19 pandemic, CV risk factors, as well as health literacy, are key elements in optimally managing public health responses in the ongoing pandemic. Conclusions Migrants are both an opportunity and a challenge for public health in Europe. Research aimed at better understanding the healthy migrant effect is necessary. Implementing the beneficial behaviors of migrants could improve outcomes in the whole population. Specific interventions to screen for risk factors, manage chronic disease and increase health literacy could improve health care for migrants. This pandemic is a challenge for the whole population, but active inclusion of immigrants in established health care systems could help improve the long-term health outcomes of migrants in Europe.

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Experiences of health service literacy and access amongst Australian young adults from migrant backgrounds

Cited by 7 publications

References 43 publications

Successes and challenges of primary health care in Australia: A scoping review and comparative analysis

Successes and challenges of primary health care in Australia: A scoping review and comparative analysis

Health service behaviors of migrants: A conceptual framework

Cardiovascular health care and health literacy among immigrants in Europe: a review of challenges and opportunities during the COVID-19 pandemic

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