Superdiversity in Delhi

Sharma, Sheetal

doi:10.4324/9781351108478-27

Cited by 2 publications

(4 citation statements)

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“…Studies conducted to evaluate the utilization and performance of MCs have reported high rates of satisfaction among the neighborhood community that accesses these clinics. A recent review reported a generally high level of satisfaction (~ 90%) with the MC services, which were considered either at par with or better than other existing healthcare facilities the patients accessed earlier ( 7 , 8 , 11 – 13 ). In a recently published community survey, MC users expressed a high level of satisfaction with the MC doctor and gave an average rating of 4.1 out of five ( 8 ).…”

Section: Discussionmentioning

confidence: 99%

“…Despite not having specialists at MCs, diabetes has been reported as one of the major ailments for patients seeking treatment in these clinics ( 8 ). There are only a few studies reporting satisfaction with MCs at a community level ( 7 , 8 , 11 – 13 ), however, in our knowledge no studies have thus far evaluated satisfaction level of patients with diabetes treatment at these community clinics which are not per se designed for management of such chronic conditions with long-term sequelae.…”

Section: Introductionmentioning

confidence: 99%

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Patient satisfaction with access, affordability and quality of diabetes care at Mohalla Clinics in Delhi, India

Sharma

Grover²,

Shekhawat

et al. 2023

Front. Public Health

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IntroductionMohalla Clinics have been set up to provide curative care for minor ailments free of cost within walking distance in the urban slums, thus making primary care more accessible and affordable. Studies evaluating patient satisfaction with treatment of chronic conditions, such as diabetes, in these clinics are lacking.MethodsA survey of 400 type 2 diabetes patients was conducted, split equally between Mohalla clinics (MC) and Private clinics (PC) in Delhi. Responses were analyzed using STATA17, applying appropriate statistical tests for the data type (Chi-square test, Mann–Whitney U test, Wilcoxon signed rank test, or two-sample t test).ResultsSatisfaction level was high in both groups with no significant difference between mean satisfaction scores of MC patients and PC patients (Mean 3.79 vs. 3.85 respectively, p = 0.4). However, MC patients reported a significant improvement in their satisfaction score after switching to MC (Mean 3.79 vs. 3.3 for the previous facility, p < 0.05). Physician interaction with the patients was the most important factor in influencing the satisfaction score. Proximity to the clinic was the second most important factor for MC patients but was not as important for PC patients. Surprisingly, treatment success was considered an important factor for satisfaction level by < 10% MC and < 20% PC patients only, pointing to the need for patient education across both the groups. None of the MC patients mentioned free treatment as a contributory factor to high satisfaction, perhaps because most shifted from a government setup to MC. PC patients had more frequent follow-up visits and blood glucose monitoring, and longer consultation duration compared to MC patients, which were offset by access factors, thus not causing much difference to the satisfaction score between the two groups.ConclusionMohalla clinics are making diabetes treatment accessible and affordable for the marginalized population of Delhi, despite not being designed or fully equipped to care for chronic diseases such as diabetes that require multi-specialty care to monitor and manage multiple co-morbidities and long-term complications. Positive perception of physician interaction and convenient location of the clinics are the two major contributors to the high satisfaction patients expressed with diabetes care at these clinics.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient satisfaction with access, affordability and quality of diabetes care at Mohalla Clinics in Delhi, India

Sharma

Grover²,

Shekhawat

et al. 2023

Front. Public Health

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“…Less discussed, but equally important, is evidence that ethno-racial relations vary at the sub-national level: geographic variation in attitudes toward immigrants has been amply documented, and there is evidence that behavior, including acts of discrimination, segregation, and hostility, clusters and varies across place as well (see Fussell 2014; Hopkins et al 2016 for reviews). The subcomponents of this contextual feature that are most frequently cited in the literature on relations with the local population are variation in levels of hostility against immigrants (Bilodeau and Fadol 2011; Carrigan and Webb 2013; Green, McFalls, and Smith 2001; Medina et al 2018; Olzak 1992; Rustenbach 2010), segregation and interpersonal contact (McAvay 2018; McAvay and Safi 2018; Okamoto et al 2020; Rugh and Massey 2014; Sharma 2018; Tran 2019; Vertovec 2007), and discrimination in various spheres of life (Ahmed and Hammarstedt 2008; Bosch, Carnero, and Farré 2010; Pager, Bonikowski, and Western 2009). Local Labor Markets: The labor market structures the type of employment opportunities available to immigrants (Alba and Nee 2003; Portes and Rumbaut 2014).…”

Section: Toward a More Systematic Study Of Contexts Of Integrationmentioning

confidence: 99%

“…Olzak 1992;Rustenbach 2010), segregation and interpersonal contact(McAvay 2018;McAvay and Safi 2018;Okamoto et al 2020;Rugh and Massey 2014;Sharma 2018;Tran 2019;Vertovec 2007), and discrimination in various spheres of life(Ahmed and Hammarstedt 2008;Bosch, Carnero, and Farré 2010;Pager, Bonikowski, and Western 2009).• Local Labor Markets: The labor market structures the type of employment opportunities available to immigrants(Alba and Nee 2003;Portes and Rumbaut 2014). Given work's centrality in achieving economic self-sufficiency and social mobility over time, the labor market is a key component of context(Alba and Nee 2003;Bean et al 2012;Portes and Rumbaut 2014…”

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confidence: 99%

Components of Context: Respecifying the Role of Context in Migration Research

Lara-García

2021

International Migration Review

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For a century, scholars have studied immigrant integration in a range of destinations. Yet, the precise role of context in shaping integration outcomes remains poorly understood. Drawing from an analysis of an original database of articles and books in migration studies, I argue that this knowledge gap may be due to two closely related tendencies in the scholarship. First, case selection has relied on criteria such as the immigrant population's size and growth rate that are not clearly connected to integration outcomes. Second, most scholars have studied either heavily urban contexts (with large immigrant populations) or very rural contexts (where the immigrant population is growing rapidly), while much less attention has been given to destinations in-between. To improve the understandings of the role of context in immigrant integration, migration scholars should endeavor to move past population criteria when selecting study sites and to study the full range of contexts where immigrants are settling. To contribute to these efforts, I propose a framework that does not rely on population or newness as criteria for case selection and that focuses, instead, on the components of context that existing research has shown matters for intergenerational mobility. I also introduce a typology of contexts based on possible combinations of four of these components and offer some initial hypotheses of how these context types might affect immigrant integration. The arguments presented here recenter the role of local context in migration studies and contribute to debates about where and how scholars should study context moving forward.

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Superdiversity in Delhi

Cited by 2 publications

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Patient satisfaction with access, affordability and quality of diabetes care at Mohalla Clinics in Delhi, India

Patient satisfaction with access, affordability and quality of diabetes care at Mohalla Clinics in Delhi, India

Components of Context: Respecifying the Role of Context in Migration Research

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