土著社区获得医疗保健的障碍：来自医疗保健专业人员的见解。

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2024-12-23 DOI:10.1007/s40615-024-02274-9

Sdney Jia Eer Tew, Yi Ting Sim, Yee Sin Chong, Qi Xuan Ng, Ronald Fook Seng Lee, Wei Jin Wong, Shaun Wen Huey Lee

{"title":"土著社区获得医疗保健的障碍：来自医疗保健专业人员的见解。","authors":"Sdney Jia Eer Tew, Yi Ting Sim, Yee Sin Chong, Qi Xuan Ng, Ronald Fook Seng Lee, Wei Jin Wong, Shaun Wen Huey Lee","doi":"10.1007/s40615-024-02274-9","DOIUrl":null,"url":null,"abstract":"Background: The indigenous people or 'Orang Asli' (OA) in Malaysia is a vulnerable group who lags behind in terms of socioeconomic, education and health. Despite numerous developments, health disparities still exist among the OA, resulting in varying health outcomes. This study aimed to identify barriers to providing healthcare to OA by healthcare professionals (HCPs) in Malaysia.Methods: Semi-structure interview was conducted with 20 HCPs who have experience working with OA communities. Data were analysed thematically using the Health Care Access Barriers model as a framework.Results: Our study identified three themes which improve or hinder access to health care among OA communities. The main perceived barriers were (1) structural barriers, (2) cognitive barriers and (3) financial barriers.Conclusion: Our study illuminates how financial, structural and cognitive factors intersect to affect healthcare access among OA communities. To narrow the health outcome disparities, future research must engage with OA communities to ensure culturally appropriate and sustainable healthcare delivery.","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Barriers to Healthcare Access for Indigenous Communities: Insights from Healthcare Professionals.\",\"authors\":\"Sdney Jia Eer Tew, Yi Ting Sim, Yee Sin Chong, Qi Xuan Ng, Ronald Fook Seng Lee, Wei Jin Wong, Shaun Wen Huey Lee\",\"doi\":\"10.1007/s40615-024-02274-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: The indigenous people or 'Orang Asli' (OA) in Malaysia is a vulnerable group who lags behind in terms of socioeconomic, education and health. Despite numerous developments, health disparities still exist among the OA, resulting in varying health outcomes. This study aimed to identify barriers to providing healthcare to OA by healthcare professionals (HCPs) in Malaysia.Methods: Semi-structure interview was conducted with 20 HCPs who have experience working with OA communities. Data were analysed thematically using the Health Care Access Barriers model as a framework.Results: Our study identified three themes which improve or hinder access to health care among OA communities. The main perceived barriers were (1) structural barriers, (2) cognitive barriers and (3) financial barriers.Conclusion: Our study illuminates how financial, structural and cognitive factors intersect to affect healthcare access among OA communities. To narrow the health outcome disparities, future research must engage with OA communities to ensure culturally appropriate and sustainable healthcare delivery.\",\"PeriodicalId\":16921,\"journal\":{\"name\":\"Journal of Racial and Ethnic Health Disparities\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-12-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Racial and Ethnic Health Disparities\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s40615-024-02274-9\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Racial and Ethnic Health Disparities","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s40615-024-02274-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

背景：马来西亚的土著人民或‘Orang Asli’ （OA）是一个在社会经济、教育和卫生方面落后的弱势群体。尽管取得了许多进展，OA之间仍然存在健康差距，造成不同的健康结果。本研究旨在确定马来西亚医疗保健专业人员（HCPs）向OA提供医疗保健的障碍。方法：对20名有OA社区工作经验的医护人员进行半结构化访谈。使用卫生保健获取障碍模型作为框架对数据进行了专题分析。结果：我们的研究确定了改善或阻碍OA社区获得医疗保健的三个主题。主要感知障碍有：(1)结构障碍、(2)认知障碍和(3)财务障碍。结论：我们的研究阐明了经济、结构和认知因素如何交叉影响OA社区的医疗保健可及性。为了缩小健康结果的差异，未来的研究必须与OA社区合作，以确保文化上适当和可持续的医疗保健服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Barriers to Healthcare Access for Indigenous Communities: Insights from Healthcare Professionals.

Background: The indigenous people or 'Orang Asli' (OA) in Malaysia is a vulnerable group who lags behind in terms of socioeconomic, education and health. Despite numerous developments, health disparities still exist among the OA, resulting in varying health outcomes. This study aimed to identify barriers to providing healthcare to OA by healthcare professionals (HCPs) in Malaysia.

Methods: Semi-structure interview was conducted with 20 HCPs who have experience working with OA communities. Data were analysed thematically using the Health Care Access Barriers model as a framework.

Results: Our study identified three themes which improve or hinder access to health care among OA communities. The main perceived barriers were (1) structural barriers, (2) cognitive barriers and (3) financial barriers.

Conclusion: Our study illuminates how financial, structural and cognitive factors intersect to affect healthcare access among OA communities. To narrow the health outcome disparities, future research must engage with OA communities to ensure culturally appropriate and sustainable healthcare delivery.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.