Minority ethnic groups in dementia care: a review of service needs, service provision and models of good practice
Minority ethnic groups in dementia care: a review of service needs, service provision and models of good practice
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DOI：
10.1080/13607860220126835
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发表时间：
2002-05-01
影响因子：
3.4
通讯作者：
Means, R
中科院分区：
文献类型：
--
作者：
Daker-White, G;Beattie, AM;Means, R
本研究共收集了67篇英文文章，其中大部分(4465.7%)来源于美国。总的来说，这些文献所涵盖的主要问题是少数族裔群体对服务的利用不足；不同种族群体中痴呆症的患病率；不同种族群体提供护理的经历；以及语言作为认知评估的一个因素。尽管有人争辩说，用于评估认知功能的工具存在文化偏见，但现有的公开证据似乎表明，根本问题是语言能力，而不是少数群体成员本身。对不同族裔或种族群体之间的护理经验的研究存在理论和方法上的缺陷。对美国不同种族群体寻求帮助的研究发现，面对更紧迫的问题，许多人并不将痴呆症作为一个健康问题优先考虑。在是否应专门为不同族裔群体提供服务的问题上，各条款之间几乎没有达成共识，这反映出缺乏关于不同服务提供模式的效力的证据。
Sixty-seven English language articles were obtained for the review, the majority of which (44, 65.7%) had US origins. Broadly, the main issues covered in the literature were the under-utilization of services by minority ethnic groups; the prevalence of dementia in different ethnic groups; the experience of care giving in different racial groups and language as a factor in cognitive assessment. Although it has been argued that the instruments used to assess cognitive function are culturally biased, the available published evidence would seem to suggest that the fundamental issue is language ability, rather than minority group membership per se. Studies into the care giving experience amongst different ethnic or racial groups suffer from theoretical and methodological weaknesses. Studies of help-seeking among various ethnic groups in the US have found that many do not prioritize dementia as a health problem in the face of more pressing concerns. There was little consensus amongst the articles about whether services should be provided specifically for different ethnic groups, reflecting a lack of evidence concerning the efficacy of different models of service provision.