Charlotte Wilson|Rahul Alam|Saima Latif|Katherine Knighting|Susan Williamson|Kinta Beaver
Patient access to healthcare services and optimisation of self-management for ethnic minority populations living with diabetes: a systematic review
University of Manchester|University of Manchester|University of Manchester|University of Manchester|University of Central Lancashire|University of Central Lancashire
higher risk diabetes mellitus south asian black african populations combined lower reported access selfmanagementrelated health outcomes informed aims study aims synthesise evaluate evidence relating patient selfmanagement access healthcare services ethnic minority groups living diabetes comprehensive search strategy developed capturing full range study types 19952010 including relevant handsearched literature predating 1995 systematic database searches medline cochrane dare hta nhseed british nursing index cab abstracts embase global health health management information consortium psychinfo conducted yielding 21288 abstracts following search strategy refinement application review eligibility criteria 11 randomised controlled trials rcts 18 qualitative studies 18 quantitative studies evaluated principal results extracted results suggest selfmanagement practices need targeted intervention terms patients knowledge understanding illness inadequacy information language communication difficulties arising cultural differences access healthcare similarly hindered lack cultural sensitivity service provision use clinicbased interpreters communitybased services recommendations practice subsequent intervention primarily rest service level key barriers patient provider levels also identified