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Centre for Policy on Ageing | |
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| The role of advocacy and interpretation services in the delivery of quality healthcare to diverse minority communities in London, United Kingdom | | Author(s) | Walid E Ansari, Karen Newbigging, Carolyn Roth |
| Journal title | Health and Social Care in the Community, vol 17, no 6, November 2009 |
| Pages | pp 636-646 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | Ethnic groups ; Health services ; Advocacy ; Communication ; London. |
| Annotation | Inequalities in access to appropriate and acceptable healthcare contributes to a pattern of poorer health status, reduced life expectancy and greater dissatisfaction with health care amongst people from black and minority ethnic (BME) communities. Language acts as a further barrier to access. The development of bilingual advocacy fuses two key functions - interpretation and advocacy - to ensure that people from BME communities are able to have their healthcare needs met appropriately. This paper explores the development of bilingual advocacy in East London, which has a highly diverse population speaking over 100 languages. It considers the development of the bilingual advocacy services by an NHS University Hospital Trust, the local experience of these services and the factors that have influenced their development. The authors employed the Delphi method to examine the advocate-, service-, or client-related challenges that face advocacy services, and the threats of these changes to Trust-based advocacy and their implications to the service, client and advocate. Advocate-related challenges included status, esteem and remuneration of bilingual advocates in relation to other health professionals, as well as skills development, career progression, gender, capacity building and potential research contributions. Service-related challenges included work load, case mix, administration, commissioning, processes or arrangements, entrepreneurial aspects of advocacy services, and mechanisms or potentials for cost recovery. Client-related challenges included continuity of advocacy, language requirements and advocacy needs of clients, and ways in which mobile populations influence planning and delivery of advocacy services in inner city hospitals. The paper concludes by identifying the implications for future development of bilingual advocacy services and the implications for their workforce. (RH). |
| Accession Number | CPA-100323005 A |
| Classmark | TK: L: IQ: U: 82L |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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