Access to Long-Term Care for Minority Populations: A Systematic Review. Issue 4 (25th December 2022)

• Record Type: Journal Article
• Authors: Scott, Mary M.; Mayhew, Alain; Jeong, Ahwon; Shaver, Nicole; Lapenskie, Julie; Hsu, Amy T.; Tanjong-Ghogomu, Elizabeth; Tanuseputro, Peter; Huang, Emily; Welch, Vivian
• Is Part Of: Canadian journal on aging. Volume 41:Issue 4(2022)
• Page Start: 577
• Page End: 592
• Publication Date: 2022-12-25
• Subjects: aging -- long-term care -- accessibility of health services -- underserved populations; vieillissement -- soins de longue durée -- accessibilité des services de santé -- populations sous-desservies; Gerontology -- Periodicals; Gerontology -- Canada -- Periodicals; 612.6705
• DOI: 10.1017/S0714980822000046
• Languages: English
• ISSNs: 0714-9808

Abstract

Abstract: It has been shown that there is disparity in access to long-term care and other services for minority populations. This study assessed long-term care access among older individuals belonging to minority populations including visible, ethnocultural, linguistic, and sexual minorities. Barriers and facilitators influencing admission were identified and evaluated. A search for articles from 10 databases published between January 2000 and January 2021 was conducted. Included studies evaluated factors affecting minority populations' admission to long-term care, and non-residents' perceptions of future admission. This review was registered with PROSPERO: CRD42018038662. Sixty included quantitative and qualitative studies, ranging in quality from fair to excellent. Findings suggest minority status is associated with reduced admission to long-term care, controlling for confounding variables. Barriers identified include discordant language, fear of discrimination, lack of information, and family obligations. Findings suggest that minority populations experienced barriers accessing long-term care and had unmet cultural and language needs while receiving care in this setting.