The healthcare experiences of Koreans living in North Carolina: a mixed methods study.
This study examined the healthcare experiences of Korean immigrants aged 40-64 living in the North Carolina Triangle area of the Southeastern United States. Using a mixed methods design, we collected quantitative data via a questionnaire from 125 participants and conducted a focus group with 10 inte...
| Publicado en: | Health & Social Care in the Community Vol. 22; no. 4; pp. 417 - 429 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103959944&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103959944 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: Jul2014 vid: 22 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 103959944 96383687 10.1111/hsc.12098 NLM24621370 103959944 ppf: 417 ppct: 12 formats: fmt: @attributes: type: P tig: atl: The healthcare experiences of Koreans living in North Carolina: a mixed methods study. aug: au: De Gagne, Jennie C. Oh, Jina So, Aeyoung Kim, Suk-Sun affil: School of Nursing, Duke University sug: subj: Quality of Health Care North Carolina Koreans North Carolina Patient Attitudes Human North Carolina Adult Middle Age Immigrants Multimethod Studies Questionnaires Conceptual Framework T-Tests Chi Square Test Thematic Analysis Cultural Sensitivity Patient Centered Care Confidence Intervals Odds Ratio Pilot Studies Coefficient alpha Summated Rating Scaling Focus Groups Health Resource Utilization Funding Source Adult: 19-44 years Middle Aged: 45-64 years ab: This study examined the healthcare experiences of Korean immigrants aged 40-64 living in the North Carolina Triangle area of the Southeastern United States. Using a mixed methods design, we collected quantitative data via a questionnaire from 125 participants and conducted a focus group with 10 interviewees from December 2010 to February 2011. The quantitative data were analysed using t-tests and chi-square tests, and a thematic analysis was used for the focus group study. Questionnaire findings showed that only 27.2% had sufficient English skills to communicate adequately. Participants with insurance were significantly more likely to be employed ( P < 0.001), had higher incomes ( P = 0.011) and higher education ( P < 0.001), and had greater English-speaking ability ( P = 0.011) than those without insurance. Participants who did not use healthcare services showed significantly less knowledge ( P < 0.001) of and less satisfaction ( P = 0.034) with the healthcare system than those using healthcare services. Sixty-two participants (49.6%) reported having no health insurance for one or more of the following reasons: high costs (75.8%), medical tourism (22.6%) and lack of information or knowledge (6.5%). The following themes emerged from the data collected during the focus group: (i) barriers to utilisation of healthcare services; (ii) facilitators of utilisation of healthcare services; and (iii) social support seeking for health management. Our mixed methods study findings indicate that healthcare disparities exist among Korean immigrants and that a number of factors, including health literacy, may contribute to their poor health outcomes. Continued collaboration among community members, healthcare professionals and academicians is needed to discuss the community's health concerns and to develop sustainable programmes that will ensure meaningful access to care for those with limited English proficiency and medically underserved populations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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