Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Van der Boechorststraat 7, NL-1081 BT, Amsterdam, the Netherlands; Department of Communication Science, Amsterdam School of Communication Research/ASCoR, University of Amsterdam, the Netherlands.
Department of Communication Science, Amsterdam School of Communication Research/ASCoR, University of Amsterdam, the Netherlands.
Patient Educ Couns. 2019 Apr;102(4):631-650. doi: 10.1016/j.pec.2018.11.018. Epub 2018 Nov 24.
To provide an overview of information and participation preferences and needs of non-Western ethnic minority cancer patients living in Western countries.
A systematic literature review was conducted using the databases PsycINFO, PubMed, CINAHL, and EMBASE. Thematic analysis was carried out to synthesize data, allowing for identification of important themes and synthesis of both qualitative and quantitative studies.
Forty-four papers were included. Non- Western ethnic minority cancer patients/survivors have high information preferences and needs regarding topics ranging from diagnosis to treatment and from prevention to the healthcare system. Younger, female, and unmarried patients/survivors, and patients with better language proficiency reported higher information preferences. Latin-American and African-American patients/survivors primarily prefer shared or active participation. Asian and Middle-Eastern patients/survivors prefer primarily passive participation. Younger patients, and those with a higher level of education and acculturation were more likely to prefer active or shared participation.
Further (quantitative) research on factors associated with patients' preferences is needed in order to better understand the underlying reasons of information and participation preferences and needs of diverse non-Western ethnic minority cancer patients.
To better fulfil ethnic minority patients'/survivors' preferences and needs healthcare providers should elaborate upon these and tailor their information- provision accordingly.
概述居住在西方国家的非西方少数民族癌症患者的信息和参与偏好及需求。
使用 PsycINFO、PubMed、CINAHL 和 EMBASE 数据库进行系统文献回顾。采用主题分析对数据进行综合,以确定重要主题,并对定性和定量研究进行综合。
共纳入 44 篇论文。非西方少数民族癌症患者/幸存者对从诊断到治疗、从预防到医疗保健系统等各个方面的信息都有着较高的偏好和需求。年轻、女性、未婚的患者/幸存者,以及语言能力较好的患者报告称其信息偏好更高。拉丁裔和非裔美国患者/幸存者主要偏好共同或主动参与。亚洲和中东地区的患者/幸存者主要偏好被动参与。年轻患者、受教育程度和文化程度较高的患者更倾向于主动或共同参与。
需要进一步开展(定量)研究,以了解与患者偏好相关的因素,从而更好地理解不同非西方少数民族癌症患者的信息和参与偏好及需求的潜在原因。
为了更好地满足少数民族患者/幸存者的偏好和需求,医疗保健提供者应详细了解这些偏好,并相应地调整其信息提供。