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Br J Gen Pract. 1992 May; 42(358): 197–201.
PMCID: PMC1372024

Attitudes to and perceived use of health care services among Asian and non-Asian patients in Leicester.

Abstract

A random sample of 449 Asian patients and 447 non-Asian patients were interviewed at home in their preferred language using a personally administered questionnaire comparing attitudes to and perceived use of health care services in Leicester. The overall response rate was 89.6%. There were differences in the responses of the Asian and non-Asian populations. With respect to communication, language as a barrier appears to be a diminishing problem among Asian patients in Leicester. However, Asian patients reported finding it more difficult to gain access to their general practitioners than non-Asian patients. More Asian than non-Asian patients would have preferred direct access to consultants and most respondents from both populations felt they should be able to request a hospital opinion from their general practitioner. More Asian patients disliked management of illness by telephone than non-Asian patients, the latter feeling that telephone advice could save them a trip to the surgery, or their general practitioner a home visit. However, both groups regarded home visiting as essential. Asian patients disliked deputizing services more than non-Asian patients, and there was some support for 24 hour surgeries, particularly among the Asian population, with doctors working in shifts. As Asian patients appear to differ from non-Asian patients with respect to attitudes and perceived need for health care services, this type of survey may form the basis for the more rational planning of health care delivery to ethnic minority patients in the future.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Donaldson LJ, Taylor JB. Patterns of Asian and non-Asian morbidity in hospitals. Br Med J (Clin Res Ed) 1983 Mar 19;286(6369):949–951. [PMC free article] [PubMed]
  • Rashid A, Mohammed T, Stephens WP, Warrington S, Berry JL, Mawer EB. Vitamin D state of Asians living in Pakistan. Br Med J (Clin Res Ed) 1983 Jan 15;286(6360):182–184. [PMC free article] [PubMed]
  • Ali AR, Smales OR, Aslam M. Surma and lead poisoning. Br Med J. 1978 Sep 30;2(6142):915–916. [PMC free article] [PubMed]
  • Black J. Child health in ethnic minorities. The difficulties of living in Britain. Br Med J (Clin Res Ed) 1985 Feb 23;290(6468):615–617. [PMC free article] [PubMed]
  • Blakemore K. Ethnicity, self-reported illness and use of medical services by the elderly. Postgrad Med J. 1983 Oct;59(696):668–670. [PMC free article] [PubMed]
  • Donovan JL. Ethnicity and health: a research review. Soc Sci Med. 1984;19(7):663–670. [PubMed]
  • Jarman B. Identification of underprivileged areas. Br Med J (Clin Res Ed) 1983 May 28;286(6379):1705–1709. [PMC free article] [PubMed]
  • Gillam SJ, Jarman B, White P, Law R. Ethnic differences in consultation rates in urban general practice. BMJ. 1989 Oct 14;299(6705):953–957. [PMC free article] [PubMed]
  • Balarajan R, Yuen P, Soni Raleigh V. Ethnic differences in general practitioner consultations. BMJ. 1989 Oct 14;299(6705):958–960. [PMC free article] [PubMed]
  • Donaldson LJ, Clayton DG. Occurrence of cancer in Asians and non-Asians. J Epidemiol Community Health. 1984 Sep;38(3):203–207. [PMC free article] [PubMed]
  • Donaldson LJ. Health and social status of elderly Asians: a community survey. Br Med J (Clin Res Ed) 1986 Oct 25;293(6554):1079–1082. [PMC free article] [PubMed]
  • Fraser RC, Clayton DG. The accuracy of age-sex registers, practice medical records and family practitioner committee registers. J R Coll Gen Pract. 1981 Jul;31(228):410–419. [PMC free article] [PubMed]
  • Banks MH, Beresford SA, Morrell DC, Waller JJ, Watkins CJ. Factors influencing demand for primary medical care in women aged 20-44 years: a preliminary report. Int J Epidemiol. 1975 Sep;4(3):189–195. [PubMed]
  • Donaldson LJ, Odell A. Planning and providing services for the Asian population: a survey of District Health Authorities. J R Soc Health. 1984 Dec;104(6):199–202. [PubMed]
  • Ebden P, Carey OJ, Bhatt A, Harrison B. The bilingual consultation. Lancet. 1988 Feb 13;1(8581):347–347. [PubMed]
  • Baker MR, Bandaranayake R, Schweiger MS. Differences in rate of uptake of immunisation among ethnic groups. Br Med J (Clin Res Ed) 1984 Apr 7;288(6423):1075–1078. [PMC free article] [PubMed]
  • Ahmad WI, Kernohan EE, Baker MR. Patients' choice of general practitioner: importance of patients' and doctors' sex and ethnicity. Br J Gen Pract. 1991 Aug;41(349):330–331. [PMC free article] [PubMed]
  • Graffy J. Patient choice in a practice with men and women general practitioners. Br J Gen Pract. 1990 Jan;40(330):13–15. [PMC free article] [PubMed]
  • Freeman GK. Receptionists, appointment systems and continuity of care. J R Coll Gen Pract. 1989 Apr;39(321):145–147. [PMC free article] [PubMed]
  • Allen D, Leavey R, Marks B. Survey of patients' satisfaction with access to general practitioners. J R Coll Gen Pract. 1988 Apr;38(309):163–165. [PMC free article] [PubMed]
  • Packham CJ. Appointment system or open surgery? J R Coll Gen Pract. 1988 Dec;38(317):b568–568. [PMC free article]
  • Peter L, Tate JB, Catchpole PJ. Practice activity analysis: collaboration between general practitioners and a family practitioner committee. J R Coll Gen Pract. 1989 Jul;39(324):297–299. [PMC free article] [PubMed]
  • Bollam MJ, McCarthy M, Modell M. Patient's assessment of out of hours care in general practice. Br Med J (Clin Res Ed) 1988 Mar 19;296(6625):829–832. [PMC free article] [PubMed]
  • Ridsdale L. General practitioners' workload. BMJ. 1990 Sep 8;301(6750):455–456. [PMC free article] [PubMed]
  • Carney T. Workload of general practitioners. BMJ. 1989 Sep 23;299(6702):753–754. [PMC free article] [PubMed]
  • Pitts J. Hours of work and fatigue in doctors. J R Coll Gen Pract. 1988 Jan;38(306):2–3. [PMC free article] [PubMed]

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