Recommendations for ethnic equity in health: A Delphi study from Denmark
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Recommendations for ethnic equity in health : A Delphi study from Denmark. / Smith Jervelund, Signe; Vinther-Jensen, Kirsten; Ryom, Knud; Villadsen, Sarah Fredsted; Hempler, Nana Folmann.
In: Scandinavian Journal of Public Health, Vol. 51, No. 3, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Recommendations for ethnic equity in health
T2 - A Delphi study from Denmark
AU - Smith Jervelund, Signe
AU - Vinther-Jensen, Kirsten
AU - Ryom, Knud
AU - Villadsen, Sarah Fredsted
AU - Hempler, Nana Folmann
PY - 2023
Y1 - 2023
N2 - Aims A key issue in public health is how to approach ethnic inequities. Despite an increased focus on the health of people from ethnic minorities in the last 15 years, significant ethnic health inequities still exist in Denmark. These arise during pregnancy and are exacerbated by higher rates of exposure to health risks during the life course. This study aimed to formulate recommendations on both structural and organisational levels to reduce ethnic health inequities. Methods Nine decision-makers - representing municipalities, regions, the private sector and voluntary organisations in Denmark - participated in the formulation of recommendations inspired by the Delphi method. The consensus process was conducted in three rounds during spring 2020, resulting in eight overall recommendations, including suggestions for action. Results The recommendations address both structural and organisational levels. They aim to strengthen: 1) health policies and strategies related to the needs of people from ethnic minorities, including health literacy, linguistic, cultural and social differences; 2) health-promoting local initiatives developed in co-creation with people from ethnic minorities; 3) health promotion and prevention from a life course perspective with a focus on early intervention; 4) cross-sectoral and interdisciplinary collaborations that facilitate transitions and coordination; 5) competencies of professionals in terms of cultural knowledge, awareness, reflexivity and skills; 6) access to healthcare services by increasing information and resources; 7) interpreting assistance for, and linguistic accessibility to, healthcare services; 8) documentation and intervention research. Conclusions To reduce ethnic health inequities, it is crucial that Danish welfare institutions, including their strategies, approaches and skills of employees, are adapted to serve an increasingly heterogeneous population.
AB - Aims A key issue in public health is how to approach ethnic inequities. Despite an increased focus on the health of people from ethnic minorities in the last 15 years, significant ethnic health inequities still exist in Denmark. These arise during pregnancy and are exacerbated by higher rates of exposure to health risks during the life course. This study aimed to formulate recommendations on both structural and organisational levels to reduce ethnic health inequities. Methods Nine decision-makers - representing municipalities, regions, the private sector and voluntary organisations in Denmark - participated in the formulation of recommendations inspired by the Delphi method. The consensus process was conducted in three rounds during spring 2020, resulting in eight overall recommendations, including suggestions for action. Results The recommendations address both structural and organisational levels. They aim to strengthen: 1) health policies and strategies related to the needs of people from ethnic minorities, including health literacy, linguistic, cultural and social differences; 2) health-promoting local initiatives developed in co-creation with people from ethnic minorities; 3) health promotion and prevention from a life course perspective with a focus on early intervention; 4) cross-sectoral and interdisciplinary collaborations that facilitate transitions and coordination; 5) competencies of professionals in terms of cultural knowledge, awareness, reflexivity and skills; 6) access to healthcare services by increasing information and resources; 7) interpreting assistance for, and linguistic accessibility to, healthcare services; 8) documentation and intervention research. Conclusions To reduce ethnic health inequities, it is crucial that Danish welfare institutions, including their strategies, approaches and skills of employees, are adapted to serve an increasingly heterogeneous population.
KW - Inequity
KW - ethnic minorities
KW - Delphi method
KW - recommendations
KW - health policies
KW - health promotion
KW - cultural competences
KW - access to healthcare
KW - interpreters
KW - Denmark
KW - SELF-PERCEIVED HEALTH
KW - CULTURAL COMPETENCE
KW - IMMIGRANTS
KW - POPULATION
KW - MINORITIES
KW - MIGRANTS
KW - SERVICES
U2 - 10.1177/14034948211040965
DO - 10.1177/14034948211040965
M3 - Journal article
C2 - 34515598
VL - 51
JO - Scandinavian Journal of Public Health, Supplement
JF - Scandinavian Journal of Public Health, Supplement
SN - 1403-4956
IS - 3
ER -
ID: 280171420