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Ethinicity and Healthcare Practice: A Guide for the Primary Care Team
Quay books, Jan 2010, Pages: 134
This book aims to provide a short overview of key issues in understanding the relationship between ethnicity and health, and to provide some practical suggestions and resources for primary healthcare providers in particular to consider when working with minority ethnic communities. A book of this size cannot aim to be comprehensive, but we make suggestions for further reading and include a list of useful resources to follow up the issues discussed and related topics.
Our aim is to shed some light onto the thorny issue of how ethnicity can be addressed within community healthcare practice. As we shall see, this involves more than identifying a list of ethnic ‘groups’ who allegedly share the same culture and behave in predetermined ways. Ethnicity and culture are likely to be just one set of structures (among others such as age, gender and sexuality) that many of us use in making sense of our lives generally and our understandings of health and illness.
Culture may play an important role in showing how individuals and groups construct their identities. Our perceptions of health and illness, how we respond to the threat of illness and to treatment regimes are all potentially influenced by the taken-for-granted ideas of our culture as well as the medical/scientific knowledge we are able to draw on by our engagement with education, the media and the healthcare system (Kelleher, 1996). This is not to deny the significance of structures of inequality or the reality of racism, but to argue for an approach which extends our knowledge of how people draw upon elements of culture to help them manage the situations they face as patients or providers. In this respect, it is important to see ethnic identity not necessarily as a ‘barrier’ to good health, but also as a potentially positive source of support, which can contribute to the promotion of well-being. While it is undoubtedly the case that culture may influence health in many ways, we argue in this book that we should not view culture in a deterministic way, nor should we ignore the many similarities between ethnic groups in their experience of health and illness (Culley, 2006; Phillips, 2007).
Each chapter of the book includes a brief overview of a topic, examples of good practice/resources, a list of key points and suggestions for further reading.
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