Barriers experienced by Asians in accessing injury-related services and compensations

Sobrun-Maharaj, Amritha, Tse, Samson and Hoque, Ekramul 2010, Barriers experienced by Asians in accessing injury-related services and compensations, Journal of primary health care, vol. 2, no. 1, pp. 43-53.

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Title Barriers experienced by Asians in accessing injury-related services and compensations
Author(s) Sobrun-Maharaj, Amritha
Tse, Samson
Hoque, Ekramul
Journal name Journal of primary health care
Volume number 2
Issue number 1
Start page 43
End page 53
Total pages 11
Publisher University of Auckland
Place of publication Auckland, New Zealand
Publication date 2010-03
ISSN 1172-6156
Keyword(s) barriers
access
Asians
injury-related services
Summary Introduction: The Accident Compensation Corporation (ACC) administers New Zealand’s (NZ) accident compensation scheme. Asians in NZ are apparently under-serviced by ACC and may be experiencing barriers to accessing services. This study identifies barriers that Asians in NZ face in accessing ACC’s injury-related services and compensations.

Methods
: By utilising a qualitative research design, 113 Chinese, Korean, Indian, and South East Asian participants residing in Auckland, NZ were recruited through maximum variation and purposive snowball sampling. Data were gathered during 2006 through 22 individual in-depth interviews and 14 focus group discussions based on semi-structured interview schedules. Interviewees included Asian general practitioners, traditional health providers, users and non-users of injury-related services, case managers and Asian community leaders. Data were analysed using a general inductive approach.

Findings: Results show that personal/cultural characteristics such as age, gender, English language competence, injury-related language competence, differing Asian worldviews, and consequent help-seeking behaviours act as barriers to accessing services and entitlements. This is exacerbated by logistical and environmental factors such as cost, transport, time, inadequate interpretation and translation services, as well as institutional barriers such as lack of information about services, culturally inappropriate services, discriminatory attitudes and employment risks.

Conclusion: It is evident that Asians living in NZ are experiencing several cultural, environmental and institutional barriers to accessing ACC services. There is clearly a need for more culturally relevant information and injury-related services if Asian immigrants’ use of such services and entitlements is to be increased.
Language eng
Field of Research 111709 Health Care Administration
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, University of Auckland
Persistent URL http://hdl.handle.net/10536/DRO/DU:30026303

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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Created: Wed, 31 Mar 2010, 08:14:37 EST by Ekramul Hoque

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