UNASSIGNED: Migrant Chinese populations in Western countries have a high prevalence of @entity6194 but often experience poor access to healthcare and late diagnosis. This systematic review aimed to identify obstacles and supports to timely and appropriate health service use among these populations. Systematic searches resulted in 48 relevant studies published between 1996 and 2015. Data extraction and synthesis were informed by models of healthcare access that highlight the interplay of @entity1 , provider and health system factors. There was strong consistent evidence of low levels of knowledge among @entity1 and community members; but interventions that were primarily focused on increasing knowledge had only modest positive effects on testing and/or vaccination. There was strong consistent evidence that Chinese migrants tend to misunderstand the need for healthcare for @entity1956 and have low satisfaction with services. Stigma was consistently associated with @entity1956 and there was weak but consistent evidence of stigma acting as a barrier to care. However, available evidence on the effects of providing culturally appropriate services for @entity1956 on increasing uptake is limited. There was strong consistent evidence that health professionals miss opportunities for testing and vaccination. Practitioner education interventions may be important but evidence of effectiveness is limited. A simple prompt in @entity1 records for primary care physicians improved the uptake of testing; and a dedicated service increased targeted vaccination coverage for new-borns. Further development and more rigorous evaluation of more holistic approaches that address @entity1 , provider and system obstacles are needed. This article is protected by copyright. All rights reserved.

Improving access to health care for XXXX among migrant Chinese populations: a systematic mixed methods review of barriers and enablers.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity6194 :: ('MESH:D019694', 'Disease') :: ['chronic hepatitis B'] @entity1956 :: ('MESH:D006509', 'Disease') :: ['hepatitis B']
@entity6194 :: (MESH:D019694,Disease) :: ['chronic hepatitis B']
