Barriers and facilitators in accessing dementia care by ethnic minority groups: a meta-synthesis of qualitative studies

Cassandra Kenning, Gavin Daker-White, Amy Blakemore, Maria Panagioti, Waquas Waheed, Cassandra Kenning, Gavin Daker-White, Amy Blakemore, Maria Panagioti, Waquas Waheed

Abstract

Background: It is estimated that there are about 25,000 people from UK ethnic minority groups with dementia. It is clear that there is an increasing need to improve access to dementia services for all ethnic groups to ensure that everyone has access to the same potential health benefits. The aim was to systematically review qualitative studies and to perform a meta-synthesis around barriers and facilitators to accessing care for dementia in ethnic minorities.

Methods: Databases were searched to capture studies on barriers and facilitators to accessing care for dementia in ethnic minorities. Analysis followed the guidelines for meta-ethnography. All interpretations of data as presented by the authors of the included papers were extracted and grouped into new themes.

Results: Six hundred and eighty four papers were identified and screened. Twenty eight studies were included in the meta-synthesis. The analysis developed a number of themes and these were incorporated into two overarching themes: 'inadequacies' and 'cultural habitus'.

Conclusions: The two overarching themes lend themselves to interventions at a service level and a community level which need to happen in synergy.

Trial registration: The review was registered with PROSPERO: CRD42016049326 .

Keywords: Access; Barriers; Dementia; Ethnicity; Facilitators; Meta-ethnography; Minority; Review.

Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

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Fig. 1
PRISMA diagram
Fig. 2
Fig. 2
A model for intervention

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