Primary Medical Care

Background: The effectivity role of community mental health worker (CMHWs) has several important gaps in the service provision at the community level. This study aimed to explain community mental health workers' effectivity role for the rehabilitation of mental health illness. Methods: A systematic review searched five electronic databases (Scopus, PubMed, ScienceDirect, CINAHL, and ProQuest) for previous studies published between 2015 and 2020. The Centre for Review and Dissemination and the Joanna Briggs Institute Guideline used to assess quality and Prisma checklist guided this review.
Background: The population of older adults (ie, those aged ≥55 years) in England is becoming increasingly ethnically diverse. Previous reports indicate that ethnic inequalities in health exist among older adults, but information is limited by the paucity of data from small minority ethnic groups. This study aimed to analyse inequalities in health-related quality of life (HRQoL) and five determinants of health in older adults across all ethnic groups in England.
This Article supports SDGs 3 and 10 by evaluating ethnic inequalities in health among older adults (55 years or older) in England. The large, cross-sectional study includes more than a million survey respondents, and identifies wide ethnic inequalities in health-related quality of life, prevalence of long-term conditions, experiences of primary care, support from local services, and confidence in managing one's own health. Outcomes varied widely between minority ethnic groups, both in the direction and magnitude of associations.
This study supports SDG 3 and 10 by reporting that Māori and Pacific people with type 2 diabetes have consistently poorer health outcomes than European patients, indicating the need for specific policies and interventions to better manage type 2 diabetes in these subpopulations.
Study objective: We estimate emergency department (ED) use differences across Medicare enrollees of different race/ethnicity who are residing in the same zip codes. Methods: In this retrospective cohort study, we stratified all Medicare fee-for-service beneficiaries aged 66 years and older (2006 to 2012) by residence zip code and identified zip codes with racial/ethnic diversity, defined as containing at least 1 enrollee from each of 3 racial/ethnic groups: Hispanics, (non-Hispanic) blacks, and (non-Hispanic) whites.