Effectiveness of multicultural health workers in chronic disease prevention and self-management in culturally and linguistically diverse populations: a systematic literature review
Janny Goris A G , Nera Komaric B F , Amanda Guandalini C , Daniel Francis D and Ellen Hawes E
+ Author Affiliations
- Author Affiliations
A Gold Coast Public Health Unit, Queensland Health, PO Box 4256, Robina Town Centre, Gold Coast, Qld 4230, Australia.
B Ethnic Communities Council of Queensland, Chronic Disease Program, PO Box 5916, West End, Brisbane, Qld 4101, Australia.
C Wide Bay Public Health Unit, Queensland Health, PO Box 724, Hervey Bay, Qld 4655, Australia.
D Brisbane North Public Health Unit, Queensland Health, Locked Bag 2, Stafford DC, Brisbane, Qld 4053, Australia.
E Multicultural Services, Queensland Health, PO Box 2368, Fortitude Valley BC, Brisbane, Qld 4006, Australia.
F Present address: World Wellness Group, 28 Dibley Street, Woolloongabba, Brisbane, Qld 4102, Australia.
G Corresponding author. Email: Janny_Goris@health.qld.gov.au
Australian Journal of Primary Health 19(1) 14-37 https://doi.org/10.1071/PY11130
Submitted: 12 July 2011 Accepted: 10 February 2012 Published: 6 March 2012
Abstract
With a large and increasing culturally and linguistically diverse (CALD) population, the Australian health care system faces challenges in the provision of accessible culturally competent health care. Communities at higher risk of chronic disease include CALD communities. Overseas, multicultural health workers (MHWs) have been increasingly integrated in the delivery of culturally relevant primary health care to CALD communities. The objective of this systematic review was to examine the effectiveness of MHW interventions in chronic disease prevention and self-management in CALD populations with the aim to inform policy development of effective health care in CALD communities in Australia. A systematic review protocol was developed and computerised searches were conducted of multiple electronic databases from 1 January 1995 until 1 November 2010. Thirty-nine studies were identified including 31 randomised controlled trials. Many of the studies focussed on poor and underserved ethnic minorities. Several studies reported significant improvements in participants’ chronic disease prevention and self-management outcomes and meta-analyses identified a positive trend associated with MHW intervention. Australian Government policies express the need for targeted inventions for CALD communities. The broader systemic application of MHWs in Australian primary health care may provide one of the most useful targeted interventions for CALD communities.
Additional keywords: ethnic, health service access, minority, primary health care.
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