Barnes, Amy Jane Elizabeth orcid.org/0000-0002-8122-9792, Phillips, Fiona, Pickett, Kate orcid.org/0000-0002-8066-8507 et al. (3 more authors) (2024) Rapid review: Ten ways to improve support for minoritised informal adult carers at local government policy level to redress inequality. Public Health in Practice. 100543. ISSN 2666-5352
Abstract
Objective To rapidly identify and summarise evidence on key factors that affect access to support for minoritised informal adult carers which could be addressed at the level of local government policy-making Study design Rapid evidence review Methods A rapid umbrella review was undertaken of systematic reviews of qualitative, quantitative and/or mixed method studies. Systematic reviews were identified through simple database searches (Medline, Cochrane, Proquest), key author searching, referrals by experts (n=2) of key reviews to include, and citation and reference checking of identified reviews in September-October 2023.Systematic review evidence was supplemented with grey literature identified by practitioners (n=2) as locally-relevant. Data was extracted directly into a table and findings synthesised narratively by theme. Results Many factors were identified as affecting access to support for minoritised unpaid adult carers, including: inattention to socio-cultural diversity; issues of representation, racism and discrimination; and socio-economic inequality. Factors were themed around ten areas for local action, including: the importance of recognising intersectional disadvantage and diversity; ensuring support is socio-culturally appropriate; paying attention to gendered hierarchies in service design; identifying and ‘designing out’ racism and discrimination; addressing exclusions that minoritised carers with additional communication needs face; mitigating socio-economic inequality; and taking a ‘whole system’ approach that improves integration, routine data collection and support service evaluation. Conclusions We identified ten potential ways in which inequalities in support for minoritised unpaid adult carers could be addressed locally. Although the existing evidence base is limited, these ten areas could usefully be targeted for further investigation in research and within local policy development.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2024 The Authors |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Funding Information: | Funder Grant number NETSCC NIHR151305 MEDICAL RESEARCH COUNCIL (MRC) MR/S037527/1 |
Depositing User: | Pure (York) |
Date Deposited: | 04 Sep 2024 16:00 |
Last Modified: | 02 Apr 2025 23:28 |
Published Version: | https://doi.org/10.1016/j.puhip.2024.100543 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1016/j.puhip.2024.100543 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:216825 |
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Description: Rapid review: Ten ways to improve support for minoritised informal adult carers at local government policy level to redress inequality
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