Kirat Randhawa | University of Sussex (original) (raw)
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All India Institute of Medical Sciences, New Delhi
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Papers by Kirat Randhawa
Multiple factors account for inequality in health outcomes and in access to healthcare in the UK,... more Multiple factors account for inequality in health outcomes and in access to healthcare in the UK, including ethnicity and length of residence in the country. This thesis explores the subjective experiences of a group of recent low-income international migrants who live in Brighton and Hove and have used local health services to seek care for a range of illnesses and conditions. The project was formulated in collaboration with Brighton and Hove City Council and the then NHS Brighton and Hove (now Brighton and Hove Clinical Commissioning Group), using local professional knowledge and experience to recruit participants and collect narratives from a ‘hard to reach’ social group. The theoretical background of this thesis draws on ‘lived’ experience in the context of illness. Analysis of qualitative interviews, using narrative typologies derived from the work of Frank (1991), revealed both the commonalities across and the specificities of illness experiences, and highlighted a multi-facto...
Multiple factors account for inequality in health outcomes and in access to healthcare in the UK,... more Multiple factors account for inequality in health outcomes and in access to healthcare in the UK, including ethnicity. This thesis explores length of residency in a country after migration through the subjective experiences of a group of recent low-income international migrants who have used local health services to seek care for a range of illnesses and conditions. The project was formulated in collaboration with Brighton and Hove City Council and the then NHS Brighton and Hove (now Brighton and Hove Clinical Commissioning Group) to recruit participants and collect narratives from this hard to reach social group. The theoretical background of this research draws on ‘lived’ experience in the context of illness. Analysis of qualitative interviews used narrative typologies derived from the work of Frank (1991), revealing both the commonalities across and the specificities of illness experiences, and highlighting a multi-factorial web of bio-psychosocial and economic factors at play. The interviews overwhelmingly fitted with a chronic, ‘chaos’ typology, in which diagnoses were commonly contested. The particularities of recent migrant status impacted upon participants’ illness experiences and healthcare use with migrants making comparisons with health systems in their countries of origin and managing healthcare through social networks. The findings from the data analysis around patient experience showed that the overall experience was negative, characterised by themes of problems in communication and access. Some outcomes were explained in terms of direct and indirect discrimination. Direct discrimination and stigma were perceived by many participants with attitudes and practices of staff, and the theme of ethnicity, immigration status and faith being stated. From this study it is possible to hypothesise that some healthcare practices and policy may give rise to the perceptions of discrimination.
Multiple factors account for inequality in health outcomes and in access to healthcare in the UK,... more Multiple factors account for inequality in health outcomes and in access to healthcare in the UK, including ethnicity. This thesis explores length of residency in a country after migration through the subjective experiences of a group of recent low-income international migrants who have used local health services to seek care for a range of illnesses and conditions. The project was formulated in collaboration with Brighton and Hove City Council and the then NHS Brighton and Hove (now Brighton and Hove Clinical Commissioning Group) to recruit participants and collect narratives from this hard to reach social group.
The theoretical background of this research draws on ‘lived’ experience in the context of illness. Analysis of qualitative interviews used narrative typologies derived from the work of Frank (1991), revealing both the commonalities across and the specificities of illness experiences, and highlighting a multi-factorial web of bio-psychosocial and economic factors at play. The interviews overwhelmingly fitted with a chronic, ‘chaos’ typology, in which diagnoses were commonly contested.
The particularities of recent migrant status impacted upon participants’ illness experiences and healthcare use with migrants making comparisons with health systems in their countries of origin and managing healthcare through social networks. The findings from the data analysis around patient experience showed that the overall experience was negative, characterised by themes of problems in communication and access. Some outcomes were explained in terms of direct and indirect discrimination. Direct discrimination and stigma were perceived by many participants with attitudes and practices of staff, and the theme of ethnicity, immigration status and faith being stated. From this study it is possible to hypothesise that some healthcare practices and policy may give rise to the perceptions of discrimination.
Multiple factors account for inequality in health outcomes and in access to healthcare in the UK,... more Multiple factors account for inequality in health outcomes and in access to healthcare in the UK, including ethnicity and length of residence in the country. This thesis explores the subjective experiences of a group of recent low-income international migrants who live in Brighton and Hove and have used local health services to seek care for a range of illnesses and conditions. The project was formulated in collaboration with Brighton and Hove City Council and the then NHS Brighton and Hove (now Brighton and Hove Clinical Commissioning Group), using local professional knowledge and experience to recruit participants and collect narratives from a ‘hard to reach’ social group. The theoretical background of this thesis draws on ‘lived’ experience in the context of illness. Analysis of qualitative interviews, using narrative typologies derived from the work of Frank (1991), revealed both the commonalities across and the specificities of illness experiences, and highlighted a multi-facto...
Multiple factors account for inequality in health outcomes and in access to healthcare in the UK,... more Multiple factors account for inequality in health outcomes and in access to healthcare in the UK, including ethnicity. This thesis explores length of residency in a country after migration through the subjective experiences of a group of recent low-income international migrants who have used local health services to seek care for a range of illnesses and conditions. The project was formulated in collaboration with Brighton and Hove City Council and the then NHS Brighton and Hove (now Brighton and Hove Clinical Commissioning Group) to recruit participants and collect narratives from this hard to reach social group. The theoretical background of this research draws on ‘lived’ experience in the context of illness. Analysis of qualitative interviews used narrative typologies derived from the work of Frank (1991), revealing both the commonalities across and the specificities of illness experiences, and highlighting a multi-factorial web of bio-psychosocial and economic factors at play. The interviews overwhelmingly fitted with a chronic, ‘chaos’ typology, in which diagnoses were commonly contested. The particularities of recent migrant status impacted upon participants’ illness experiences and healthcare use with migrants making comparisons with health systems in their countries of origin and managing healthcare through social networks. The findings from the data analysis around patient experience showed that the overall experience was negative, characterised by themes of problems in communication and access. Some outcomes were explained in terms of direct and indirect discrimination. Direct discrimination and stigma were perceived by many participants with attitudes and practices of staff, and the theme of ethnicity, immigration status and faith being stated. From this study it is possible to hypothesise that some healthcare practices and policy may give rise to the perceptions of discrimination.
Multiple factors account for inequality in health outcomes and in access to healthcare in the UK,... more Multiple factors account for inequality in health outcomes and in access to healthcare in the UK, including ethnicity. This thesis explores length of residency in a country after migration through the subjective experiences of a group of recent low-income international migrants who have used local health services to seek care for a range of illnesses and conditions. The project was formulated in collaboration with Brighton and Hove City Council and the then NHS Brighton and Hove (now Brighton and Hove Clinical Commissioning Group) to recruit participants and collect narratives from this hard to reach social group.
The theoretical background of this research draws on ‘lived’ experience in the context of illness. Analysis of qualitative interviews used narrative typologies derived from the work of Frank (1991), revealing both the commonalities across and the specificities of illness experiences, and highlighting a multi-factorial web of bio-psychosocial and economic factors at play. The interviews overwhelmingly fitted with a chronic, ‘chaos’ typology, in which diagnoses were commonly contested.
The particularities of recent migrant status impacted upon participants’ illness experiences and healthcare use with migrants making comparisons with health systems in their countries of origin and managing healthcare through social networks. The findings from the data analysis around patient experience showed that the overall experience was negative, characterised by themes of problems in communication and access. Some outcomes were explained in terms of direct and indirect discrimination. Direct discrimination and stigma were perceived by many participants with attitudes and practices of staff, and the theme of ethnicity, immigration status and faith being stated. From this study it is possible to hypothesise that some healthcare practices and policy may give rise to the perceptions of discrimination.