Perspectives on addressing racial inequality in the NHS

Roberts, Madeleine (2023). Perspectives on addressing racial inequality in the NHS. University of Birmingham. Clin.Psy.D.

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Literature Review: Racial discrimination is considered a contributor to the world health burden due to its association with an array of health difficulties. As such, continued research and reviews are vital for monitoring these associations. A meta-analysis was conducted to explore the association between perceived racial discrimination (PRD) and anxiety. A previous meta-analysis by Paradies et al (2015) was used as a comparative study. The search for the current review continued on from the end date of this 2015 review to provide an update. Fifty-five primary studies were included in the final analysis. The results revealed a small but significant association between PRD and anxiety. The quality of the evidence base and moderators of the association were explored. Recommendations for future research suggest the quality and diversity of the evidence base requires improvement.

Empirical Research Paper: Racial inequality in the NHS has been recognised by stakeholders and in research for years. However, strategies employed to enact change have been considered limited in their impact. Developing a shared understanding of stakeholders’ beliefs, wants, and barriers to addressing racial inequality is considered an important but neglected area of research. Q-methodology was employed to explore stakeholder perspectives on how to address racial inequality most effectively in the NHS. Experts by Experience and NHS staff were recruited to provide their perspectives. Factor analysis revealed three distinct opinion groups. What defined and differentiated these opinion groups are explored. The strengths and limitations of the study are also considered with recommendations for future research made.

Type of Work: Thesis (Doctorates > Clin.Psy.D.)
Award Type: Doctorates > Clin.Psy.D.
Licence: All rights reserved
College/Faculty: Colleges (2008 onwards) > College of Life & Environmental Sciences
School or Department: School of Psychology
Funders: None/not applicable
Subjects: B Philosophy. Psychology. Religion > BF Psychology


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