Journal of Cross-Cultural Gerontology
Volume 27, Issue 3, 2012, Pages 291-304

Exploring Discrimination in American Health Care System: Perceptions/Experiences of Older Iranian Immigrants (Article)

Martin S.S.
  • a Hartford Foundation Geriatric Scholar, School of Social Work, University of Alabama, 220 Little Hall, Box 870314, Tuscaloosa, AL 35487-0314, United States

Abstract

The United States population is older and more diverse than ever before. Older Immigrant and minorities have been found to suffer from health care disparities. The National Institute of Health (2002) has identified discrimination as one of the factors that contributes to health disparities among immigrants and minority populations. The purpose of this qualitative phenomenological study was to explore older Iranian immigrants' perceptions/experiences of discrimination in their encounter with the American health care system. In depth interviews were conducted with 15 Iranians who had immigrated to the United States after the age of 50. The following major themes emerged from the study: 1) "American doctors don't discriminate", 2) class discrimination in American and Iranian health care system and 3) treating the illness and not the whole person. In general the participants reported that they did not perceive/experience discrimination in their encounter with the American health care system. In fact majority of the participants reported highly positive impressions of American health care providers. Some participants claimed that language barriers may have protected them from recognizing possible discriminations, while others reported that this absence of perceived discrimination may be a function of American provider's perception of a patient as an "illness" and not a whole person. © 2012 Springer Science+Business Media, LLC.

Author Keywords

health disparities Iranian Immigrants Discrimination in health care Middle Eastern immigrants Culturally appropriate care

Index Keywords

perception health disparity Health Status Disparities Utah perceptive discrimination human middle aged Aged ethnology Iran qualitative research Discrimination (Psychology) health personnel attitude interview Attitude of Health Personnel United States Humans Interviews as Topic male Emigrants and Immigrants female Aged, 80 and over Socioeconomic Factors socioeconomics questionnaire patient satisfaction Article Questionnaires migration patient attitude Patient Acceptance of Health Care Delivery of Health Care recording Tape Recording health care delivery

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84865409540&doi=10.1007%2fs10823-012-9168-z&partnerID=40&md5=e03778fcb262308a956ebb503116357c

DOI: 10.1007/s10823-012-9168-z
ISSN: 01693816
Cited by: 5
Original Language: English