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Official websites use. Share sensitive information only on official, secure websites. Correspondence Dr Neil Arya ; email narya uwaterloo. To understand how community-dwelling South Asian older adults understand and envision long-term care LTC. Participants included 3 key informants geriatrician, social worker, and medical translator, all South Asian , 1 family caregiver, and 15 community-dwelling South Asian adults aged 65 and older.
In-depth interviews and focus groups were recorded, transcribed verbatim, and analyzed using a framework analysis approach. High-level themes included the emotional impacts of failure to provide culturally competent care, such as fear and isolation; a desire for a model of culturally competent care with an emphasis on food and language; and the need for LTC to be more integrated with the broader community and connected to families.
As the delivery of LTC is rethought in this country, there is the potential to deliver on the promise of culturally competent care for this growing population. These findings are among the first to communicate the LTC care needs of South Asian older adults in their own words. In Ontario, more than 50 LTC facilities cater to various ethnic groups, most in the greater Toronto area, where 33 of LTC homes had a cultural or religious designation as of Internationally, there are recognized benefits to ethnoculturally specific LTC.
Specific merits include enhanced trust and communication with providers, 15 lower use of antipsychotic medications, more accurate diagnoses, and improved family satisfaction for individuals living with dementia. A key concept related to providing appropriate care for ethnoculturally diverse groups of patients is cultural competence , which has been linked to improved health outcomes 18 , 19 across all levels and types of care.
At the system level, cultural competence refers to the demonstrated capacity of an organization to work effectively with culturally diverse populations, through explicit integration of cultural diversity into all aspects of its organizational values, structures, policies and practices.