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      Review of Muslim Patient Needs and Its Implications on Healthcare Delivery

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          Abstract

          Background:

          In the rapidly changing environment of healthcare, striving toward health equity and providing patient-centered care is imperative to the patient’s experience. To achieve these goals, a comprehensive understanding of the diverse patient populations seeking these services, their needs, and the multitude of religious, cultural, and structural elements that impact their well-being is required. Muslim patients represent a considerable demographic, both in number and complexity of religious and cultural beliefs and practices. This scoping review examines the intersection of religion and cultural values with healthcare delivery in the context of the Muslim patient experience.

          Objectives:

          The objective of this review is to identify key concepts and challenges that impact the Muslim patient experience.

          Search Methods:

          The research databases Cochrane Library, OVID Medline, and PubMED were used to conduct a comprehensive systemic review of original, empirical peer-reviewed publications with the following search terms: “Muslim healthcare,” “Muslim patient,” and “Muslim experience.”

          Selection Criteria:

          Inclusion and exclusion criteria were used to narrow down articles to those that addressed Muslim patient needs and their healthcare experience.

          Results:

          A total of 21 articles met the criteria of this scoping review. Five central topics were identified during thematic analysis: Ramadan and Fasting, Barriers in the Patient-Physician Relationship, Trauma and Perceived Discrimination, Mental Health Awareness and Stigma, and Awareness of Advanced Care Planning.

          Conclusion:

          This scoping review demonstrates that in order to provide patient-centered care addressing the unique needs of Muslim patients, religious and cultural values need to be explored under the frameworks of cultural humility and structural competency.

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          Most cited references48

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          The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

          The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.
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            Discrimination and racial disparities in health: evidence and needed research.

            This paper provides a review and critique of empirical research on perceived discrimination and health. The patterns of racial disparities in health suggest that there are multiple ways by which racism can affect health. Perceived discrimination is one such pathway and the paper reviews the published research on discrimination and health that appeared in PubMed between 2005 and 2007. This recent research continues to document an inverse association between discrimination and health. This pattern is now evident in a wider range of contexts and for a broader array of outcomes. Advancing our understanding of the relationship between perceived discrimination and health will require more attention to situating discrimination within the context of other health-relevant aspects of racism, measuring it comprehensively and accurately, assessing its stressful dimensions, and identifying the mechanisms that link discrimination to health.
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              • Record: found
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              Structural competency: Theorizing a new medical engagement with stigma and inequality

              This paper describes a shift in medical education away from pedagogic approaches to stigma and inequalities that emphasize cross-cultural understandings of individual patients, toward attention to forces that influence health outcomes at levels above individual interactions. It reviews existing structural approaches to stigma and health inequalities developed outside of medicine, and proposes changes to U.S. medical education that will infuse clinical training with a structural focus. The approach, termed “structural competency,” consists of training in five core competencies: 1) recognizing the structures that shape clinical interactions; 2) developing an extra-clinical language of structure; 3) rearticulating “cultural” formulations in structural terms; 4) observing and imagining structural interventions; and 5) developing structural humility. Examples are provided of structural health scholarship that should be adopted into medical didactic curricula, and of structural interventions that can provide participant-observation opportunities for clinical trainees. The paper ultimately argues that increasing recognition of the ways in which social and economic forces produce symptoms or methylate genes then needs to be better coupled with medical models for structural change.
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                Author and article information

                Journal
                J Prim Care Community Health
                J Prim Care Community Health
                JPC
                spjpc
                Journal of Primary Care & Community Health
                SAGE Publications (Sage CA: Los Angeles, CA )
                2150-1319
                2150-1327
                25 January 2024
                Jan-Dec 2024
                : 15
                : 21501319241228740
                Affiliations
                [1 ]Medical College of Wisconsin, Milwaukee, WI, USA
                [2 ]University of Minnesota Medical School, Minneapolis, MN, USA
                Author notes
                [*]Maie Zagloul, Medical College of Wisconsin, 8701West Watertown Plank Road, Milwaukee, WI 53226-0509, USA. Email: mzagloul@ 123456mcw.edu
                Author information
                https://orcid.org/0009-0008-7112-3274
                Article
                10.1177_21501319241228740
                10.1177/21501319241228740
                10812098
                38270090
                756ce6ad-b5e0-4807-9948-99a85299badd
                © The Author(s) 2024

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 30 September 2023
                : 3 January 2024
                : 5 January 2024
                Categories
                Review
                Custom metadata
                January-December 2024
                ts1

                muslim healthcare,cultural humility,muslim patient experience,muslim patient needs,ramadan and fasting,patient-physician relationship

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