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Ethnic minorities in various countries often do not have access to quality health care,
but little is known about strategies that could reduce inequity between majority and
minority patients. Such inequities may be related to provider and or organisational
Key messages
 Provider tracking or reminder systems improve the quality of health care for ethnic
minority patients.
 Other provider interventions which may improve the quality of care for ethnic
minorities include
- provider education,
- task shifting (substitution of a doctor by a nurse),
- use of remote simultaneous translation for patients with limited English
- combining two or more interventions (multifaceted interventions).
 Multifaceted interventions may improve patient health outcomes, but it is not
known if any other provider interventions have an effect on patient health
 These findings come from studies conducted in the United States and rely crucially
on a stable health system that can identify and follow minority patients. Health
systems in low- and middle-income countries are not always able to support this.
 In addition, other resources available for quality improvement (including
technological, physical, and administrative infrastructure) need to be considered
when assessing whether the intervention effects are transferable to low-income
country health care settings.

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