The influence of older people's multicultural background on equity of long-term care access and outcomes: A scoping review of quantitative evidence protocol

Introduction: Equitable access to high-quality long-term care (LTC), including care provided at home or in LTC facilities, is critical to optimise the outcomes of older people. Having a multicultural background may shape the experience of older people in accessing and receiving LTC, but a comprehensive synthesis of quantitative evidence examining the extend of this impact this has not been previously conducted in all LTC settings. Objectives: This study will synthesise quantitative evidence that has examined the influence of multicultural backgrounds of older people on access to LTC and health and care-related outcomes after LTC access. Additionally, this review will examine the methods used by the included studies. Methods: A scoping review in compliance with the JBI methodology will be employed. A search strategy applied on select online databases (Medline (Ovid), AgeLine (EBSCO), Cochrane Library (Wiley), Scopus (Elsevier), Overton, and Google) will identify sources which will be screened using proportional double-screening strategy and selected based on pre-determined inclusion and exclusion criteria. Data will be collected from each source following a standardised data extraction form. Findings will be written following the PRISMA-ScR reporting guidelines. Keywords: Cultural diversity, Healthcare disparities, Long-term care, Social determinants of health