Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting

Background: Cardiac rehabilitation is an evidence-based health service model for providing secondary prevention strategies following an acute cardiac event. In spite of the benefits of cardiac rehabilitation, there are striking cultural and ethnic disparities with regard to access to and usage of t...

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Main Authors: Haghshenas, Abbas, Davidson, Patricia
Format: Journal Article
Published: Radcliffe Medical Press Ltd. 2011
Subjects:
Online Access:http://connection.ebscohost.com/c/articles/65217418/quality-service-delivery-cardiac-rehabilitation-cross-cultural-challenges-australian-setting
http://hdl.handle.net/20.500.11937/45905
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author Haghshenas, Abbas
Davidson, Patricia
author_facet Haghshenas, Abbas
Davidson, Patricia
author_sort Haghshenas, Abbas
building Curtin Institutional Repository
collection Online Access
description Background: Cardiac rehabilitation is an evidence-based health service model for providing secondary prevention strategies following an acute cardiac event. In spite of the benefits of cardiac rehabilitation, there are striking cultural and ethnic disparities with regard to access to and usage of these programmes. Objective: To investigate the challenges in providing cardiac rehabilitation to culturally diverse populations in Australia to inform culturally competent care. Method: This was a qualitative study using interviews with 25 health professionals from diverse professional and language backgrounds working in cardiac rehabilitation and participant observation of educational and counselling sessions in four cardiac rehabilitation programmes in metropolitan Sydney, Australia. Results: Providing cardiac rehabilitation to patients from culturally and linguistically diverse backgrounds presented greater challenges than did provision to the mainstream population. These challenges resulted from the interaction of multiple and complex factors such as patients, providers, structural and organisational characteristics within the treatment setting. Communication issues, reconciling health messages with culturally specific issues such as diet, social and family structure and implementation of self-management strategies are significant challenges. Conclusion: Strategies are needed to overcome cross-cultural challenges and ensure effective and equitable cardiac rehabilitation service delivery.
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spelling curtin-20.500.11937-459052017-03-08T13:18:48Z Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting Haghshenas, Abbas Davidson, Patricia cardiac rehabilitation barriers in health care communication cultural and language difference Background: Cardiac rehabilitation is an evidence-based health service model for providing secondary prevention strategies following an acute cardiac event. In spite of the benefits of cardiac rehabilitation, there are striking cultural and ethnic disparities with regard to access to and usage of these programmes. Objective: To investigate the challenges in providing cardiac rehabilitation to culturally diverse populations in Australia to inform culturally competent care. Method: This was a qualitative study using interviews with 25 health professionals from diverse professional and language backgrounds working in cardiac rehabilitation and participant observation of educational and counselling sessions in four cardiac rehabilitation programmes in metropolitan Sydney, Australia. Results: Providing cardiac rehabilitation to patients from culturally and linguistically diverse backgrounds presented greater challenges than did provision to the mainstream population. These challenges resulted from the interaction of multiple and complex factors such as patients, providers, structural and organisational characteristics within the treatment setting. Communication issues, reconciling health messages with culturally specific issues such as diet, social and family structure and implementation of self-management strategies are significant challenges. Conclusion: Strategies are needed to overcome cross-cultural challenges and ensure effective and equitable cardiac rehabilitation service delivery. 2011 Journal Article http://hdl.handle.net/20.500.11937/45905 http://connection.ebscohost.com/c/articles/65217418/quality-service-delivery-cardiac-rehabilitation-cross-cultural-challenges-australian-setting Radcliffe Medical Press Ltd. restricted
spellingShingle cardiac rehabilitation
barriers in health care
communication
cultural and language difference
Haghshenas, Abbas
Davidson, Patricia
Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting
title Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting
title_full Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting
title_fullStr Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting
title_full_unstemmed Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting
title_short Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting
title_sort quality service delivery in cardiac rehabilitation: cross-cultural challenges in an australian setting
topic cardiac rehabilitation
barriers in health care
communication
cultural and language difference
url http://connection.ebscohost.com/c/articles/65217418/quality-service-delivery-cardiac-rehabilitation-cross-cultural-challenges-australian-setting
http://hdl.handle.net/20.500.11937/45905