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

Haghshenas, A; Davidson, PM

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

Haghshenas, A Davidson, PM

Permalink

Publication Type:: Journal Article
Citation:: Quality in Primary Care, 2011, 19 (4), pp. 215 - 221
Issue Date:: 2011-09-19

Closed Access

	Filename	Description	Size
	2011001117OK.pdf		369.56 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Haghshenas, A	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.date.issued	2011-09-19	en_US
dc.identifier.citation	Quality in Primary Care, 2011, 19 (4), pp. 215 - 221	en_US
dc.identifier.issn	1479-1072	en_US
dc.identifier.uri	http://hdl.handle.net/10453/18643
dc.description.abstract	Background Cardiac rehabilitation is an evidencebased 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 Radcliffe Publishing.	en_US
dc.relation.ispartof	Quality in Primary Care	en_US
dc.subject.classification	General & Internal Medicine	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Cardiac Rehabilitation	en_US
dc.subject.mesh	Communication	en_US
dc.subject.mesh	Cross-Cultural Comparison	en_US
dc.subject.mesh	Cultural Competency	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Health Personnel	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Quality of Health Care	en_US
dc.subject.mesh	Urban Population	en_US
dc.title	Quality service delivery in cardiac rehabilitation: Cross-cultural challenges in an Australian setting	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	19	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
utslib.for	1117 Public Health and Health Services	en_US
dc.location.activity	Taipei, TAIWAN
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	19	en_US

Abstract:

Background Cardiac rehabilitation is an evidencebased 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 Radcliffe Publishing.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/18643