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

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dc.contributor.author Haghshenas, A
dc.contributor.author Davidson, PM
dc.date.accessioned 2012-10-12T03:34:28Z
dc.date.issued 2011
dc.identifier.citation Quality in Primary Care, 2011, 19 (4), pp. 215 - 221
dc.identifier.issn 1479-1072
dc.identifier.other C1 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.
dc.language eng
dc.subject Barriers in health care, Cardiac rehabilitation, Communication, Cultural and language difference, Humans, Cardiovascular Diseases, Communication, Urban Population, Health Personnel, Cultural Competency, Qualitative Research, Cross-Cultural Comparison, Quality of Health Care, Australia, Female, Male, Australia, Cardiovascular Diseases, Communication, Cross-Cultural Comparison, Cultural Competency, Female, Health Personnel, Humans, Male, Qualitative Research, Quality of Health Care, Urban Population, Australia, cardiovascular disease, clinical trial, cultural competence, cultural factor, female, health care personnel, health care quality, human, interpersonal communication, male, multicenter study, organization and management, qualitative research, urban population, Public Health
dc.subject Barriers in health care; Cardiac rehabilitation; Communication; Cultural and language difference; Humans; Cardiovascular Diseases; Communication; Urban Population; Health Personnel; Cultural Competency; Qualitative Research; Cross-Cultural Comparison; Quality of Health Care; Australia; Female; Male; Australia; Cardiovascular Diseases; Communication; Cross-Cultural Comparison; Cultural Competency; Female; Health Personnel; Humans; Male; Qualitative Research; Quality of Health Care; Urban Population; Australia; cardiovascular disease; clinical trial; cultural competence; cultural factor; female; health care personnel; health care quality; human; interpersonal communication; male; multicenter study; organization and management; qualitative research; urban population; Public Health
dc.title Quality service delivery in cardiac rehabilitation: Cross-cultural challenges in an Australian setting
dc.type Journal Article
dc.description.version Published
dc.parent Quality in Primary Care
dc.journal.volume 4
dc.journal.volume 19
dc.journal.number 4 en_US
dc.publocation United Kingdom en_US
dc.identifier.startpage 215 en_US
dc.identifier.endpage 221 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.personcode 119209 en_US
dc.personcode 110950 en_US
dc.percentage 100 en_US
dc.classification.name Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.location.activity Taipei, TAIWAN
dc.description.keywords Australia; cardiovascular disease; clinical trial; cultural competence; cultural factor; female; health care personnel; health care quality; human; interpersonal communication; male; multicenter study; organization and management; qualitative research; urban population en_US
dc.description.keywords Science & Technology
dc.description.keywords Technology
dc.description.keywords Physical Sciences
dc.description.keywords Engineering, Electrical & Electronic
dc.description.keywords Physics, Applied
dc.description.keywords Engineering
dc.description.keywords Physics
dc.description.keywords ENGINEERING, ELECTRICAL & ELECTRONIC
dc.description.keywords PHYSICS, APPLIED
dc.description.keywords Domain decomposition method (DDM)
dc.description.keywords eddy current magnetic field
dc.description.keywords moving conductor
dc.description.keywords radial basis function (RBF)
dc.description.keywords Barriers in health care
dc.description.keywords Cardiac rehabilitation
dc.description.keywords Communication
dc.description.keywords Cultural and language difference
dc.description.keywords Barriers in health care
dc.description.keywords Cardiac rehabilitation
dc.description.keywords Communication
dc.description.keywords Cultural and language difference
dc.staffid 110950 en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research


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