A case for consideration of cultural diversity in heart failure management - part 1: rationale for the DISCOVER Study.

Abstract

Heart failure is a condition increasing in prevalence and responsible for high health care utilisation, morbidity and mortality. Randomised controlled trials of nurse-coordinated interventions have determined self care and the incorporation of the patient and their family in care planning as critical elements of service delivery. Coping with a chronic illness, such as heart failure, forces the individual to adjust to changed physical, social and emotional functioning and to modify their lifestyle according. Clinicians increasingly use models of care that focus care delivery on the community setting. In order to develop strategies to assist patients and their families with self care it is important that clinicians understand the healthcare seeking behaviours of all individuals targeted in the community. Australia is a culturally diverse nation, yet evaluations of models of care have been undertaken largely in individuals from predominately Anglo-Celtic origins. The end result of this approach is failure to understand the full range of diverse perspectives that individuals hold that can have an impact on self care behaviours. Consideration of cultural diversity should extend beyond language to a broader appreciation of cultural values, health seeking beliefs and engagement of culturally unique communities.