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

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dc.contributor.author Haghshenas, Abbas en_US
dc.contributor.author Davidson, Patricia en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-10-12T03:34:28Z
dc.date.available 2012-10-12T03:34:28Z
dc.date.issued 2011 en_US
dc.identifier 2011001117 en_US
dc.identifier.citation Haghshenas Abbas and Davidson Patricia 2011, 'Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting', Radcliffe Publishing Ltd., vol. 19, no. 4, pp. 215-221. en_US
dc.identifier.issn 1352-7797 en_US
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 themainstream 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. en_US
dc.language en_US
dc.publisher Radcliffe Publishing Ltd. en_US
dc.title Quality service delivery in cardiac rehabilitation: cross-cultural challenges in an Australian setting en_US
dc.parent Quality in Primary Care en_US
dc.journal.volume 19 en_US
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 111700 en_US
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.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.staffid 110950 en_US

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