Exploring the Health Care Challenges and Health Care Needs of Arabic-Speaking Immigrants with Cardiovascular Disease in Australia
Exploring the Health Care Challenges and Health Care Needs of Arabic-Speaking Immigrants with Cardiovascular Disease in Australia
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DOI：
10.3390/pharmacy7040151
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发表时间：
2019-12-01
期刊：
影响因子：
2.2
通讯作者：
Guisard, Yann
中科院分区：
文献类型：
--
作者：
Abdelmessih, Erini;Simpson, Maree-Donna;Guisard, Yann
说阿拉伯语的移民群体是澳大利亚第四大语言群体，心血管疾病的发病率很高。这项研究的目的是探讨阿拉伯语移民心血管疾病(CVD)的医疗挑战和需求，采用与讲英语的心血管疾病患者作为可比组的比较方法。方法：受试者来自澳大利亚墨尔本的社区。在招聘现场进行了面对面的半结构化个人面试。所有的采访都被录音，转录，并按主题编码。结果：共招募29名心血管疾病患者，其中15名讲阿拉伯语，14名讲英语。讲阿拉伯语的移民和讲英语的心血管疾病患者可能会面临特殊的卫生保健挑战和需求。讲阿拉伯语的移民的医疗保健需求包括：有效的医疗保健提供者(HCP)--患者沟通、可获得的医疗保健、参与决策和赋权。讲英语的与会者认为这些需求对心血管疾病管理很重要。然而，只有少数说英语的参与者将这些需求列为未得到满足的医疗保健需求。结论：这项研究表明，患有心血管疾病的阿拉伯语移民可能有独特的需求，包括隐私的需求，考虑到患者有限的英语水平的有效的HCP与患者沟通的需求，以及药剂师和医生的合作。因此，可能需要确定一种能够解决这些患者的医疗挑战和需求的医疗模式。反过来，这可能会改善他们的疾病管理和健康结果。
The Arabic-speaking immigrant group, which makes up the fourth largest language group in Australia, has a high prevalence of cardiovascular disease. The objective of this study was to explore the health care challenges and needs of Arabic-speaking immigrants with cardiovascular disease (CVD), using a comparative approach with English-speaking patients with CVD as the comparable group. Methods: Participants were recruited from community settings in Melbourne, Australia. Face-to-face semi-structured individual interviews were conducted at the recruitment sites. All interviews were audio-taped, transcribed, and coded thematically. Results: 29 participants with CVD were recruited; 15 Arabic-speaking and 14 English-speaking. Arabic-speaking immigrants, and to a lesser extent English-speaking patients with CVD may have specific health care challenges and needs. Arabic-speaking immigrants' health care needs include: effective health care provider (HCP)-patient communication, accessible care, participation in decision-making, and empowerment. English-speaking participants viewed these needs as important for CVD management. However, only a few English-speaking participants cited these needs as unmet health care needs. Conclusion: This study suggests that Arabic-speaking immigrants with CVD may have unique needs including the need for privacy, effective HCP-patient communication that takes into account patients' limited English proficiency, and pharmacist-physician collaboration. Therefore, there may be a need to identify a health care model that can address these patients' health care challenges and needs. This, in turn, may improve their disease management and health outcomes.