Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants
Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants
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DOI：
10.1186/s12913-019-4041-1
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发表时间：
2019-04-11
影响因子：
2.8
通讯作者：
Zwisler, Ann-Dorthe
中科院分区：
文献类型：
--
作者：
Al-Sharifi, Fatima;Frederiksen, Hanne Winther;Zwisler, Ann-Dorthe
背景资料：心脏康复（CR）已被证明对健康有益，根据国际指南，必须向所有符合条件的患者提供CR。研究报告称，移民对CR的吸收率较低，而且移民在获得医疗保健方面面临着几个障碍，其中语言是最常见的。本研究的目的是检查提供CR的核心组成部分的移民;和语言障碍的作用，在丹麦医院和市政当局提供CR。方法：这是一个描述性研究的基础上，在2013年和2015年丹麦心脏康复数据库进行重复的全国性调查。调查收集了丹麦医院（n = 35）和市政府（n = 98）提供和组织CR的信息。在2015年的调查有额外的项目有关的移民，如提供口译服务和多语种的信息material.Results：并不是所有的CR核心组件由医院提供给非丹麦语患者。从2013年到2015年没有改善。医院口译服务的覆盖率为全部（19/19），而市镇为84%（26/31）。提供的多语种信息材料是低的医院32%（6/19），在市政当局3%（1/31）。结论：本研究发现，在移民获得CR语言相关的障碍，在CR的核心组件提供不充分的形式，为非丹麦语的患者在一些丹麦医院和次优提供口译服务在市政当局。研究结果呼吁人们更多地关注语言障碍，并需要进一步的研究来确定问题的严重程度。
Background: Cardiac rehabilitation (CR) has proven health benefits and, according to international guidelines, CR must be offered to all eligible patients. Studies have reported lower uptake of CR among migrants, and migrants are known to face several barriers in their access to healthcare, of which language is the most common. The aim of this study is to examine the provision of CR core components for migrants; and the role of language barriers in the provision of CR in Danish hospitals and municipalities.Methods: This is a descriptive study based on repeated nationwide surveys conducted in 2013 and 2015 by the Danish Cardiac Rehabilitation Database. The surveys collected information on provision and organization of CR in hospitals (n = 35) and municipalities (n = 98) in Denmark. The survey in 2015 had additional items related to migrants, such as provision of interpreter services and multilingual information material.Results: Not all CR core components were provided by hospitals to non-Danish speaking patients. There was no improvement from 2013 to 2015. Hospitals had full coverage (19/19) of interpreter services compared to 84% (26/31) of municipalities. Provision of multilingual information material was low in hospitals 32% (6/19) and in municipalities 3% (1/31).Conclusion: This study found language-related barriers in migrants' access to CR, in the form of inadequate provision of CR core components for non-Danish speaking patients at some Danish hospitals and suboptimal provision of interpreter services in municipalities. The findings call for increased attention to language barriers and further studies are needed to map the extent of the problem.