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Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants

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@article{411893b8623a4b3391e27e4c201f7d1d,
title = "Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants",
abstract = "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.",
author = "Fatima Al-Sharifi and {Winther Frederiksen}, Hanne and {Knold Rossau}, Henriette and Marie Norredam and Ann-Dorthe Zwisler",
year = "2019",
month = "4",
day = "11",
doi = "10.1186/s12913-019-4041-1",
language = "English",
volume = "19",
pages = "223",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants

AU - Al-Sharifi, Fatima

AU - Winther Frederiksen, Hanne

AU - Knold Rossau, Henriette

AU - Norredam, Marie

AU - Zwisler, Ann-Dorthe

PY - 2019/4/11

Y1 - 2019/4/11

N2 - 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.

AB - 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.

U2 - 10.1186/s12913-019-4041-1

DO - 10.1186/s12913-019-4041-1

M3 - Journal article

VL - 19

SP - 223

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

ER -

ID: 56977939