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

Fatima Al-Sharifi*, Hanne Winther Frederiksen, Henriette Knold Rossau, Marie Norredam, Ann Dorthe Zwisler

*Corresponding author for this work

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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.

Original languageEnglish
Article number223
JournalBMC Health Services Research
Volume19
Number of pages8
ISSN1472-6963
DOIs
Publication statusPublished - 11. Apr 2019

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Communication Barriers
Cardiac Rehabilitation
Information Services
Insurance Benefits
Denmark
Language
Organizations
Databases
Guidelines

Keywords

  • Cardiac rehabilitation
  • Language barriers
  • Migrants
  • Translations

Cite this

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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.",
keywords = "Cardiac rehabilitation, Language barriers, Migrants, Translations",
author = "Fatima Al-Sharifi and {Winther Frederiksen}, Hanne and {Knold Rossau}, Henriette and Marie Norredam and Zwisler, {Ann Dorthe}",
year = "2019",
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language = "English",
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Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants. / Al-Sharifi, Fatima; Winther Frederiksen, Hanne; Knold Rossau, Henriette; Norredam, Marie; Zwisler, Ann Dorthe.

In: BMC Health Services Research, Vol. 19, 223, 11.04.2019.

Research output: Contribution to journalJournal articleResearchpeer-review

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.

KW - Cardiac rehabilitation

KW - Language barriers

KW - Migrants

KW - Translations

U2 - 10.1186/s12913-019-4041-1

DO - 10.1186/s12913-019-4041-1

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C2 - 30975141

AN - SCOPUS:85064191393

VL - 19

JO - B M C Health Services Research

JF - B M C Health Services Research

SN - 1472-6963

M1 - 223

ER -