BMC Health Services Research
Volume 19, Issue 1, 2019

Access to cardiac rehabilitation and the role of language barriers in the provision of cardiac rehabilitation to migrants (Article) (Open Access)

Al-Sharifi F.* , Winther Frederiksen H. , Knold Rossau H. , Norredam M. , Zwisler A.-D.
  • a Section of Immigrant Medicine, Department of Infectious Disease, Copenhagen University Hospital, Ostvej, Pavillion 2, Hvidovre, Copenhagen, 2650, Denmark
  • b Section of Immigrant Medicine, Department of Infectious Disease, Copenhagen University Hospital, Ostvej, Pavillion 2, Hvidovre, Copenhagen, 2650, Denmark, Research Centre for Migration Ethnicity and Health (MESU), Section of Health Services Research, University of Copenhagen, Copenhagen, Denmark, Department of Internal Medicine, Copenhagen University Hospital, Herlev, Denmark
  • c Knowledge Centre for Rehabilitation and Palliative Care (REHPA), Odense University Hospital, University of Southern Denmark, Odense, Denmark
  • d Research Centre for Migration Ethnicity and Health (MESU), Section of Health Services Research, University of Copenhagen, Copenhagen, Denmark
  • e Knowledge Centre for Rehabilitation and Palliative Care (REHPA), Odense University Hospital, University of Southern Denmark, Odense, Denmark

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. © 2019 The Author(s).

Author Keywords

Translations Cardiac rehabilitation language barriers Migrants

Index Keywords

communication barrier Communication Barriers publication multicenter study clinical trial human middle aged Denmark statistics and numerical data language speech Surveys and Questionnaires Humans migrant male female questionnaire standards Article organization and management Cardiac Rehabilitation heart rehabilitation interpreter service translating (language) major clinical study migration adult Translating Hospitals Health Services Accessibility hospital Transients and Migrants attention Delivery of Health Care Facilities and Services Utilization Multilingualism health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064191393&doi=10.1186%2fs12913-019-4041-1&partnerID=40&md5=df4195e0c0b6f81146f70cbd150ac12c
DOI: 10.1186/s12913-019-4041-1
ISSN: 14726963
Original Language: English