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Language barrier in health care

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https://www.readbyqxmd.com/read/29439194/quality-of-life-is-poorer-for-patients-with-stroke-who-require-an-interpreter-an-observational-australian-registry-study
#1
Monique F Kilkenny, Natasha A Lannin, Craig S Anderson, Helen M Dewey, Joosup Kim, Karen Barclay-Moss, Chris Levi, Steven Faux, Kelvin Hill, Brenda Grabsch, Sandy Middleton, Amanda G Thrift, Rohan Grimley, Geoffrey Donnan, Dominique A Cadilhac
BACKGROUND AND PURPOSE: In multicultural Australia, some patients with stroke cannot fully understand, or speak, English. Language barriers may reduce quality of care and consequent outcomes after stroke, yet little has been reported empirically. METHODS: An observational study of patients with stroke or transient ischemic attack (2010-2015) captured from 45 hospitals participating in the Australian Stroke Clinical Registry. The use of interpreters in hospitals, which is routinely documented, was used as a proxy for severe language barriers...
February 9, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29406298/attitude-isn-t-the-only-thing-it-s-everything-humanistic-care-of-the-bariatric-patient-using-donabedian-s-perspective-on-quality-of-care
#2
Janice M Beitz
Comprehensive care of bariatric patients is challenging. Although structural knowledge exists about safe care given correct equipment and supplies, care processes also must be humane. The literature suggests morbidly obese patients may fear the health system because of past negative experiences. The purpose of this literature review was to examine quality issues in the care of bariatric patients in light of Donabedian's structure-process-outcomes model, emphasizing process components. Using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, and PsycINFO; the criteria English language and years 2005 to 2017; and the search terms morbid obesity, obesity, bariatric, attitudes, health professionals, health clinicians, and patient care yielded 150 articles...
January 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29401211/shared-decision-making-during-inpatient-rounds-opportunities-for-improvement-in-patient-engagement-and-communication
#3
Rebecca Blankenburg, Joan F Hilton, Patrick Yuan, Stephanie Rennke, Brad Monash, Stephanie M Harman, Debbie S Sakai, Poonam Hosamani, Adeena Khan, Ian Chua, Eric Huynh, Lisa Shieh, Lijia Xie
BACKGROUND: Shared decision-making (SDM) improves patient engagement and may improve outpatient health outcomes. Little is known about inpatient SDM. OBJECTIVE: To assess overall quality, provider behaviors, and contextual predictors of SDM during inpatient rounds on medicine and pediatrics hospitalist services. DESIGN: A 12-week, cross-sectional, single-blinded observational study of team SDM behaviors during rounds, followed by semistructured patient interviews...
February 5, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29400993/migrant-workers-and-their-occupational-health-and-safety
#4
Sally C Moyce, Marc Schenker
In 2015, approximately 244 million people were transnational migrants, approximately half of whom were workers, often engaged in jobs that are hazardous to their health. They work for less pay, for longer hours, and in worse conditions than do nonmigrants and are often subject to human rights violations, abuse, human trafficking, and violence. Worldwide, immigrant workers have higher rates of adverse occupational exposures and working conditions, which lead to poor health outcomes, workplace injuries, and occupational fatalities...
January 24, 2018: Annual Review of Public Health
https://www.readbyqxmd.com/read/29384389/a-multisite-multidisciplinary-delphi-consensus-study-describing-usual-care-intervention-strategies-for-school-age-to-transition-age-youth-with-autism
#5
Connor M Kerns, Lauren J Moskowitz, Tamara Rosen, Amy Drahota, Allison Wainer, Anne R Josephson, Latha Soorya, Elizabeth Cohn, Anil Chacko, Matthew D Lerner
Understanding usual care is important to reduce health disparities and improve the dissemination of evidence-based practices for youth (ages 7-22 years) with autism spectrum disorder (ASD). A barrier to describing "usual ASD care" is the lack of a common vocabulary and inventory of the practices used by a diverse provider field. To address this barrier, we gathered input from expert providers to develop an inventory of usual care practices and assess expert familiarity and perceptions of these practices as interventions for anxiety, externalizing, and social difficulties in ASD...
January 31, 2018: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/29382676/patient-engagement-in-hospital-health-service-planning-and-improvement-a-scoping-review
#6
Laurel Liang, Albina Cako, Robin Urquhart, Sharon E Straus, Walter P Wodchis, G Ross Baker, Anna R Gagliardi
OBJECTIVES: Patient engagement (PE) improves patient, organisation and health system outcomes, but most research is based on primary care. The primary purpose of this study was to describe the characteristics of published empirical research that evaluated PE in hospital health service improvement. DESIGN: Scoping review. METHODS: Five databases were searched from 2006 to September 2016. English language studies that evaluated patient or provider beliefs, participation in PE, influencing factors or impact were eligible...
January 30, 2018: BMJ Open
https://www.readbyqxmd.com/read/29378698/sexual-orientation-disclosure-in-health-care-a-systematic-review
#7
Hannah Brooks, Carrie D Llewellyn, Tom Nadarzynski, Fernando Castilho Pelloso, Felipe De Souza Guilherme, Alex Pollard, Christina J Jones
BACKGROUND: Significant health disparities between sexual minority individuals (that is, lesbian, gay, bisexual, or transgender [LGBT]) and heterosexual individuals have been demonstrated. AIM: To understand the barriers and facilitators to sexual orientation (SO) disclosure experienced by LGBT adults in healthcare settings. DESIGN AND SETTING: Mixed methods systematic review, including qualitative, quantitative, and mixed methods papers following PRISMA guidelines...
January 29, 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29378585/barriers-and-facilitators-to-implementation-uptake-and-sustainability-of-community-based-health-insurance-schemes-in-low-and-middle-income-countries-a-systematic-review
#8
REVIEW
Racha Fadlallah, Fadi El-Jardali, Nour Hemadi, Rami Z Morsi, Clara Abou Abou Samra, Ali Ahmad, Khurram Arif, Lama Hishi, Gladys Honein-AbouHaidar, Elie A Akl
BACKGROUND: Community-based health insurance (CBHI) has evolved as an alternative health financing mechanism to out of pocket payments in low- and middle-income countries (LMICs), particularly in areas where government or employer-based health insurance is minimal. This systematic review aimed to assess the barriers and facilitators to implementation, uptake and sustainability of CHBI schemes in LMICs. METHODS: We searched six electronic databases and grey literature...
January 29, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29374977/navigating-the-health-care-system-in-community-perspectives-from-asian-immigrant-parents-of-children-with-special-health-care-needs
#9
Esther Son, Nechama Sammet Moring, Leah Igdalsky, Susan L Parish
Children with special health-care needs (CSHCNs) face notable barriers to health-care access and to receiving quality and family-centered care, despite higher health-care utilization rates. Within the population of CSHCNs, there are significant inequities in health-care quality impacting immigrants who have migrated to the United States. However, little is known about the experiences and needs of Asian immigrant families who have CSHCNs. This study aimed to explore how Asian immigrant parents of CSHCNs view their child's health-care access, quality, and utilization...
January 1, 2018: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29372364/reproductive-decision-support-preferences-and-needs-of-couples-at-risk-for-hereditary-cancer-and-clinical-geneticists
#10
Kelly Reumkens, A J G van Oudheusden, J J G Gietel-Habets, M H E Tummers, C E M de Die-Smulders, L A D M van Osch
For couples at high risk of transmitting a cancer predisposition to offspring, reproductive decision-making can be challenging. As the choice between available reproductive options is preference-sensitive, the use of a decision aid can support these couples in their decisional process. The present study aims to investigate preferences and needs of involved stakeholders regarding the development and implementation of a patient decision aid. Semi-structured interviews assessing the needs and preferences regarding the content and functionalities of a decision support program were conducted among seven couples at risk for hereditary cancer and among eight clinical geneticists involved in oncogenetic counseling...
January 25, 2018: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/29370176/patterns-of-sedentary-behavior-in-overweight-and-moderately-obese-users-of-the-catalan-primary-health-care-system
#11
Elena Martínez-Ramos, Angela-Maria Beltran, Carme Martín-Borràs, Lourdes Lasaosa-Medina, Jordi Real, José-Manuel Trujillo, Mercè Solà-Gonfaus, Elisa Puigdomenech, Eva Castillo-Ramos, Anna Puig-Ribera, Maria Giné-Garriga, Noemi Serra-Paya, Beatriz Rodriguez-Roca, Ana Gascón-Catalán, Carlos Martín-Cantera
BACKGROUND AND OBJECTIVES: Prolonged sitting time (ST) has negative consequences on health. Changing this behavior is paramount in overweight/obese individuals because they are more sedentary than those with normal weight. The aim of the study was to establish the pattern of sedentary behavior and its relationship to health, socio-demographics, occupation, and education level in Catalan overweight/obese individuals. METHODS: A descriptive study was performed at 25 healthcare centers in Catalonia (Spain) with 464 overweight/moderately obese patients, aged25 to 65 years...
2018: PloS One
https://www.readbyqxmd.com/read/29364404/-prevention-of-maternal-child-transmission-of-hiv-in-pregnant-women-and-mothers-of-the-awajun-and-wampis-communities-in-the-amazon-region-of-peru
#12
Byelca Huamán, Alfonso Gushiken, Carlos Benites, Fabiola Quiroz, Lisset García-Fernández
OBJECTIVES: To identify the barriers that limit compliance with the prevention of mother-to-child transmission (PMTCT) of HIV measures in two indigenous communities of the Amazon region of Peru. MATERIALS AND METHODS: Qualitative study with a phenomenological approach. Semi-structured interviews were conducted with pregnant women and mothers of children younger than 1 year of the awajún and wampis indigenous communities diagnosed with HIV in the period 2014-2015...
October 2017: Revista Peruana de Medicina Experimental y Salud Pública
https://www.readbyqxmd.com/read/29334968/barriers-and-facilitators-to-cultural-competence-in-rehabilitation-services-a-scoping-review
#13
Viviane Grandpierre, Victoria Milloy, Lindsey Sikora, Elizabeth Fitzpatrick, Roanne Thomas, Beth Potter
BACKGROUND: There is an important need to evaluate whether rehabilitation services effectively address the needs of minority culture populations with North America's increasingly diverse population. The objective of this paper was therefore to review and assess the state of knowledge of barriers and facilitators to cultural competence in rehabilitation services. METHOD: Our scoping review focused on cultural competence in rehabilitation services. Rehabilitation services included in this review were: audiology, speech-language pathology, physiotherapy, and occupational therapy...
January 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29325569/the-relevance-of-clinical-ethnography-reflections-on-10%C3%A2-years-of-a-cultural-consultation-service
#14
Melissa Dominicé Dao, Sophie Inglin, Sarah Vilpert, Patricia Hudelson
BACKGROUND: Training health professionals in culturally sensitive medical interviewing has been widely promoted as a strategy for improving intercultural communication and for helping clinicians to consider patients' social and cultural contexts and improve patient outcomes. Clinical ethnography encourages clinicians to explore the patient's explanatory model of illness, recourse to traditional and alternative healing practices, healthcare expectations and social context, and to use this information to negotiate a mutually acceptable treatment plan...
January 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29310752/transition-to-adult-care-for-aboriginal-children-with-rheumatic-fever-a-review-informed-by-a-focussed-ethnography-in-northern-australia
#15
Alice G Mitchell, Suzanne Belton, Vanessa Johnston, Anna P Ralph
Aboriginal children in northern Australia have high rates of rheumatic fever and rheumatic heart disease, which are chronic conditions because of the need for long-term treatment and monitoring. This article critically reviews the literature on transition to adult care for children with chronic conditions and considers applicability to the care of these children. The review was merged with findings from a focussed ethnography conducted in four remote Aboriginal communities with young people who have these conditions...
January 9, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29284285/barriers-to-contraceptive-careseeking-the-experience-of-eritrean-asylum-seeking-women-in-israel
#16
Tsega Gebreyesus, Nora Gottlieb, Zebib Sultan, Habtom Mehari Ghebrezghiabher, Wietse Tol, Peter J Winch, Nadav Davidovitch, Pamela J Surkan
OBJECTIVES: In recent years, there has been a mass migration of Eritreans (many seeking political asylum) into Israel after precarious irregular movement across international borders. This study qualitatively explores the structural barriers to family planning (i.e. contraceptive services) for Eritrean women in Israel that are rooted in their temporary legal status and the patchwork of family planning services. DESIGN/METHODS: From December 2012 to September 2013, we interviewed 25 key informants (NGO workers, researchers, Eritrean community activists, International NGO representatives and Ministry of Health officials) and 12 Eritrean asylum seekers...
December 28, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/29237581/a-web-based-training-resource-for-therapists-to-deliver-an-evidence-based-exercise-program-for-rheumatoid-arthritis-of-the-hand-isarah-design-development-and-usability-testing
#17
Cynthia Swarnalatha Srikesavan, Esther Williamson, Lucy Eldridge, Peter Heine, Jo Adams, Tim Cranston, Sarah E Lamb
BACKGROUND: The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) is a tailored, progressive exercise program for people having difficulties with wrist and hand function due to rheumatoid arthritis (RA). The program was evaluated in a large-scale clinical trial and was found to improve hand function, was safe to deliver, and was cost-effective. These findings led to the SARAH program being recommended in the UK National Institute for Health and Care Excellence guidelines for the management of adults with RA...
December 13, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29210172/experience-of-dental-care-knowledge-and-attitudes-of-older-immigrants-in-sweden-a-qualitative-study
#18
E Olerud, M-L Hagman-Gustavsson, P Gabre
OBJECTIVES: Knowledge about the oral health and dental care habits of older immigrants is limited. The aim of this study was to explore dental service utilization, oral care habits, and attitudes to and knowledge about oral diseases and their prevention among older immigrants in Sweden. METHODS: A qualitative research method was used, and data were collected in individual interviews to gain a deeper understanding of the immigrants' views. Thirteen immigrants, seven women and six men, recruited from meeting places for older immigrants, participated, all aged between 59 and 88 (median 72 years)...
December 6, 2017: International Journal of Dental Hygiene
https://www.readbyqxmd.com/read/29193568/language-barriers-and-their-impact-of-provision-of-care-to-patients-with-limited-english-proficiency-nurses-perspective
#19
Parveen Azam Ali, Roger Watson
AIM: The aim of this study was to explore nurses' perspectives of language barriers and their impact on the provision of care to patients with limited English proficiency from diverse linguistic background. DESIGN AND METHODS: A qualitative descriptive approach was used. Using individual interviews and focus group discussions, data were collected from 59 nurses working in tertiary care hospitals in England. A thematic analysis was used to analyse the data. FINDINGS: Three themes: 'multi-ethnicities and language barriers'; 'the impact of language barriers'; and 'communicating via interpreters', were identified...
November 30, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29193429/recruiting-to-cohort-studies-in-specialist-healthcare-services-lessons-learned-from-clinical-research-nurses-in-uk-cleft-services
#20
Fabio Zucchelli, Nichola Rumsey, Kerry Humphries, Rhiannon Bennett, Amy Davies, Jonathan Sandy, Nicola Marie Stock
AIM: This study aimed to explore the experiences of clinical research nurses recruiting patients in a large specialist care-based cohort study. BACKGROUND: Longitudinal studies are vital to better understand the aetiology and moderators of health conditions. This need is especially salient for congenital conditions, such as cleft lip and/or palate, where establishing large, comprehensive datasets from birth is vital to improve understanding and to inform interventions...
November 29, 2017: Journal of Clinical Nursing
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