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Language barrier in health care

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https://www.readbyqxmd.com/read/27896894/perspectives-of-resettled-african-refugees-on-accessing-medicines-and-pharmacy-services-in-queensland-australia
#1
Kim Bellamy, Remo Ostini, Nataly Martini, Therese Kairuz
OBJECTIVES: The aim of this study was to explore the barriers to accessing medicines and pharmacy services among refugees in Queensland, Australia, from the perspectives of resettled African refugees. METHODS: A generic qualitative approach was used in this study. Resettled African refugees were recruited via a purposive snowball sampling method. The researcher collected data from different African refugee communities, specifically those from Sudanese, Congolese and Somalian communities...
November 29, 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/27891433/the-clinical-presentation-and-outcome-of-the-institutionalized-wandering-mentally-ill-in-india
#2
Gaurav Singh, Nilima Shah, Ritambhara Mehta
INTRODUCTION: There are estimated 400,000 wandering mentally ill persons in India, found in poor physical state wandering on streets and railway stations; mainly treated either by government run Hospitals for Mental Health (HMH) or Psychiatry units of a Government Medical College (GMC). They require psychosocial rehabilitation along with treatment. AIM: To study the presentation, clinical profile and rehabilitative outcome of wandering mentally ill admitted in government psychiatric care facilities...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27857829/diagnostic-delay-among-adults-with-pulmonary-tuberculosis-in-a-high-gross-domestic-product-per-capita-country-reasons-and-magnitude-of-the-problem
#3
Wanis H Ibrahim, Faraj H Alousi, Abdulatif Al-Khal, Abdulbari Bener, Ahmed AlSalman, Aaiza Aamer, Ahmed Khaled, Tasleem Raza
BACKGROUND: To determine the mean and median delays in pulmonary tuberculosis (PTB) diagnosis among adults in one of the world's highest gross domestic product per capita countries and identify patient and health system-related reasons for these delays. METHODS: This is a cross-sectional, face-to-face, prospective study of 100 subjects with confirmed PTB, conducted at main tuberculosis (TB) admitting facilities in Qatar. The mean and median diagnostic delays were measured...
2016: International Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27852712/perceived-barriers-to-accessing-mental-health-services-among-black-and-minority-ethnic-bme-communities-a-qualitative-study-in-southeast-england
#4
Anjum Memon, Katie Taylor, Lisa M Mohebati, Josefin Sundin, Max Cooper, Thomas Scanlon, Richard de Visser
OBJECTIVE: In most developed countries, substantial disparities exist in access to mental health services for black and minority ethnic (BME) populations. We sought to determine perceived barriers to accessing mental health services among people from these backgrounds to inform the development of effective and culturally acceptable services to improve equity in healthcare. DESIGN AND SETTING: Qualitative study in Southeast England. PARTICIPANTS: 26 adults from BME backgrounds (13 men, 13 women; aged >18 years) were recruited to 2 focus groups...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27836819/exploration-of-deaf-people-s-health-information-sources-and-techniques-for-information-delivery-in-cape-town-a-qualitative-study-for-the-design-and-development-of-a-mobile-health-app
#5
Prangnat Chininthorn, Meryl Glaser, William David Tucker, Jan Carel Diehl
BACKGROUND: Many cultural and linguistic Deaf people in South Africa face disparity when accessing health information because of social and language barriers. The number of certified South African Sign Language interpreters (SASLIs) is also insufficient to meet the demand of the Deaf population in the country. Our research team, in collaboration with the Deaf communities in Cape Town, devised a mobile health app called SignSupport to bridge the communication gaps in health care contexts...
November 11, 2016: JMIR Human Factors
https://www.readbyqxmd.com/read/27836127/lost-in-translation-medication-labeling-for-immigrant-families
#6
Michelle Cruz Jimenez Smith, H Shonna Yin, Lee M Sanders
OBJECTIVES: To identify the patient-safety hazards of current medication labeling standards for immigrant and language-minority families. SUMMARY: The Latino population in the United States has increased by more than 40% over the past decade and the total child population born to Latino parents will surpass one-half of the population in many states. With recent health care and immigration policies, this demographic shift has a disproportional effect on the Latino families...
November 2016: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27834602/from-boundaries-to-boundary-work-middle-managers-creating-inter-organizational-change
#7
Lieke Oldenhof, Annemiek Stoopendaal, Kim Putters
Purpose In healthcare, organizational boundaries are often viewed as barriers to change. The purpose of this paper is to show how middle managers create inter-organizational change by doing boundary work: the dual act of redrawing boundaries and coordinating work in new ways. Design/methodology/approach Theoretically, the paper draws on the concept of boundary work from Science and Technology Studies. Empirically, the paper is based on an ethnographic investigation of middle managers that participate in a Dutch reform program across health, social care, and housing...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27828727/palliative-care-for-american-indians-and-alaska-natives-a-review-of-the-literature
#8
Sarah Gebauer, Sarah Knox Morley, Emily A Haozous, Esme Finlay, Chris Camarata, Bridget Fahy, Erin FitzGerald, Kimberly Harlow, Lisa Marr
BACKGROUND: Little is known about optimal palliative and end-of-life care for American Indians and Alaska Natives (AIs/ANs). METHODS: We searched MEDLINE, the Cochrane library, EBSCOhost, (PsycINFO, CINAHL Complete), and the University of New Mexico (UNM) Health Sciences Library and Informatics Center Native Health Database for search terms related to palliative care and AIs/ANs as of December 1, 2015. We included English language, peer-reviewed articles describing palliative care projects, programs, or studies in AI/AN populations or communities...
December 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27818437/health-care-use-and-barriers-to-care-among-latino-immigrants-in-a-new-migration-area
#9
Farrah Jacquez, Lisa Vaughn, Jenny Zhen-Duan, Camille Graham
Unlike regions with larger Latino populations, the health care infrastructure in Cincinnati does not include linguistically and culturally appropriate services to meet the need of the growing Latino immigrant community. In order to guide development of appropriate health care services, a team of academic and community researchers collaborated on a community-based participatory research project to understand health care use, barriers to health care, perceptions of health care, and health care needs of Latino immigrants...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27811627/provider-patient-and-practice-factors-shape-hepatitis-b-prevention-and-management-by-primary-care-providers
#10
Nizar A Mukhtar, Priya Kathpalia, Joan F Hilton, Gene Lau, Albert Yu, Kevin Grumbach, Tung T Nguyen, Daniel Chan, Mandana Khalili
GOALS: To evaluate provider knowledge, attitudes and barriers to hepatitis B virus (HBV) care and management practices across diverse primary care settings. BACKGROUND: Factors influencing adherence to recommended HBV screening and management guidelines are poorly defined. MATERIALS AND METHODS: Providers across various health care settings in San Francisco were surveyed. Multivariate analyses were used to identify factors associated with recommended HBV screening, vaccination, and disease monitoring...
November 2, 2016: Journal of Clinical Gastroenterology
https://www.readbyqxmd.com/read/27807885/perceptions-of-survivorship-care-among-latina-women-with-breast-cancer-in-los-angeles-county
#11
Diana M Tisnado, Carolyn Mendez-Luck, Jenifer Metz, Katelynn Peirce, Brian Montaño
OBJECTIVES: Cancer "survivorship" is a distinct and important aspect of the cancer experience. More research is needed about survivorship care in underserved populations such as Latinas. This study examined issues of breast cancer survivorship care among Latinas to understand their experiences and needs, to inform the design of future programs. DESIGN AND SAMPLE: Six English- and six Spanish-language focus groups were conducted, with a nonprobability sample. About 74 Latinas who varied in terms of characteristics including stage, time since diagnosis, and English proficiency were recruited through support groups, health fairs, and promotoras...
November 2, 2016: Public Health Nursing
https://www.readbyqxmd.com/read/27807088/shared-decision-making-for-people-living-with-dementia-in-extended-care-settings-protocol-for-a-systematic-review
#12
Rachel Daly, Frances Bunn, Claire Goodman
INTRODUCTION: Approximately 450 000 people in the UK are living in care homes, 70% of whom are thought to have dementia or significant memory problems. This means that they may need support with day-to-day decisions about their health and care. Shared decision-making interventions can have a positive impact on patient outcomes. They recognise an individual's rights to make decisions about their care or treatment and support person-centred approaches to care delivery. METHODS: A systematic review of studies designed to assess, implement, measure and/or explore shared decision-making with cognitively impaired adults in (or transferrable to) an extended care setting, with a view to answering the research question: How can people living with dementia and cognitive impairment be included in day-to-day decisions about their health and care in extended care settings? The systematic review will be started in May 2016...
November 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27805953/seven-dirty-words-hot-button-language-that-undermines-interprofessional-education-and-practice
#13
Peter S Cahn
An increasingly common goal of health professions education is preparing learners to collaborate with the full range of members on a health care team. While curriculum developers have identified many logistical and conceptual barriers to interprofessional education, one overlooked factor threatens to undermine interprofessional education and practice: language. Language reveals the mental metaphors governing thoughts and actions. The words that faculty members and health care providers use send messages that can-consciously or not-undermine explicit lessons about valuing each member of the care team...
November 1, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27800018/endoscopic-removal-of-a-retained-surgical-sponge-in-a-young-syrian-refugee-after-caesarean-section-a-case-report-with-discussion-of-cultural-and-political-consequences
#14
Johannes Ackermann, Moritz Kanzow, Micaela Mathiak, Ulrich Pecks, Nicolai Maass, Ibrahim Alkatout
BACKGROUND: Inadvertently retained sponges and instruments still constitute a major but preventable complication in surgery. Given the high geographic mobility of patients, the fluctuation of physician-patient contact, and communication problems due to language barriers, the conscientious use of structured safety protocols in clinical routine is an essential aspect of quality in health care. CASE PRESENTATION: We report the case of a 24-year-old refugee from Syria who presented at our gynecological outpatient department with a tumor in the lower abdomen, suspected to be a lump in the ovary or the uterus...
2016: Patient Safety in Surgery
https://www.readbyqxmd.com/read/27799449/enablers-and-barriers-in-providing-telediabetes-services-for-indigenous-communities-a-systematic-review
#15
Sumudu I Wickramasinghe, Liam J Caffery, Natalie K Bradford, Anthony C Smith
A systematic review of studies which reported on telediabetes services within Indigenous communities was undertaken in June 2016. The aim of this study was to identify enablers and barriers associated with the delivery of telehealth services for diabetes care amongst Indigenous people. A total of 14 articles met the study inclusion criteria, reporting work in Canada, Australia, India, and the US. Key enablers included the use of cultural and spiritual elements, acknowledgement of local beliefs and traditions, and appropriate community engagement...
December 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27798039/integration-of-oral-health-into-primary-care-a-scoping-review-protocol
#16
Elham Emami, Hermina Harnagea, Felix Girard, Anne Charbonneau, René Voyer, Christophe Pierre Bedos, Martin Chartier, John Wootton, Yves Couturier
INTRODUCTION: Integrated care has been introduced as a means of improving health outcomes and access to care, and reducing the cost of healthcare. Despite its importance, the integration of oral health into primary care is still an emerging healthcare pathway. This scoping review protocol has been developed and funded by the Canadian Institutes of Health Research to provide an evidence-based synthesis on a primary oral healthcare approach and its effectiveness in improving oral health outcomes...
October 18, 2016: BMJ Open
https://www.readbyqxmd.com/read/27797568/deaf-people-s-help-seeking-following-trauma-experiences-with-and-recommendations-for-the-massachusetts-behavioral-health-care-system
#17
Melissa L Anderson, Kelly S Wolf Craig, Douglas M Ziedonis
Objective: Deaf trauma survivors are one of the more underserved populations in behavioral health care and experience significant obstacles to seeking help. Repeated encounters with these barriers fuel negative perceptions and avoidance of behavioral health treatment. The current study sought to explore Deaf trauma survivors' help-seeking experiences and elicit their recommendations for improving Deaf behavioral health services in Massachusetts. Method: We conducted semistructured American Sign Language interviews with 16 trauma-exposed Deaf individuals that included questions from the Life Events Checklist and the PTSD Symptom Scale Interview and questions about Deaf individuals' help-seeking behaviors...
October 31, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27797435/the-transition-of-care-between-emergency-department-and-primary-care-a-scoping-study
#18
Clare L Atzema, Laura C Maclagan
OBJECTIVES: Patients with chronic diseases often have to seek emergency care for exacerbations. In the face of large predicted increases in the prevalence of chronic diseases, there is increased pressure to avoid hospitalizing these patients at the end of the ED visit, if they can obtain the care they need in the outpatient setting. We performed this scoping study to provide a broad overview of the published literature on the transition of care between ED and primary care following ED discharge...
October 31, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27788597/aging-in-rural-indigenous-communities-an-intercultural-and-participatory-healthcare-approach-in-mexico
#19
Blanca Estela Pelcastre-Villafuerte, Sergio Meneses-Navarro, María Guadalupe Ruelas-González, Hortensia Reyes-Morales, Alejandra Amaya-Castellanos, Arianna Taboada
From an ethno-gerontological perspective, new models are needed to fulfill the health needs of the indigenous older adult population in Mexico. In this paper we developed a comprehensive healthcare model, interculturally appropriate, designed to meet the needs of Mexican indigenous older adults. The model was constructed using a qualitative design with semi-structured interviews of older adults, health providers, and available health resources in three Mexican indigenous regions. An ethnographical review was carried out to contextually characterize these communities...
October 28, 2016: Ethnicity & Health
https://www.readbyqxmd.com/read/27776549/increasing-understanding-of-the-relationship-between-geographic-access-and-gendered-decision-making-power-for-treatment-seeking-for-febrile-children-in-the-chikwawa-district-of-malawi
#20
Victoria L Ewing, Rachel Tolhurst, Andrew Kapinda, Esther Richards, Dianne J Terlouw, David G Lalloo
BACKGROUND: This study used qualitative methods to investigate the relationship between geographic access and gendered intra-household hierarchies and how these influence treatment-seeking decision-making for childhood fever within the Chikwawa district of Malawi. Previous cross-sectional survey findings in the district indicated that distance from facility and associated costs are important determinants of health facility attendance in the district. This paper uses qualitative data to add depth of understanding to these findings by exploring the relationship between distance from services, anticipated costs and cultural norms of intra-household decision-making, and to identify potential intervention opportunities to reduce challenges experienced by those in remote locations...
October 24, 2016: Malaria Journal
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