title: A review of the cultural competence view of cardiac rehabilitation.
abstract: OBJECTIVE
  This paper describes cultural competence issues within the scientific and scholarly discourse surrounding cardiac rehabilitation (CR).
  
  
  BACKGROUND
  CR is an important secondary prevention strategy, improving health-related outcomes and reducing the risks of subsequent cardiovascular events. Internationally, it is widely accepted as a discrete health service model and is endorsed by government and professional bodies. Over past decades, low participation rates in CR remain a concern, particularly among minority groups and culturally and linguistically diverse populations.
  
  
  METHODS
  Systematic review.
  
  
  METHODS
  Search of electronic databases.
  
  
  CONCLUSIONS
  Few studies to date have described cultural competence in CR service design and as a consequence, there are minimal data to assist CR professionals and policy makers in tailoring health service delivery models. The limited scholarly debate and discussion regarding cultural competence in the CR literature limits the development and evaluation of culturally appropriate interventions.
  
  
  CONCLUSIONS
  There needs to be greater attention to the concept of cultural competence, both in practice and research settings, to ensure access to CR for people from culturally and linguistically diverse backgrounds.
authors.affiliation: Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW, Australia. p.davidson@curtin.edu.au
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Davidson
authors.forename: Leila
authors.initials: L
authors.lastname: Gholizadeh
authors.forename: Abbas
authors.initials: A
authors.lastname: Haghshenas
authors.forename: Arie
authors.initials: A
authors.lastname: Rotem
authors.forename: Michelle
authors.initials: M
authors.lastname: DiGiacomo
authors.forename: Maurice
authors.initials: M
authors.lastname: Eisenbruch
authors.forename: Yenna
authors.initials: Y
authors.lastname: Salamonson
mesh_terms: D000072038:Cardiac Rehabilitation; D054521:Cultural Competency; D018864:Cultural Diversity; D006801:Humans; D008913:Minority Groups