A review of the cultural competence view of cardiac rehabilitation.
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.
Davidson
Patricia M
PM
Curtin University of Technology, Centre for Cardiovascular and Chronic Care, Curtin Health Innovation Research Insitute, NSW, Australia. p.davidson@curtin.edu.au
Gholizadeh
Leila
L
Haghshenas
Abbas
A
Rotem
Arie
A
DiGiacomo
Michelle
M
Eisenbruch
Maurice
M
Salamonson
Yenna
Y
D000072038:Cardiac Rehabilitation; D054521:Cultural Competency; D018864:Cultural Diversity; D006801:Humans; D008913:Minority Groups