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eKonferencije.com: IMPACT OF LANGUAGE BARRIERS ON PATIENT COMPLIANCE AND OUTCOME IN HEALTHCARE

IMPACT OF LANGUAGE BARRIERS ON PATIENT COMPLIANCE AND OUTCOME IN HEALTHCARE

1. Angjel Stojanovski

Introduction: Lack of evidence - based transcultural knowledge makes it difficult for healthcare providers to deliver,and for clients to experience, high – quality cost -effective care. Differences in language, culture, religion and individual or group experiences impact on values, behaviours and both clients’ and practitioners’ expectations of each other. Data from industrial countries show that immigrants are in poorer health and receive less medical care than natives. This study addresses the problem of partial or complete language barrier between client and caregiver which may lead to a communication gap resulting in reduced client compliance with therapeutic measures and eventually weaker outcome.
Goals: Comparative evaluation of quality of care for native Macedonian speakers and patients of different ethnic origin who cannot directly communicate with their caregivers, in order to provide an evidence base for the implementation of standards for culturally appropriate care in our institution. Methods: A retrospective comparative study is currently being conducted among 500 Macedonian - and non – Macedonian - speaking cardiosurgic patients, excluding patients with cognitive dysfunctions. Medical documentation is reviewed for complications directly connected to patient compliance(postoperative respiratory problems, sternal instability), ventilator time, ICU time and overall hospital stay. Results:
expected by April 15. Conclusion and outlook: While a conclusion cannot be drawn from the study at this point, we will develop strategies to adapt to the demographic characteristics of our patient population to ensure equally excellent care to all our patients.

Ključne reči :

Tematska oblast: Medecinske i zdravstvene nauke

Datum: 23.10.2012.

Br. otvaranja: 463

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