School of Biomedical Sciences and Pharmacy, University of Newcastle, 4A Cutcliffe Avenue, Regents Park, Callaghan, NSW, 2143, Australia.
School of Health and Society, University of Wollongong, Wollongong, NSW, Australia.
J Immigr Minor Health. 2024 Feb;26(1):181-199. doi: 10.1007/s10903-023-01522-0. Epub 2023 Jul 10.
This review aims to identify healthcare providers' (HCPs) experiences with issues related to the quality use of medicines among culturally and linguistically diverse (CALD) patients, the underlying factors, and the enablers of and barriers to providing culturally safe care to promote quality use of medicines. The searched databases were Scopus, Web of Science, Academic search complete, CINHAL-Plus, Google Scholar and PubMed/Medline. The initial search returned 643 articles, of which 14 papers were included. HCPs reported that CALD patients were more likely to face challenges in accessing treatment and sufficient information about treatment. According to the theoretical domains framework, determinants such as social influences due to cultural and religious factors, lack of appropriate resources about health information and cultural needs, lack of physical and psychological capabilities such as lack of knowledge and skills, and lack of motivation could impede HCPs' abilities to provide culturally safe care. Future interventions should deploy multilevel interventions, such as education, training, and organisation structural reforms.
本次综述旨在明确医疗保健提供者(HCP)在处理文化和语言多样化(CALD)患者药物使用质量相关问题方面的经验、潜在因素,以及提供文化安全护理以促进药物合理使用的促成因素和障碍。检索的数据库包括 Scopus、Web of Science、Academic Search Complete、CINAHL-Plus、Google Scholar 和 PubMed/Medline。初步搜索返回了 643 篇文章,其中有 14 篇被纳入。HCP 报告称,CALD 患者在获得治疗和充分了解治疗信息方面更有可能面临挑战。根据理论领域框架,由于文化和宗教因素导致的社会影响、缺乏有关健康信息和文化需求的适当资源、缺乏知识和技能等身体和心理能力,以及缺乏动机等决定因素可能会阻碍 HCP 提供文化安全护理的能力。未来的干预措施应采取多层次的干预措施,如教育、培训和组织结构改革。