학술논문
Barriers to Follow Up Care in the South Asian Immigrant Population at High Risk of Acute Coronary Syndrome at Elmhurst Hospital Center.
Document Type
Article
Source
Subject
*PATIENT aftercare
*IMMIGRANTS
*CARDIAC catheterization
*HEALTH services accessibility
*RESEARCH methodology
*ACUTE coronary syndrome
*SOUTH Asians
*INTERVIEWING
*PATIENT satisfaction
*LANGUAGE & languages
*FISHER exact test
*ACQUISITION of data
*QUALITY assurance
*STATISTICAL hypothesis testing
*CHI-squared test
*QUESTIONNAIRES
*MEDICAL records
*DATA analysis software
*DISEASE risk factors
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Language
ISSN
1557-1912
Abstract
We studied South Asian immigrant patients who did not return to Elmhurst Hospital Center (EHC) after emergent cardiac catheterization in order to propose interventions to improve follow up care. We identified 74 eligible patients, interviewed 30 about follow up practices, and analyzed findings. Most patients are Bangladeshi and 77% preferred a foreign language. Some were visiting the US during the admission without intent to follow up. Half were dissatisfied with EHC providers, complications, and inadequate care at follow up appointments. Some patients were unaware of scheduled appointments or the necessity of follow up. Most follow with private providers due to language accessibility, availability, and proximity. We found that language barriers contribute to loss to follow up and the true loss to follow up rate is lower than reported at EHC. This can inform practices at hospitals with immigrant populations, minimize resource waste, and improve quality of care. [ABSTRACT FROM AUTHOR]