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Background: Language barriers are one of the main obstacles faced by migrants in accessing healthcare services. A compromised communication between migrants and Healthcare Providers in vaccination setting can result in increased vaccine hesitancy and decreased vaccine uptake. The objective of the current study is to investigate Healthcare Providers' perceptions about linguistic barriers faced during both routinary vaccination practice and the extraordinary vaccination program for Ukrainian refugees in the Local Health Authorities of Bologna and Romagna (Italy).
Methods: A cross-sectional study was conducted through the administration of a questionnaire examining Healthcare Providers' perceptions. A descriptive analysis and a multiple logistic regression model were adopted to analyze the collected data.
Results: Language barriers resulted as an obstacle to informed consent and to doctor-patient relationship. The strategies adopted were perceived as helpful in increasing vaccination adherence, despite communication difficulties were still experienced during refugees' vaccinations. Results suggest that the implementation of translated material and the use of professional interpreters may represent important strategies to overcome linguistic barriers, along with Healthcare Providers' training. Healthcare Providers' opinions could assist the implementation of new tools capable of countering language barriers.
Conclusions: The current study represents an example of providers' involvement in understanding the complexities behind the issue of language barriers in vaccination practice.
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http://dx.doi.org/10.7416/ai.2024.2624 | DOI Listing |
J Speech Lang Hear Res
September 2025
University of the Witwatersrand, Johannesburg, South Africa.
Background: The integration of digital health care technologies into speech-language pathology and audiology is rapidly transforming service delivery. In South Africa and other low- and middle-income countries (LMICs), digital tools offer significant opportunities to address access challenges and enhance patient outcomes. However, the adoption of these technologies requires careful consideration of contextual factors.
View Article and Find Full Text PDFJ Prim Care Community Health
September 2025
Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of Cape Town, South Africa.
Objectives: The COVID-19 pandemic disrupted routine healthcare services, disproportionately affecting people living with chronic conditions such as type 2 diabetes (T2D). In response, the Western Cape Government Health implemented home delivery of medication (HDM) via community health workers (CHWs) to maintain continuity of care. This study aimed to evaluate the association between socioeconomic factors and access to HDM among T2D patients in Cape Town, South Africa, during the pandemic, with a focus on equity and health system responsiveness.
View Article and Find Full Text PDFDisabil Rehabil Assist Technol
September 2025
International Communication College, Jilin International Studies University, Changchun, Jilin, China.
Background: Conventional automated writing evaluation systems typically provide insufficient support for students with special needs, especially in tonal language acquisition such as Chinese, primarily because of rigid feedback mechanisms and limited customisation.
Objective: This research develops context-aware Hierarchical AI Tutor for Writing Enhancement(CHATWELL), an intelligent tutoring platform that incorporates optimised large language models to deliver instantaneous, customised, and multi-dimensional writing assistance for Chinese language learners, with special consideration for those with cognitive learning barriers.
Methods: CHATWELL employs a hierarchical AI framework with a four-tier feedback mechanism designed to accommodate diverse learning needs.
Introduction: Vaccinations are vital for global health; however, since the onset of the COVID-19 pandemic in 2020, there has been a notable decline in maternal vaccine acceptance in Wales, UK. It is a key part of a midwife's role to promote vaccine uptake in pregnancy. Therefore, gaining an understanding of midwives' perceptions of the issue is crucial for identifying factors influencing vaccine uptake in Wales.
View Article and Find Full Text PDFTrauma Surg Acute Care Open
September 2025
Medical Center of the Rockies, Loveland, Colorado, USA.
Introduction: Efforts to strengthen healthcare systems have led to the development of clinical practice guidance, defined as clinical decision-making aids built on scientific evidence, experiential knowledge, and ideally, patient values. This review evaluates the accessibility, relevance, and quality of existing trauma guidance globally.
Methods: A systematic review evaluated trauma-related clinical guidance sources published from 2016 to 2023, searching in English across eight databases and 28 professional society websites.