Τίτλος:
Good practice in health care for migrants: views and experiences of care
professionals in 16 European countries
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background: Health services across Europe provide health care for
migrant patients every day. However, little systematic research has
explored the views and experiences of health care professionals in
different European countries. The aim of this study was to assess the
difficulties professionals experience in their service when providing
such care and what they consider constitutes good practice to overcome
these problems or limit their negative impact on the quality of care.
Methods: Structures interviews with open questions and case vignettes
were conducted with health care professional working in areas with high
proportion of migrant population in 16 countries. In each country,
professionals in nine primary care practices, three accident and
emergency hospital departments, and three community mental health
services (total sample = 240) were interviewed about their views and
experiences in providing care for migrant patients. i.e. from first
generation immigrant populations. Answers were analysed using thematic
content analysis.
Results: Eight types of problems and seven components of good practice
were identified representing all statements in the interviews. The eight
problems were: language barriers, difficulties in arranging care for
migrants without health care coverage, social deprivation and traumatic
experiences, lack of familiarity with the health care system, cultural
differences, different understandings of illness and treatment, negative
attitudes among staff and patients, and lack of access to medical
history. The components of good practice to overcome these problems or
limit their impact were: organisational flexibility with sufficient time
and resources, good interpreting services, working with families and
social services, cultural awareness of staff, educational programmes and
information material for migrant positive and stable relationships with
staff, and clear guidelines on the care entitlements of different
migrant groups. Problems and good care components were similar across
the three types of services.
Conclusion: Health care professionals in different services experience
similar difficulties when providing care to migrants. They also have
relatively consistent views on what constitutes good practice. The
degree to which these components already are part of routine practice
varies. Implementing good practice requires sufficient resources and
organisational flexibility, positive attitudes, training for staff and
the provision of information.
Συγγραφείς:
Priebe, Stefan
Sandhu, Sima
Dias, Sonia
Gaddini, Andrea and
Greacen, Tim
Ioannidis, Elisabeth
Kluge, Ulrike
Krasnik,
Allan
Lamkaddem, Majda
Lorant, Vincent
Puigpinosi Riera,
Rosa
Sarvary, Attila
Soares, Joaquim J. F.
Stankunas,
Mindaugas
Strassmayr, Christa
Wahlbeck, Kristian
Welbel,
Marta
Bogic, Marija
Περιοδικό:
BMC Public Health
Εκδότης:
BioMed Central Ltd.
DOI:
10.1186/1471-2458-11-187
