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001-es BibID:	BIBFORM032211
Első szerző:	Devillé, Walter
Cím:	Health care for immigrants in Europe : Is there still consensus among country experts about principles of good practice? : a Delphi study / Walter Devillé, Tim Greacen, Marija Bogic, Marie Dauvrin, Sónia Dias, Andrea Gaddini, Natasja Koitzsch Jensen, Christina Karamanidou, Ulrike Kluge, Ritva Mertaniemi, Rosa Puigpinós i Riera, Attila Sárváry, Joaquim J. F. Soares, Mindaugas Stankunas, Christa Straßmayr, Marta Welbel, Stefan Priebe
Dátum:	2011
ISSN:	1471-2458
Megjegyzések:	European Member States are facing a challenge to provide accessible and effective health care services for immigrants. It remains unclear how best to achieve this and what characterises good practice in increasingly multicultural societies across Europe. This study assessed the views and values of professionals working in different health care contexts and in different European countries as to what constitutes good practice in health care for immigrants. Methods A total of 134 experts in 16 EU Member States participated in a three-round Delphi process. The experts represented four different fields: academia, Non-Governmental Organisations, policy-making and health care practice. For each country, the process aimed to produce a national consensus list of the most important factors characterising good practice in health care for migrants. Results The scoring procedures resulted in 10 to 16 factors being identified as the most important for each participating country. All 186 factors were aggregated into 9 themes: (1) easy and equal access to health care, (2) empowerment of migrants, (3) culturally sensitive health care services, (4) quality of care, (5) patient/health care provider communication, (6) respect towards migrants, (7) networking in and outside health services, (8) targeted outreach activities, and (9) availability of data about specificities in migrant health care and prevention. Although local political debate, level of immigration and the nature of local health care systems influenced the selection and rating of factors within each country, there was a broad European consensus on most factors. Yet, discordance remained both within countries, e.g. on the need for prioritising cultural differences, and between countries, e.g. on the need for more consistent governance of health care services for immigrants. Conclusions Experts across Europe asserted the right to culturally sensitive health care for all immigrants. There is a broad consensus among experts about the major principles of good practice that need to be implemented across Europe. However, there also is some disagreement both within and between countries on specific issues that require further research and debate.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban külföldön készült közlemény
Megjelenés:	BMC Public Health [electronic resource]. - 11 : 1 (2011), p. 699-708. -
További szerzők:	Greacen, Tim Bogic, Marija Dauvrin, Marie Dias, Sónia Gaddini, Andrea Jensen, Natasja Koitzsch Karamanidou, Christina Kluge, Ulrike Mertaniemi, Ritva Puigpinós i Riera, Rosa Soares, Joaquim J. F. Stankunas, Mindaugas Strassmayr, Christa Welbel, Marta Priebe, Stefan Sárváry Attila (1971-) (népegészségtan szakorvos)
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001-es BibID:	BIBFORM018143
Első szerző:	Priebe, Stefan
Cím:	Good practice in health care for migrants : views and experiences of care professionals in 16 European countries / Priebe Stefan, Sandhu Sima, Dias Sónia, Gaddini Andrea, Greacen Tim, Ioannidis Elisabeth, Kluge Ulrike, Krasnik Allan, Lamkaddem Majda, Lorant Vincent, Riera Rosa, Sarvary Attila, Soares Joaquim J. F., Stankunas Mindaugas, Strassmayr Christa, Wahlbeck Kristian, Welbel Marta, Bogic Marija
Dátum:	2011
ISSN:	1471-2458
Megjegyzések:	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 Structured interviews with open questions and case vignettes were conducted with health care professionals working in areas with high proportion of migrant populations 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 migrants, 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. Conclusions 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.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Bmc Public Health [electronic resource]. - 11 : 1 (2011), p. 187. -
További szerzők:	Sandhu, Sima Dias, Sónia Gaddini, Andrea Greacen, Tim Ioannidis, Elisabeth Kluge, Ulrike Krasnik, Allan Lamkaddem, Majda Lorant, Vincent Riera, Rosa Sárváry Attila (1971-) (népegészségtan szakorvos) Soares, Joaquim J. F. Stankunas, Mindaugas Strassmayr, Christa Wahlbeck, Kristian Welbel, Marta Bogic, Marija
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