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Home / Archives for Welbel M

Health care for immigrants in Europe: is there still consensus among country experts about principles of good practice? A Delphi study.

  • Autores: Bogic M, Dauvrin M, Deville W, Dias S, Gaddini A, Greacen T, Jensen NK, Karamanidou C, Kluge U, Mertaniemi R, Priebe S, Riera RP, Sárváry A, Soares JJ, Stankunas M, Straßmayr C, Welbel M
  • Journal: BMC Public Health
  • Link: http://www.ncbi.nlm.nih.gov/pubmed/?term=Health+care+for+immigrants+in+Europe%3A+is+there+still+consensus+among+country+experts+about+principles+of+good+practice%3F+A+Delphi+study.

BACKGROUND:
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.
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Experiences with treating immigrants: A qualitative study in mental health services across 16 European countries

  • Autores: Bjerre NV, Dauvrin M, Dias S, Gaddini A, Greacen T, Ioannidis E, Jensen K, Kluge U, Kósa Z, Lamkaddem M, Priebe S, Puigpinós Riera R, Sandhu S, Stankunas M, Straßmayr C, Wahlbeck K, Welbel M, Wihlman U
  • Journal: Social Psychiatry and Psychiatric Epidemiology
  • Link: http://www.ncbi.nlm.nih.gov/pubmed/22714866

While there has been systematic research on the experiences of immigrant patients in mental health services within certain European countries, little research has explored the experiences of mental health professionals in the delivery of services to immigrants across Europe. This study sought to explore professionals’ experiences of delivering care to immigrants in districts densely populated with immigrants across Europe.
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Health services and the treatment of immigrants: data on service use, interpreting services and immigrant staff members in services across Europe.

  • Autores: Bogic M, Dauvrin M, Deville W, Dias S, Gaddini A, Greacen T, Heinz A, Ioannidi-Kapolou E, Kluge U, Koitzsch Jensen N, Mertaniemi R, Priebe S, Puipcinós I Riera R, Sandhu S, Sárváry A, Soares JJ, Stankunas M, Straßmayr C, Welbel M
  • Journal: European Psychiatry
  • Link: http://www.ncbi.nlm.nih.gov/pubmed/?term=Health+services+and+the+treatment+of+immigrants%3A+data+on+service+use%2C+interpreting+services+and+immigrant+staff+members+in+services+across+Europe

BACKGROUND:
The number of immigrants using health services has increased across Europe. For assessing and improving the quality of care provided for immigrants, information is required on how many immigrants use services, what interpreting services are provided and whether staff members are from immigrant groups.
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Health care for irregular migrants: pragmatism across Europe: a qualitative study.

  • Autores: Dauvrin M, Deville W, Dia H, Dias S, EUGATE study group, Gaddini A, Ioannidis E, Jensen NK, Kluge U, Lorant V, Mertaniemi R, Priebe S, Puigpinós I Riera R, Sandhu S, Sárváry A, Soares JJ, Stankunas M, Strabmayr C, Welbel M
  • Journal: BMC Research Notes
  • Link: http://www.ncbi.nlm.nih.gov/pubmed/?term=Health+care+for+irregular+migrants%3A+pragmatism+across+Europe.+A+qualitative+study

BACKGROUND:
Health services in Europe face the challenge of delivering care to a heterogeneous group of irregular migrants (IM). There is little empirical evidence on how health professionals cope with this challenge. This study explores the experiences of health professionals providing care to IM in three types of health care service across 16 European countries.
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Good practice in health care for migrants: views and experiences of care professionals in 16 European countries.

  • Autores: Bogic M, Dias S, Gaddini A, Greacen T, Ioannidis E, Kluge U, Krasnik A, Lamkaddem M, Lorant V, Priebe S, Riera RP, Sandhu S, Sárváry A, Soares JJ, Stankunas M, Straßmayr C, Wahlbeck K, Welbel M
  • Journal: BMC Public Health
  • Link: http://www.ncbi.nlm.nih.gov/pubmed/?term=Good+practice+in+health+care+for+migrants%3A+views+and+experiences+of+care+professionals+in+16+European+countries

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.
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About GHTM

GHTM is a R&D Center that brings together researchers from IHMT with a track record in Tropical Medicine and International/Global Health. It aims at strengthening Portugal's role as a leading partner in the development and implementation of a global health research agenda. Our evidence-based interventions contribute to the promotion of equity in health and to improve the health of populations.

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