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  • Deville, WalterNIVEL Netherlands Inst Hlth Serv Res, NL-3500 BN Utrecht, Netherlands. (author)

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

  • Article/chapterEnglish2011

Publisher, publication year, extent ...

  • 2011-09-13
  • Springer Science and Business Media LLC,2011
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:miun-15163
  • https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-15163URI
  • https://doi.org/10.1186/1471-2458-11-699DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:123295012URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Greacen, TimEtab Publ Sante Maison Blanche, F-75019 Paris, France. (author)
  • Bogic, MarijaQueen Mary Univ London, Unit Social & Community Psychiat, Newham Ctr Mental Hlth, London E13 8SP, England. (author)
  • Dauvrin, MarieCatholic Univ Louvain, Inst Hlth & Soc, B-1200 Brussels, Belgium. (author)
  • Dias, SoniaUniv Nova Lisboa, Inst Higiene & Med Trop, P-1349008 Lisbon, Portugal (author)
  • Gaddini, AndreaLaziosanita ASP Publ Hlth Agcy Lazio Reg, I-00198 Rome, Italy. (author)
  • Jensen, Natasja KoitzschUniv Copenhagen, Dept Publ Hlth, Sect Hlth Serv Res, Danish Res Ctr Migrat Ethn & Hlth MESU, DK-1014 Copenhagen, Denmark. (author)
  • Karamanidou, ChristinaNatl Sch Publ Hlth, Dept Sociol, Athens 11521, Greece. (author)
  • Kluge, UlrikeCharite, CCM, Clin Psychiat & Psychotherapy, D-10117 Berlin, Germany. (author)
  • Mertaniemi, RitvaNatl Inst Hlth & Welf THL, Dept Mental Hlth & Subst Abuse Serv, FIN-00271 Helsinki, Finland. (author)
  • Puigpinos i Riera, RosaAgcy Publ Hlth Barcelona, Barcelona 08023, Spain. (author)
  • Sarvary, AttilaUniv Debrecen, Fac Hlth Sci Nyiregyhaza, H-4400 Nyiregyhaza, Hungary. (author)
  • Soares, Joaquim J. F.Mittuniversitetet,Institutionen för hälsovetenskap (-2013)(Swepub:miun)joasoa (author)
  • Stankunas, MindaugasLithuanian Univ Hlth Sci, Dept Hlth Management, LT-44307 Kaunas, Lithuania. (author)
  • Strassmayr, ChristaLudwig Boltzmann Inst Social Psychiat, A-1090 Vienna, Austria. (author)
  • Welbel, MartaInst Psychiat & Neurol, PL-02957 Warsaw, Poland. (author)
  • Priebe, StefanQueen Mary Univ London, Unit Social & Community Psychiat, Newham Ctr Mental Hlth, London E13 8SP, England. (author)
  • NIVEL Netherlands Inst Hlth Serv Res, NL-3500 BN Utrecht, Netherlands.Etab Publ Sante Maison Blanche, F-75019 Paris, France. (creator_code:org_t)

Related titles

  • In:BMC Public Health: Springer Science and Business Media LLC11, s. Art. no. 699-1471-2458

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