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Patient-centredness in primary care walk-in clinics for refugees in Hamburg
BACKGROUND: The huge increase of refugees to Germany caused a great challenge to the health system. We aimed to examine the level of patient-centredness in medical consultations with refugee patients, aided by video interpreters in primary care walk-in clinics (PCWC) in Hamburg. METHODS: Videotaped...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163696/ https://www.ncbi.nlm.nih.gov/pubmed/37149641 http://dx.doi.org/10.1186/s12875-023-02060-2 |
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author | Hill, Josephine Nana Krüger, Katarina Boczor, Sigrid Kloppe, Thomas von dem Knesebeck, Olaf Scherer, Martin |
author_facet | Hill, Josephine Nana Krüger, Katarina Boczor, Sigrid Kloppe, Thomas von dem Knesebeck, Olaf Scherer, Martin |
author_sort | Hill, Josephine Nana |
collection | PubMed |
description | BACKGROUND: The huge increase of refugees to Germany caused a great challenge to the health system. We aimed to examine the level of patient-centredness in medical consultations with refugee patients, aided by video interpreters in primary care walk-in clinics (PCWC) in Hamburg. METHODS: Videotaped consultations (N = 92) of 83 patients from 2017 to 2018 were analysed. Two raters used the Measure of Patient-Centered Communication (MPCC) and the International Classification of primary care (ICPC-2). MPCC scores with regard to patients’ reason for seeking medical care and the procedures taken were explored using variance analyses adjusted for age, gender, and the duration of the consultation. The duration was further explored by Pearson correlations. RESULTS: Patient-centredness of all consultations on average was 64% (95% CI 60–67) according to MPCC, with health-related issues affecting the results. The highest level of patient-centredness was achieved in psychological health issues with 79% (65–94), the lowest in respiratory ones with 55% (49–61). Longer consultations resulted in higher MPCC scores. CONCLUSIONS: The level of patient-centredness varied in the addressed health issues as well as in the duration of the consultation. Despite the variation, video interpreting in consultations supports a solid patient-centredness. PRACTICE IMPLICATIONS: We recommend the use of remote video interpreting services for outpatient healthcare to support patient-centred communication and to fill the gap of underrepresentation of qualified interpreters on site, regarding a high diversity of spoken languages. |
format | Online Article Text |
id | pubmed-10163696 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-101636962023-05-07 Patient-centredness in primary care walk-in clinics for refugees in Hamburg Hill, Josephine Nana Krüger, Katarina Boczor, Sigrid Kloppe, Thomas von dem Knesebeck, Olaf Scherer, Martin BMC Prim Care Research BACKGROUND: The huge increase of refugees to Germany caused a great challenge to the health system. We aimed to examine the level of patient-centredness in medical consultations with refugee patients, aided by video interpreters in primary care walk-in clinics (PCWC) in Hamburg. METHODS: Videotaped consultations (N = 92) of 83 patients from 2017 to 2018 were analysed. Two raters used the Measure of Patient-Centered Communication (MPCC) and the International Classification of primary care (ICPC-2). MPCC scores with regard to patients’ reason for seeking medical care and the procedures taken were explored using variance analyses adjusted for age, gender, and the duration of the consultation. The duration was further explored by Pearson correlations. RESULTS: Patient-centredness of all consultations on average was 64% (95% CI 60–67) according to MPCC, with health-related issues affecting the results. The highest level of patient-centredness was achieved in psychological health issues with 79% (65–94), the lowest in respiratory ones with 55% (49–61). Longer consultations resulted in higher MPCC scores. CONCLUSIONS: The level of patient-centredness varied in the addressed health issues as well as in the duration of the consultation. Despite the variation, video interpreting in consultations supports a solid patient-centredness. PRACTICE IMPLICATIONS: We recommend the use of remote video interpreting services for outpatient healthcare to support patient-centred communication and to fill the gap of underrepresentation of qualified interpreters on site, regarding a high diversity of spoken languages. BioMed Central 2023-05-06 /pmc/articles/PMC10163696/ /pubmed/37149641 http://dx.doi.org/10.1186/s12875-023-02060-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Hill, Josephine Nana Krüger, Katarina Boczor, Sigrid Kloppe, Thomas von dem Knesebeck, Olaf Scherer, Martin Patient-centredness in primary care walk-in clinics for refugees in Hamburg |
title | Patient-centredness in primary care walk-in clinics for refugees in Hamburg |
title_full | Patient-centredness in primary care walk-in clinics for refugees in Hamburg |
title_fullStr | Patient-centredness in primary care walk-in clinics for refugees in Hamburg |
title_full_unstemmed | Patient-centredness in primary care walk-in clinics for refugees in Hamburg |
title_short | Patient-centredness in primary care walk-in clinics for refugees in Hamburg |
title_sort | patient-centredness in primary care walk-in clinics for refugees in hamburg |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163696/ https://www.ncbi.nlm.nih.gov/pubmed/37149641 http://dx.doi.org/10.1186/s12875-023-02060-2 |
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