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Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? 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...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3182934/ https://www.ncbi.nlm.nih.gov/pubmed/21914194 http://dx.doi.org/10.1186/1471-2458-11-699 |
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author | Devillé, Walter Greacen, Tim Bogic, Marija Dauvrin, Marie Dias, Sónia Gaddini, Andrea Jensen, Natasja Koitzsch Karamanidou, Christina Kluge, Ulrike Mertaniemi, Ritva i Riera, Rosa Puigpinós Sárváry, Attila Soares, Joaquim JF Stankunas, Mindaugas Straßmayr, Christa Welbel, Marta Priebe, Stefan |
author_facet | Devillé, Walter Greacen, Tim Bogic, Marija Dauvrin, Marie Dias, Sónia Gaddini, Andrea Jensen, Natasja Koitzsch Karamanidou, Christina Kluge, Ulrike Mertaniemi, Ritva i Riera, Rosa Puigpinós Sárváry, Attila Soares, Joaquim JF Stankunas, Mindaugas Straßmayr, Christa Welbel, Marta Priebe, Stefan |
author_sort | Devillé, Walter |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3182934 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-31829342011-09-30 Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study Devillé, Walter Greacen, Tim Bogic, Marija Dauvrin, Marie Dias, Sónia Gaddini, Andrea Jensen, Natasja Koitzsch Karamanidou, Christina Kluge, Ulrike Mertaniemi, Ritva i Riera, Rosa Puigpinós Sárváry, Attila Soares, Joaquim JF Stankunas, Mindaugas Straßmayr, Christa Welbel, Marta Priebe, Stefan BMC Public Health Research Article 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. BioMed Central 2011-09-13 /pmc/articles/PMC3182934/ /pubmed/21914194 http://dx.doi.org/10.1186/1471-2458-11-699 Text en Copyright ©2011 Devillé et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Devillé, Walter Greacen, Tim Bogic, Marija Dauvrin, Marie Dias, Sónia Gaddini, Andrea Jensen, Natasja Koitzsch Karamanidou, Christina Kluge, Ulrike Mertaniemi, Ritva i Riera, Rosa Puigpinós Sárváry, Attila Soares, Joaquim JF Stankunas, Mindaugas Straßmayr, Christa Welbel, Marta Priebe, Stefan Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study |
title | Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study |
title_full | Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study |
title_fullStr | Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study |
title_full_unstemmed | Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study |
title_short | Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study |
title_sort | health care for immigrants in europe: is there still consensus among country experts about principles of good practice? a delphi study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3182934/ https://www.ncbi.nlm.nih.gov/pubmed/21914194 http://dx.doi.org/10.1186/1471-2458-11-699 |
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