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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

Published online by Cambridge University Press:  15 April 2020

U. Kluge ,
M. Bogic ,
W. Devillé ,
T. Greacen ,
M. Dauvrin ,
S. Dias ,
A. Gaddini ,
N. Koitzsch Jensen ,
E. Ioannidi-Kapolou  and
R. Mertaniemi
...Show all authors
U. Kluge*
Affiliation:
Department of Psychiatry and Psychotherapy, Charité - University Medicine Berlin, CCM, Charitéplatz 1, 10117Berlin, Germany
M. Bogic
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary University of London, Newham Centre for Mental Health, London, E13 8SP, UK
W. Devillé
Affiliation:
International and Migrant Health, NIVEL (Netherlands Institute for Health Services Research), Otterstraat 118–124, PO Box 1568, 3500 BN Utrecht & University of Amsterdam, Amsterdam Institute of Social Sciences Research, Amsterdam, The Netherlands
T. Greacen
Affiliation:
Etablissement public de santé Maison Blanche, 18 rue Rémy de Gourmont, 75019Paris, France
M. Dauvrin
Affiliation:
Fonds de la Recherche Scientifique-FNRS, rue d’Egmont 5, 1000Bruxelles, Belgium Institute of Health and Society IRSS, Université catholique de Louvain, Clos Chapelle aux Champs 30.15., 1200Bruxelles, Belgium
S. Dias
Affiliation:
Instituto de Higiene e Medicina Tropical & CMDT, Universidade Nova de Lisboa, Rua da Junqueira, 96, 1349-008Lisbon, Portugal
A. Gaddini
Affiliation:
Laziosanità ASP - Public Health Agency for the Lazio Region, Via S. Costanza 53, 00198Rome, Italy
N. Koitzsch Jensen
Affiliation:
Danish Research Centre for Migration, Ethnicity and Health (MESU), Unit of Health Services Research, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, DK-1014Copenhagen, Denmark
E. Ioannidi-Kapolou
Affiliation:
Department of Sociology, National School of Public Health, 196 Alexandras Avenue, Athens 11521, Greece
R. Mertaniemi
Affiliation:
National Institute for Health and Welfare (THL), Department for Mental Health and Substance Abuse Services, P.O.B. 30, FIN-00271 Helsinki, Finland
R. Puipcinós i Riera
Affiliation:
Agency of Public Health of Barcelona, Pça. Lesseps, 1, 08023Barcelona, Spain
S. Sandhu
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary University of London, Newham Centre for Mental Health, London, E13 8SP, UK
A. Sarvary
Affiliation:
Faculty of Health Sciences at Nyíregyháza, University of Debrecen, Sóstói út 31/B, 4400 Nyíregyháza, Hungary
J.J.F. Soares
Affiliation:
Institution for health Sciences, Department of Public Health Sciences, Mid Sweden University, SE-851 70, Sundsvall, Sweden
M. Stankunas
Affiliation:
Health Services Management Department, School of Public Health, Griffith University, Gold Coast Campus, Southport, Queensland4222, Australia Department of Health Management, Lithuanian University of Health Sciences, A. Mickevičiaus g. 9, LT 44307, Kaunas, Lithuania
C. Straßmayr
Affiliation:
Ludwig Boltzmann Institute for Social Psychiatry, Lazarettgasse 14A-912, 1090Vienna, Austria
M. Welbel
Affiliation:
Institute of Psychiatry and Neurology, Ul. Sobieskiego 9, 02-957Warsaw, Poland
A. Heinz
Affiliation:
Department of Psychiatry and Psychotherapy, Charité - University Medicine Berlin, CCM, Charitéplatz 1, 10117Berlin, Germany
S. Priebe
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary University of London, Newham Centre for Mental Health, London, E13 8SP, UK
*
*Corresponding Author. E-mail address:[email protected] (U. Kluge)
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Abstract

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.

Methods

Structured interviews were conducted with 15 health services (9 primary care, 3 emergency departments, 3 mental health) located in areas with high immigrant populations in each of 16 European countries (n = 240). Responses were collected on the availability of data on service use by immigrant patients, the provision of interpreting services and immigrant staff members.

Results

Data on service use by immigrants were recorded by only 15% of services. More than 40% of services did not provide any form of interpreting service and 54% of the services reported having no immigrant staff. Mental health services were more likely to use direct interpreting services, and both mental health and emergency services were more likely to have immigrant staff members.

Discussion

For assessing and improving the quality of care provided for immigrants, there is a need to improve the availability of data on service use by immigrants in health services throughout Europe and to provide more consistent access to interpreting services.

Keywords

ImmigrantsService useInterpreting serviceStaff diversityEurope
Type
Research Article
Information
European Psychiatry , Volume 27 , Issue S2: Migration and Mental Health , June 2012 , pp. S56 - S62
Copyright
Copyright © 2012 Elsevier Masson SAS

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References

Ahmad, W., Kernohan, E., Baker, M.Patients’ choice of general practitioner: influence of patients’ fluency in English and the ethnicity and sex of the doctor. J Roy Coll GP 1989; 39: 153–155.Google ScholarPubMed
Bischoff, A., Bovier, P., Isah, R., Francoise, G., Ariel, E., Louis, L.Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral. Soc Sci Med 2003; 57: 503–512.CrossRefGoogle ScholarPubMed
Borde, T., Braun, T., David, M.Unterschiede in der Inanspruchnahme klinischer Notfallambulanzen durch deutsche Patienten/innen und Migranten/innen. Schlussbericht für das BMBF Berlin: Humboldt-Universität Berlin, Universitätsmedizin Charité 2003; 61.Google Scholar
Claassen, D., Ascoli, M., Berhe, T., Priebe, S.Research on mental disorders and their care in immigrant populations: a review of publications from Germany, Italy and the UK. European Psychiatry 2005; 20(8): 540–549.CrossRefGoogle ScholarPubMed
Dauvrin, M., Lorant, V., Sandhu, S.W.D., Dia, H., Dias, S., et al.Health care for irregular migrants: pragmatism across Europe. A qualitative study. BMC Research Note 2012; 5; 99.CrossRefGoogle Scholar
Devillé, W., Greacen, T., Bogic, M., Dauvrin, M., Dias, S., Gaddini, A., et al.Health care for immigrants in Europe: is there still consensus among country experts about principles of good practice? A Delphi study. BMC Public Health 2011; 11; 699.CrossRefGoogle Scholar
Europe Co. Bratislava Declaration on health, human rights and migraion. 2007.Google Scholar
Europe Co. Recommendation Rec (2006) 18 Committee of Ministers to member states on health services in a multicultural society. 2006.Google Scholar
Fatahi, N., Hellström, M., Skott, C., Mattsson, B.General practitioners’ views on consultations with interpreters: a triad situation with complex issues. Scandinavian Journal of Primary Health Care 2008; 26(1): 40–45.CrossRefGoogle ScholarPubMed
Gaddini, A., Franco, F., Biscaglia, L., Di Lallo, D.An urban Italian study on emergency room utilisation by immigrants suffering from mental disorders in Rome, 2000–2004. European Psychiatry 2008; 23(2): 118–124.CrossRefGoogle Scholar
Gaitanides, S.Interkulturelle Teamentwicklung – Beobachtungen in der Praxis. In: Auernheimer, G., editor. Interkulturelle Kompetenz und pädagogische Professionalität Wiesbaden: Verl. für Sozialwiss.; 2010. p. 153–171.CrossRefGoogle Scholar
Helman, C.-G.Culture health and illness. 3rd ed. London: Butterworth-Heineman; 1994.Google Scholar
Hinz-Rommel, W. Interkulturelle Kompetenz. Ein neues Anforderungsprofil für die soziale Arbeit. Münster [u.a.]: Waxmann; 1994.Google Scholar
Hinz-Rommel, W.Interkulturelle Öffnung Sozialer Dienste und Einrichtungen. Hindernisse und Ansatzpunkte. IZA-Zeitschrift für Migration und Soziale Arbeit 1998; 1: 36–41.Google Scholar
Hjern, A., Haglund, B., Persson, G., Roen, M.Is there equity in access to health services for ethnic minorities in Sweden? The European Journal of Public Health 2001; 11(2): 147–152.CrossRefGoogle ScholarPubMed
Ingleby, D.Good practice in health service provision for migrants. In: Rechel, B., Mladovsky, P., Devillé, W., Rijks, B., Petrova-Benedict, R., McKee, M., editors. Migration and health in the European Union. Berkshire: Open University Press; 2011. p. 227–242.Google Scholar
IOM. World Migration Report 2010. The future of migration: Building capacities for change. Geneva: International Organization of Migration: 2010.Google Scholar
Kang, S.-Y., Howard, D., Kim, J., Payne, J.S., Wilton, L., Kim, W., et al.English language proficiency and lifetime mental health service utilization in a national representative sample of Asian Americans in the USA. Journal of Public Health 2010; 32(3): 431–439.CrossRefGoogle Scholar
Kleinman, A.Patients and healers in the context of culture. An exploration of the borderland between anthropology, medicine and psychiatry. Berkeley, Calif. [u.a.]Univ. of Calif. Press; 1981.Google Scholar
Kluge, U.Sprach-und Kulturmittler in der Psychotherapie. In: Machleidt, W., Heinz, A., editors. Praxis der Interkulturellen Psychiatrie und Psychotherapie Migration und psychische Gesundheit: Elsevier Urban & Fischer; 2010.Google Scholar
Kluge, U., Kassim, N.Der Dritte im Raum-Chancen und Schwierigkeiten in der Zusammenarbeit mit Sprach- und Kulturmittlern in einem interkulturellen psychotherapeutischen Setting. In: Wohlfart, E., Zaumseil, M., editors. Transkulturelle Psychiatrie- Interkulturelle Psychotherapie Interdisziplinäre Theorie und Praxis Heidelberg: Springer Verlag; 2006, p. 178–198.Google Scholar
Kluge, U., Penka, S.Konzeptionen für “Good Practice” im Bereich der Transkulturellen Psychiatrie in Deutschland. In: Machleidt, W., Heinz, A., editors. Praxis der interkulturellen Psychiatrie und Psychotherapie Migration und psychische Gesundheit München: Elsevier Verlag; 2011. p. 551–560.Google Scholar
Ku, L., Flores, G.Pay now or pay later: providing interpreter services in health care. Health Affairs 2005; 24(2): 435–444.CrossRefGoogle ScholarPubMed
Lay, B., Nordt, C., Rössler, W.Mental hospital admission rates of immigrants in Switzerland. Social Psychiatry and Psychiatric Epidemiology 2007; 42(3): 229–236.CrossRefGoogle Scholar
Leman, P.Interpreter use in an inner city accident and emergency department. Journal of Accident & Emergency Medicine 1997; 14(2): 98–100.CrossRefGoogle Scholar
Lindert, J., Schouler-Ocak, M., Heinz, A., Priebe, S.Mental health, health care utilisation of migrants in Europe. European Psychiatry 2008; 23(Suppl. 1): 14–20.CrossRefGoogle Scholar
McCrone, P., Bhui, K., Craig, T., Mohamud, S., Warfa, N., Stansfeld, S.A., et al.Mental health needs, service use and costs among Somali refugees in the UK. Acta Psychiatrica Scandinavica 2005; 111(5): 351–357.CrossRefGoogle ScholarPubMed
mighealth.net. http://mighealth.net/nl/index.php/Decision_of_Dutch_Ministry_of_Health_to_abolish_subsidies_for_translation_and_interpretation. 2011 [cited 2012 03/01].Google Scholar
Nielsen, S.S., Krasnik, A., Rosano, A.Registry data for cross-country comparisons of migrants’ healthcare utilization in the EU: a survey study of availability and content. BMC Health Services Research. [Research Article]. 2009; 9; 210.CrossRefGoogle ScholarPubMed
Norredam, M., Krasnik, A., M, S.T., N, K., J, M.J., S, N.A.Emergency room utilization in Copenhagen: a comparison of immigrant groups and Danish-born residents. Scandinavian Journal of Public Health 2004; 32.Google ScholarPubMed
Penka, S., Krieg, S., Hunner, C., Heinz, A.Unterschiedliche Erklärungsmodelle für abhängiges Verhalten bei türkischen und deutschen Jugendlichen - Bedeutung für Prävention und Behandlungsangebote. Nervenarzt 2003; 74: 581–586.CrossRefGoogle Scholar
Priebe, S., Sandhu, S., Dias, S., Gaddini, A., Greacen, T., Ioannidis, E., et al.Good practice in health care for migrants: Views and experiences of care professionals in 16 European countries. BMC Public Health 2011; 11; 187.CrossRefGoogle ScholarPubMed
Roberts, C., Moss, B., Wass, V., Sarangi, S., Jones, R.Misunderstandings: a qualitative study of primary care consultations in multilingual settings, and educational implications. Medical Education 2005; 39(5): 465–475.CrossRefGoogle ScholarPubMed
Rué, M., Cabré, X., Soler-González, J., Bosch, A., Almirall, M., Serna, M.C.Emergency hospital services utilization in Lleida (Spain): A cross-sectional study of immigrant and Spanish-born populations. BMC Health Service Research 2008; 8.Google ScholarPubMed
Salman, R.Sprach- und Kulturmittlung: Konzepte und Methoden aus der Arbeit mit Dolmetschern in therapeutischen Prozessen. In: Hegemann, T., Salman, R., editors. Transkulturelle Psychiatrie: Konzepte für die Arbeit mit Menschen aus anderen Kulturen Bonn: Psychiatrie Verlag; 2001. p. 169–190.Google Scholar
Straßmayr, C, Matanov, A, Priebe, S, Barros, H, Canavan, R, Díaz-Olalla, JM, et al. Mental health care for irregular migrants in Europe: Barriers and ways to overcome them. BMC Psychiatry2012;submitted.CrossRefGoogle Scholar
Watters, C., Ingleby, D.Locations of care: Meeting the mental health and social care needs of refugees in Europe. International Journal of Law and Psychiatry 2004; 27: 549–570.CrossRefGoogle Scholar
Wohlfart, E., Hodzic, S., Özbek, T.Transkulturelles Denken und transkulturelle Praxis in der Psychiatrie und Psychotherapie. In: Wohlfart, E., Zaumseil, M., editors. Transkulturelle Psychiatrie-Interkulturelle Psychotherapie Interdisziplinäre Theorie und Praxis Heidelberg: Springer; 2006. p. 143–167.CrossRefGoogle Scholar
Wright, C.Language and communication problems in an Asian community. J Roy Coll GP 1983; 33: 101–104.Google Scholar
Yeo, S. Language barriers and access to care. Annual review of nursing research [serial on the Internet]. 2004; 22: Available from: http://www.springerpub.com/samples/9780826141347_chapter.pdf [Stand 03.06.2010].Google Scholar
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