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BMC Health Services Research
Published in: BMC Health Services Research 1/2013

Open Access 01-12-2013 | Research article

Migrant-friendly hospitals: a paediatric perspective - improving hospital care for migrant children

Authors: Fabienne N Jaeger, Ligia Kiss, Mazeda Hossain, Cathy Zimmerman

Published in: BMC Health Services Research | Issue 1/2013

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Abstract

Background

The European Union (EU) Migrant-Friendly Hospital (MFH) Initiative, introduced in 2002, promotes the adoption of care approaches adapted to meet the service needs of migrants. However, for paediatric hospitals, no specific recommendations have been offered for MFH care for children. Using the Swiss MFH project as a case study, this paper aims to identify hospital-based care needs of paediatric migrants (PMs) and good service approaches.

Methods

Semi-structured interviews were conducted with principal project leaders of five paediatric hospitals participating in the Swiss MFH project. A review of the international literature on non-clinical hospital service needs and service responses of paediatric MFHs was conducted.

Results

Paediatric care can be complex, usually involving both the patient and the patient’s family. Key challenges include differing levels of acculturation between parents and children; language barriers; cultural differences between patient and provider; and time constraints. Current service and infrastructural responses include interpretation services for PMs and parents, translated information material, and special adaptations to ensure privacy, e.g., during breastfeeding. Clear standards for paediatric migrant-friendly hospitals (P-MFH) are lacking.

Conclusions

International research on hospital care for migrant children is scarce. The needs of paediatric migrants and their families may differ from guidance for adults. Paediatric migrant needs should be systematically identified and used to inform paediatric hospital care approaches. Hospital processes from admission to discharge should be revised to ensure implementation of migrant-sensitive approaches suitable for children. Staff should receive adequate support, such as training, easily available interpreters and sufficient consultation time, to be able to provide migrant-friendly paediatric services. The involvement of migrant groups may be helpful. Improving the quality of care for PMs at both policy and service levels is an investment in the future that will benefit native and migrant families.
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Literature
1.
Saladin P, Bühlmann R, Dahinden D, Gall Azmat R, Ebner G, Wohnhas J: Diversity and equality of opportunity. 2007, Bern: H+ Swiss Hospital Association, Federal Office of Public Health FOPH
2.
Castañeda H: “Over-Foreignization” or “Unused Potential”? A critical review of migrant health in Germany and responses toward unauthorized migration. Soc Sci Med. 2012, 74: 830-838.CrossRefPubMed
3.
Devillé W, Greacen T, Bogic M, Dauvrin M, Dias S, Gaddini A, Jensen NK, Karamanidou C, Kluge U, Mertaniemi R, et al: Health care for immigrants in Europe: Is there still consensus among experts about principales of good practice? A Delphi study. BMC Public Health. 2011, 11: 6997.CrossRef
4.
Ludwig Boltzmann Institute for the Sociology of Health and Medicine: Project Summary Migrant-Friendly Hospitals Project. 2005, Vienna
5.
6.
Bischoff A: Caring for migrant and minority patients in European hospitals: A review of effective interventions. 2006, Neuchâtel: Swiss Forum for Migration and Population Studies (Sfm)
7.
MFH Project Group: The Amsterdam Declaration: Towards Migrant-Friendly Hospitals in an ethno-culturally diverse Europe. 2006, Amsterdam
8.
9.
10.
Bundesamt für Gesundheit: Migration und Gesundheit, Kurzfassung der Bundesstrategie Phase II (2008–2013). 2008, Bern: Bundesamt für Gesundheit (BAG)
11.
12.
Guerreiro AIF, Simonelli F, de Vergara RGSL, Navarro AA, Curvo SD, Zappulla A, Hjern A, Stokes L, Boyle P: Ensuring the Right of Migrant Children to Health Care: The Response of Hospitals and Health Services. Book Ensuring the Right of Migrant Children to Health Care: The Response of Hospitals and Health Services. 2006, City: International Organisation for Migration (IOM) Regional Liaison andCo-ordination Office to the European Region
13.
14.
Bevölkerungsdienste und Mitgration ESAdKB-S: Kinder im Alter von 0 bis und mit 16 Jahren wohnhaft im Kanton Basel-Stadt, nach Nationalität (31.12.2010). 2010, Basel
15.
Machado M, Fernandes A, Padilla B, Dias S, Gomes I, Dias A, da Oliveira Silva M: Maternal and Child Healthcare for Immigrant Populations - Background Paper - International Organization for Migration (IOM). 2009, Geneva: International Organization for Migration (IOM). International Organization for Migration (IOM)
16.
Huang ZJ, Yu SM, Ledsky R: Health status and health service access and use among children in US immigrant families. Am J Public Health. 2006, 96 (4): 1-8. 049791 v049791CrossRef
17.
Ritchie J, Spencer L: Qualitative Data Analysis for applied policy research. Analyzing Qualitative Data. Edited by: Bryman A, Burgess R. 1994, London: Routledge
18.
Stiftung Ostschweizer Kinderspital: 2012 Geschäftsbericht Stiftung Ostschweizer Kinderspital. Book 2012 Geschäftsbericht Stiftung Ostschweizer Kinderspital. 2013, St.Gallen: Ostschweizer Kinderspital
19.
Universitätskinderspital beider Basel: Ausgezeichnet für Kinder - Geschäftsbericht 2012. Book Ausgezeichnet für Kinder - Geschäftsbericht 2012. 2013, Basel: Universtitätskinderspital beider Basel
20.
Département médico-chirurgical de pédiatrie, Fondation de l’Hôpital de l’Enfance de Lausanne, Service universitaire de psychiatrie de l’enfant et de l’adolescent: Les soins aux enfants et aux adolescents à l’HEL et au CHUV - Rapport annuel 2012. 2013, Lausanne: Hôpital de l'Enfance Lausanne
21.
Département de l’enfant et de l’adolescent: Une année d’activités - Rapport 2011. Book Une année d’activités - Rapport 2011. 2012, Geneva: Hôpitaux Universitaires de Genève (HUG)
22.
23.
Daudji A, Eby S, Foo T, Ladak F, Sinclair C, Landry MD, Moody K, Gibson BE: Perceptions of disability among south Asian immigrant mothers of children with disabilities in Canada: implications for rehabilitation service delivery. Disability and rehabilitation. 2011, 33: 511-521.CrossRefPubMed
24.
Skaret E, Espelid I, Skeie MS, Haugejorden O: Parental beliefs and attitudes towards child caries prevention: assessing consistency and validity in a longitudinal design. BMC Oral Health. 2008, 8.
25.
Hoang H, Le Q, Kilpatrick S: Having a baby in the new land: a qualitative exploration of the experiences of Asian migrants in rural Tasmania, Australia. Rural Remote Health. 2009, 9: 1084.PubMed
26.
Hampers LC, McNulty JE: Professional interpreters and bilingual physicians in a pediatric emergency department: effect on resource utilization. Arch Pediatr Adolesc Med. 2002, 156: 1108-1113.CrossRefPubMed
27.
Garcia EA, Roy LC, Okada PJ, Perkins SD, Wiebe RA: A comparison of the influence of hospital-trained, ad hoc, and telephone interpreters on perceived satisfaction of limited English-proficient parents presenting to a pediatric emergency department. Pediatr Emerg Care. 2004, 20: 373.CrossRefPubMed
28.
Karp RJ, Rhee D, Feldman D, Bouchkouj N: Outreach to immigrant communities: teaching pediatric residents about access to health care. Journal of Health Care for the Poor & Underserved. 2007, 18: 510-515.CrossRef
29.
Mazor SS, Hampers LC, Chande VT, Krug SE: Teaching Spanish to Pediatric Emergency Physicians: Effects on Patient Satisfaction. Arch Pediatr Adolesc Med. 2002, 156: 693-695.CrossRefPubMed
30.
Festini F, Focardi S, Bisogni S, Mannini C, Neri S: Providing transcultural to children and parents: an exploratory study from Italy. J Nurs Scholarsh. 2009, 41: 220-227.CrossRefPubMed
31.
Hart D: Assessing culture: Pediatric nurses’ beliefs and self-reported practices. J Pediatr Nurs. 1999, 14: 255-262.CrossRefPubMed
32.
Berlin A, Nilsson G, Tornkvist L: Cultural competence among Swedish child health nurses after specific training: A randomized trial. Nurs Health Sci. 2010, 12: 381-391.CrossRefPubMed
33.
Rousseau C, Measham T, Moro MR: Working with Interpreters in Child Mental Health. Child Adolesc Mental Health. 2011, 16: 55-59.CrossRef
34.
Pergert P, Ekblad S, Enskar K, Bjork O: Obstacles to transcultural caring relationships: Experiences of health care staff in pediatric oncology. J Pediatr Oncol Nurs. 2007, 24: 314-328.CrossRefPubMed
35.
Berlin A, Johansson S, Tornkvist L: Working conditions and cultural competence when interacting with children and parents of foreign origin – Primary child health nurses’ opinions. Scand J Caring Sci. 2006, 20: 160-168.CrossRefPubMed
36.
Pergert P, Ekblad S, Enskär K, Björk O: Bridging obstacles to transcultural caring relationships–Tools discovered through interviews with staff in pediatric oncology care. Eur J Oncol Nurs. 2008, 12: 35-43.CrossRefPubMed
37.
Dreher M, MacNaughton N: Cultural competence in nursing: Foundation or fallacy?. Nursing outlook. 2002, 50: 181-186.CrossRefPubMed
38.
Kurth E, Jaeger F, Zemp E, Tschudin S, Bischoff A: Reproductive health care for asylum-seeking women - a challenge for health professionals. BMC Public Health. 2010, 10: 659.CrossRefPubMedPubMedCentral
39.
Black N, Gruen R: Defining good quality health services. Book Defining good quality health services. 2005, City: Open University Press, 203-204.
40.
Hampers LC, Cha S, Gutglass DJ, Binns HJ, Krug SE: Language barriers and resource utilization in a pediatric emergency department. Pediatrics. 1999, 103: 1253.CrossRefPubMed
41.
Flores G, Laws MB, Mayo SJ, Zuckerman B, Abreu M, Medina L, Hardt EJ: Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics. 2003, 111: 6.CrossRefPubMed
42.
Krajic K, Strassmayr C, Karl-Trummer U, Novak-Zezula S, Pelikan JM: Improving ethnocultural competence of hospital staff by training: experiences from the European‘Migrant-friendly Hospitals’ project. Diversity in Health and Social Care. 2005, 2: 279-290.
43.
44.
Jaeger FN, Hossain M, Kiss L, Zimmerman C: The health of migrant children in Switzerland. Int J Public Health. 2012, 57: 659-671.CrossRefPubMed
45.
Holmes SM: The clinical gaze in the practice of migrant health: Mexican migrants in the United States. Social Science & Medicine. 2012, 74: 873-881.CrossRef
Metadata
Title
Migrant-friendly hospitals: a paediatric perspective - improving hospital care for migrant children
Authors
Fabienne N Jaeger
Ligia Kiss
Mazeda Hossain
Cathy Zimmerman
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2013
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-13-389

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