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

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  • المؤلفون: Jaeger FN;Jaeger FN; Kiss L; Hossain M; Zimmerman C
  • المصدر:
    BMC health services research [BMC Health Serv Res] 2013 Oct 05; Vol. 13, pp. 389. Date of Electronic Publication: 2013 Oct 05.
  • نوع النشر :
    Journal Article; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      Hospital Administration* ; Transients and Migrants*; Child Health Services/*organization & administration ; Quality Improvement/*organization & administration; Child ; Child Health Services/standards ; Cultural Competency ; Health Services Needs and Demand/organization & administration ; Hospitals/standards ; Humans ; Surveys and Questionnaires ; Switzerland ; Translating
    • نبذة مختصرة :
      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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    • الموضوع:
      Date Created: 20131008 Date Completed: 20140728 Latest Revision: 20240321
    • الموضوع:
      20250114
    • الرقم المعرف:
      PMC3852418
    • الرقم المعرف:
      10.1186/1472-6963-13-389
    • الرقم المعرف:
      24093461