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The southernmost entrance to the European Health systems

The southernmost entrance to the European Health systems. The experience at Hospital “Punta de Europa”, Algeciras, Cádiz SPAIN. The southernmost entrance to the European Health systems. Fuente: Estadística de Variaciones Residenciales. INE.

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The southernmost entrance to the European Health systems

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  1. The southernmost entrance to the European Health systems The experience at Hospital “Punta de Europa”, Algeciras, Cádiz SPAIN

  2. The southernmost entrance to the European Health systems Fuente: Estadística de Variaciones Residenciales. INE.

  3. The southernmost entrance to the European Health systems

  4. AT DE DK EL ES FI FR IR IT NL PT SV UK MFH EU NETWORK Kaiser-Franz-Josef-Spital, Vienna, Austria Immanuel-Krankenhaus GmbH, Rheumaklinik Berlin-Wannsee, Berlin, Germany Kolding Hospital, Velje-Kolding, Denmark Hospital ”Spiliopoulio Agia Eleni”, Athens, Greece Hospital Punta de Europa, Algeciras-Cádiz, Spain Turku University Hospital, Turku, Finland Hôptial Avicenne, Paris, France James Connolly Memorial Hospital, Dublin, Ireland Presidio Ospedaliero della Provincia di Reggio Emilia, Reggio Emilia, Italy Academic Medical Center, Amsterdam, The Netherlands Hospital Nossa Senhora do Rosário (HNSR) Barreiro/Lisbon, Portugal Uppsala University Hospital, Psychiatric Centre, Uppsala, Sweden Bradford Hospitals NHS Trust , Bradford, U.K.

  5. Common issues • differences in hospital's ownership • differences in demography of the clientele • differences in degree of settlement of populations • ... • Some areas were common concern all over the EU

  6. Problem Areas Communication Austria Denmark Finland France Germany Greece Ireland Italy Portugal Spain Sweden The Netherlands United Kingdom

  7. Problem Areas Understanding cultural differences Austria Finland France Germany Ireland Italy Portugal Spain Sweden

  8. Problem Areas Lack of structures for migrant health Austria Denmark Finland Germany Greece Italy Sweden The Netherlands

  9. Problem Areas Lack of adequate patient information Austria Denmark Finland Germany Greece Ireland Portugal Spain Sweden

  10. The southernmost entrance to the European Health systems • Our health authority district • Geography • 234,000 inhabs. • Two hospitals • 10 primary health care centers • Located at the very south of Europe • At only 18 Km from Africa

  11. The southernmost entrance to the European Health systems • Our Health authority district • demography • We attend more than 120,000 emergencies/year • two million people cross the Strait of gibraltar from Spain to Morocco and backwards. • We attend people that irregularly entered our country • Population in transit • Population with irregular entrance • Settled population

  12. The southernmost entrance to the European Health systems • Why did we get involved in MFH? • answers to the challenge of a growing diversity in clinical settings • service must be sensitive to the demands of social forces • adapted to the population it serves

  13. The southernmost entrance to the European Health systems • WHAT OBSTACLES WILL HAVE TO BE OVERCOME IN ORDER TO MEET THE NEEDS OF THESE PATIENTS?

  14. The southernmost entrance to the European Health systems • EQUITABLE IS NOT ALWAYS EQUAL

  15. The southernmost entrance to the European Health systems • LANGUAGE • CULTURAL • KNOWLEDGE • ORGANIZATION

  16. The southernmost entrance to the European Health systems • LANGUAGE • CULTURAL • KNOWLEDGE • ORGANIZATION

  17. The southernmost entrance to the European Health systems • LANGUAGE • CULTURAL • KNOWLEDGE • ORGANIZATION

  18. The southernmost entrance to the European Health systems • LANGUAGE • CULTURAL • KNOWLEDGE • ORGANIZATION

  19. The southernmost entrance to the European Health systems • LANGUAGE • CULTURAL • KNOWLEDGE • ORGANIZATION

  20. The southernmost entrance to the European Health systems • in addressing this issue, have in mind • The response • Managerial • Staff • Clientele • National • non nationals

  21. The southernmost entrance to the European Health systems • in addressing this issue, have in mind • Local policies • hospital ownership • integrate within the political framework of the health system on equality, diversity and access to it • equality in access • public ownership • free health care -even in irregular entrance

  22. The southernmost entrance to the European Health systems • EQUITABLE IS NOT ALWAYS EQUAL

  23. The southernmost entrance to the European Health systems • Different geographical context • administrative situations • language • Culture • Religion • economic situation • Demography • geographical distribution

  24. WHAT IS (ARE) YOUR LOCAL POPULATION(S) LIKE?

  25. The southernmost entrance to the European Health systems • WHAT CHANGES IN WORK ROUTINE WILL BE NECESSARY?

  26. The southernmost entrance to the European Health systems • BAD NEWS! • there are no “magic recipes”, • tailor to your local situation

  27. The southernmost entrance to the European Health systems • GOOD NEWS!! • LEARN WERE YOU ARE • LEARN FROM THE EXPERIENCES • INCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSED • OVERCOME THE BARRIERS • LOOK FOR AN ORGANISATIONAL CHANGE • DEVELOP PARTNERSHIP STRATEGIES • DEVELOP A SUPPORTING GROUP

  28. The southernmost entrance to the European Health systems • GOOD NEWS!! • LEARN WERE YOU ARE • LEARN FROM THE EXPERIENCES • INCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSED • OVERCOME THE BARRIERS • LOOK FOR AN ORGANISATIONAL CHANGE • DEVELOP PARTNERSHIP STRATEGIES • DEVELOP A SUPPORTING GROUP

  29. The southernmost entrance to the European Health systems • Part A: MF characteristics of service • General resources to facilitate communication and information • Accessibility, pre-entry and entry into hospital • Whilst in hospital • Hotel services • Medical / nursing treatment • Discharge • MF patient education / health promotion / empowerment

  30. The southernmost entrance to the European Health systems • Part B: MF Support System • General quality system in hospital • Does your hospital have a written MF policy ? • MF budget • Is a specific MF management structure in place? • Involvement of migrant representatives in organisational change • Marketing of MF • internal marketing of MF (at the hospital) • External marketing of MF (to the public) • MF training and education for staff

  31. The southernmost entrance to the European Health systems • Part B: MF Support System • Monitoring of migrant clientele • Monitoring of migrant-specific service outcomes • Method/approach used for monitoring migrant data • Monitoring of MF impact on organisational quality • Reporting system on MF activities and impact • Partnerships and partner alliances

  32. The southernmost entrance to the European Health systems • GOOD NEWS!! • LEARN WERE YOU ARE • LEARN FROM THE EXPERIENCES • INCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSED • OVERCOME THE BARRIERS • LOOK FOR AN ORGANISATIONAL CHANGE • DEVELOP PARTNERSHIP STRATEGIES • DEVELOP A SUPPORTING GROUP

  33. The southernmost entrance to the European Health systems • GOOD NEWS!! • LEARN WERE YOU ARE • LEARN FROM THE EXPERIENCES • INCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSED • OVERCOME THE BARRIERS • LOOK FOR AN ORGANISATIONAL CHANGE • DEVELOP PARTNERSHIP STRATEGIES • DEVELOP A SUPPORTING GROUP

  34. The southernmost entrance to the European Health systems • GOOD NEWS!! • LEARN WERE YOU ARE • LEARN FROM THE EXPERIENCES • INCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSED • OVERCOME THE BARRIERS • LOOK FOR AN ORGANISATIONAL CHANGE • DEVELOP PARTNERSHIP STRATEGIES • DEVELOP A SUPPORTING GROUP

  35. The southernmost entrance to the European Health systems • GOOD NEWS!! • LEARN WERE YOU ARE • LEARN FROM THE EXPERIENCES • INCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSED • OVERCOME THE BARRIERS • LOOK FOR AN ORGANISATIONAL CHANGE • DEVELOP PARTNERSHIP STRATEGIES • DEVELOP A SUPPORTING GROUP

  36. The southernmost entrance to the European Health systems • GOOD NEWS!! • LEARN WERE YOU ARE • LEARN FROM THE EXPERIENCES • INCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSED • OVERCOME THE BARRIERS • LOOK FOR AN ORGANISATIONAL CHANGE • DEVELOP PARTNERSHIP STRATEGIES • DEVELOP A SUPPORTING GROUP

  37. The southernmost entrance to the European Health systems • GOOD NEWS!! • LEARN WERE YOU ARE • LEARN FROM THE EXPERIENCES • INCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSED • OVERCOME THE BARRIERS • LOOK FOR AN ORGANISATIONAL CHANGE • DEVELOP PARTNERSHIP STRATEGIES • DEVELOP A SUPPORTING GROUP

  38. AT DE DK EL ES FI FR IR IT NL PT SV UK MFH EU NETWORK Kaiser-Franz-Josef-Spital, Vienna, Austria Immanuel-Krankenhaus GmbH, Rheumaklinik Berlin-Wannsee, Berlin, Germany Kolding Hospital, Velje-Kolding, Denmark Hospital ”Spiliopoulio Agia Eleni”, Athens, Greece Hospital Punta de Europa, Algeciras-Cádiz, Spain Turku University Hospital, Turku, Finland Hôptial Avicenne, Paris, France James Connolly Memorial Hospital, Dublin, Ireland Presidio Ospedaliero della Provincia di Reggio Emilia, Reggio Emilia, Italy Academic Medical Center, Amsterdam, The Netherlands Hospital Nossa Senhora do Rosário (HNSR) Barreiro/Lisbon, Portugal Uppsala University Hospital, Psychiatric Centre, Uppsala, Sweden Bradford Hospitals NHS Trust , Bradford, U.K.

  39. Common issues • differences in hospital's ownership • differences in demography of the clientele • differences in degree of settlement of populations • ... • Some areas were common concern all over the EU

  40. The 5 most frequent problem areas Communication Cultural differences Lack of structures for migrant health Lack of documentation + research Lack of adequate patient information number of mentions in all interviews (n=97, including multiple mentions)

  41. The Amsterdam declaration –December ‘04 • The Amsterdam declaration “Towards migrant friendly hospitals in an ethno-culturally diverse Europe”

  42. The Amsterdam declaration –December ‘04 • www.mfh-eu.net/conf/downloads/AmsterdamDeclaration2004.pdf

  43. The southernmost entrance to the European Health systems • WHAT BENEFITS CAN BE EXPECTED FOR PATIENTS?

  44. The southernmost entrance to the European Health systems • Increased quality of service • For staff • For patients • For the organisation

  45. The southernmost entrance to the European Health systems • For staff • Reduce staff workload • Increase staff skills to manage congflict • Reduce the stress of staff during cross cultural encounters • Reduce the opportunities to malpractice • Increase level of comfort • Increase level of knowledge

  46. The southernmost entrance to the European Health systems • For patients • A more person oriented service • Reduce the opportunities of inadequate use of service • Increase the level of comfort during hospital stay

  47. The southernmost entrance to the European Health systems • For the organisations • Integrate the hospital in a networking process • Increase effectiveness • Send a clear message to all stakeholders • A less expensive and more sustainable health system

  48. The southernmost entrance to the European Health systems • IN SHORT… • LEARN • NETWORK • MARKETING

  49. The southernmost entrance to the European Health systems

  50. The southernmost entrance to the European Health systems THANK YOU!.

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