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Auke Vlonk , research by Renske Voorn

Multicultural Health Care: Experiences from a New Town Discovering opportunities for the interculturalisation of health care. Auke Vlonk , research by Renske Voorn. Istanbul, 10-09-2013. Outline. Planning a New Town Current (health) status of De Bijlmermeer Health system

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Auke Vlonk , research by Renske Voorn

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  1. Multicultural Health Care:Experiencesfrom a New TownDiscovering opportunitiesfor the interculturalisation of health care Auke Vlonk, research by Renske Voorn Istanbul, 10-09-2013

  2. Outline • Planning a New Town • Current (health) status of De Bijlmermeer • Health system • Objective & Research Question • Conceptual model • Methodology • Results • Conclusions

  3. Planning a New Town: De Bijlmer • 1965, Nassuth • Aimed at the workingmiddle class • High rise buildings with large green areas (unsafety) • Segregation of facilities

  4. However… • The actualpopulation of De Bijlmer/Amsterdam South East (wijkscan.com): • Low incomes • Influx of ethnicminorities (Suriname, Ghana, Antilles • Little relocations, thoughrelativelyyoungpopulation • The role of (urban) planning in relationto health care?

  5. Health system in De Bijlmer • Insufficient services, notconsidered as a problem • High unemployment, low education level, unsafety, low incomes, ethnicminorities • High burden of disease?

  6. Multicultural Health Services • Culturalbarrier, literacy • Notfamiliarwith the system • Gatekeeping • Interculturalisation • Culturalsensitivity • Culturaldiversity • Supply or demanddriven?

  7. Objective & Research Question • Objective • The objective of this research is to make recommendations on how a health system could connect with a society with high cultural diversity by investigating the health system and determine its best and worst practices in the Bijlmermeer, the Netherlands. • Research question • What are the best and worst practices concerning the health system in the Bijlmermeer the Netherlands and how can this knowledge be used to make recommendations for health systems within a society with high cultural diversity?

  8. Conceptual Model

  9. Methodology • Embedded case study • Qualitative data • 9 semi-structured interviews • Health care providers • Health policy makers • Content analysis

  10. Results • Stewardship • The role of the city council • Creating resources • Difficult to get educated personnel • 2 out of 36 GP with other ethnic background • Cultural sensitivity vs diversity • Service delivery • Historically good cooperation within and between formal institutions • Linking formal vs informal care • Institutions are too white • Finance • Relatively inexpensive area • The Law of the handicap of a head start

  11. Conclusions • Although the population of the area differs from what was expected: • Good cooperation between health care providers, city council and insurance company • Awareness of cultural differences (cultural sensitivity) • Demand driven: flexibility to cope with (un)expected changes • Room for improvement to achieve more interculturalisation? • Cultural diversity (workforce), interculturalisation • No culturally specific care providing (although not considered as a problem) • The role of informal care • Structural governmental changes needed?

  12. Questions? a.vlonk@jvei.nl | http://www.jvei.nl http://www.newtowninstitute.org | http://www.efpc.nl/

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