دورية أكاديمية
Professionals' and Intercultural Mediators' Perspectives on Communication With Ukrainian Refugees in the Czech Healthcare System.
| العنوان: | Professionals' and Intercultural Mediators' Perspectives on Communication With Ukrainian Refugees in the Czech Healthcare System. |
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| المؤلفون: | Těšinová JK; Institute of Public Health and Medical Law, First Faculty of Medicine, Charles University, Prague, Czech Republic., Dobiášová K; Institute of Public Health and Medical Law, First Faculty of Medicine, Charles University, Prague, Czech Republic., Jelínková M; Institute of Social Sciences, Faculty of Social Sciences, Charles University, Prague, Czech Republic., Tulupova E; Institute of Public Health and Medical Law, First Faculty of Medicine, Charles University, Prague, Czech Republic., Koščík M; Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic. |
| المصدر: | Health expectations : an international journal of public participation in health care and health policy [Health Expect] 2024 Aug; Vol. 27 (4), pp. e14171. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: England NLM ID: 9815926 Publication Model: Print Cited Medium: Internet ISSN: 1369-7625 (Electronic) Linking ISSN: 13696513 NLM ISO Abbreviation: Health Expect Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford, UK : Wiley, c1998- |
| مواضيع طبية MeSH: | Refugees*/psychology , Communication Barriers*, Humans ; Czech Republic ; Ukraine ; Female ; Male ; Qualitative Research ; Interviews as Topic ; Focus Groups ; Adult ; Health Personnel/psychology ; Attitude of Health Personnel ; Delivery of Health Care ; Middle Aged ; Communication |
| مستخلص: | Introduction: A growing body of research is examining how healthcare systems are responding to the increasing numbers of migrants and the resulting superdiversity of patients. The aim of this article is to identify and explain communication barriers in the provision of healthcare to Ukrainian war refugees in the Czech Republic from the perspectives of healthcare professionals and intercultural mediators. Methods: The exploratory case study is based on a qualitative analysis of semi-structured interviews with frontline health professionals: 20 with doctors and 10 with nurses. The second source of data is two focus groups aimed at capturing communication problems from the perspective of intercultural mediators who accompany refugees to health facilities. The interview transcripts and FGs were analysed using six-stage thematic coding. Results: The survey identified five main themes related to barriers to communication: (1) language barriers and interpreting, (2) cultural barriers, (3) differing expectations of health and the healthcare systems in the Czech Republic and Ukraine, (4) prejudices and negative attitudes and unethical behaviour towards refugees and migrants and (5) lack of awareness of patient rights. Conclusions: The arrival of large numbers of migrants has highlighted deficiencies in the system that may affect other vulnerable groups and the general population. These include the lack of general communication skills and legal awareness among many health professionals, which are barriers to the development of patient-centred care. The involvement of intercultural mediators fundamentally improves communication between health professionals and (not only) migrant patients. Nevertheless, it is necessary to legally anchor and define the position of intercultural mediators within the healthcare system. Patient or Public Contribution: Collaboration with intercultural mediators who interpreted the extensive experiences of Ukrainian refugee patients and also have personal experience as migrant or migrant-origin patients contributed to shaping research questions, facilitating study participation and enriching evidence interpretation. Researchers with multicultural backgrounds and experience with working with people from refugee backgrounds were involved in the study design and analysis. (© 2024 The Author(s). Health Expectations published by John Wiley & Sons Ltd.) |
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| معلومات مُعتمدة: | This study was supported by the NPO 'Systemic Risk Institute' number LX22NPO5101, funded by the European Union-Next Generation EU (Ministry of Education, Youth and Sports, NPO: EXCELES). This study was also supported by the European Regional Development Fund project 'Beyond Security: Role of Conflict in Resilience-Building' (Reg. No.: CZ.02.01.01/00/22_008/0004595) and SYRI. |
| فهرسة مساهمة: | Keywords: Ukrainians; communication barriers; forced migration; health care; intercultural mediators |
| تواريخ الأحداث: | Date Created: 20240816 Date Completed: 20240816 Latest Revision: 20240818 |
| رمز التحديث: | 20240818 |
| مُعرف محوري في PubMed: | PMC11328340 |
| DOI: | 10.1111/hex.14171 |
| PMID: | 39150347 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1369-7625 |
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| DOI: | 10.1111/hex.14171 |