Improving the accessibility and quality of care for migrants: the role of the TF MFCCH

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1 -HPH Task Force on Migrant-Friendly and Culturally Competent Health Care Improving the accessibility and quality of care for migrants: the role of the Dr Antonio Chiarenza Leader of the Regional HPH Network of Emilia-Romagna, Italy Migrants and Healthcare: the Responses by an Regions: Regions for Health Network Kick off meeting , Bologna 1

2 AT DE DK EL ES FI FR IR IT NL PT SV UK Migrant-Friendly Hospitals ( ) A an Initiative to Promote Health and Health Literacy Migrants and Ethnic Minorities 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. 2

3 Migrant-Friendly Hospitals ( ) PROJECT OUTCOMES AT DE DK EL ES FI FR IR IT NL PT SV UK OUTCOMES For hospitals 12 national models for MFH: how to do it interventions 1. Orgranisational development 2. Interpreting services 3. Staff training on cultural competence 4. Patient information and education OUTCOMES For health policy OUTCOMES For networking -HPH TASK FORCE MIGRANT FRIENDLY AND CULTURALLY COMPETENTE HEALTH CARE 3

4 The mission of the Task Force on The HPH Task Force is co-ordinated by HPH Regional Network Emilia Romagna, AUSL Reggio Emilia To create a framework for continuity after the conclusion of the MFH project To share and disseminate best policies and practice and initiate the development of quality tools To foster co-operation and alliances between healthcare organisations and other networks To support health care organisations in the HPH in becoming MF & CC organisations as indicated in the Amsterdam Declaration 4

5 AMSTERDAM DECLARATION All an hospitals are invited to implement the Amsterdam Declaration, become migrant-friendly and culturally competent organisations and develop individualised, personal services from which all patients will benefit. Like any other form of organisational development, the success of becoming a migrant-friendly hospital will depend on the complementary contributions of different stakeholders: 1. Hospital owners/ Management/ Quality Management 2. Staff/Health professions 3. Users (actual and potential patients, relatives)/representatives of community groups 4. Health policy and administration 5. Health sciences 5

6 THE POLITICAL CONTEXT FOR THE Recent policy developments within the EU provide an important context for the work of the. Recommendation of the Committee of Ministers to member states on Health care in a multicultural society, Adopted by the Committee of Ministers on 8 November ( Recommendations for improving accessibility and quality of care for migrants in the an Union, Lisbon, September 2007 ( 6

7 HOW THE TASK FORCE SUPPORTS THE DEVELOPMENT OF MFCC HEALTH CARE? To develop ways of improving the delivery of high quality, linguistically appropriate, culturally sensitive, equitable and accessible heath care services To review and summarise the example of good policies and practices to date To identify obstacles to progress and to propose the development of effective interventions and quality tools (guidelines, standards, indicators..) 7

8 MAIN THEMES To achieve these objectives it was decided to organise activities around selected areas of concern: SERVICE QUALITY AND POLICY DEVELOPMENT STAFF TRAINING AND DEVELOPMENT INTERCULTURAL COMMUNICATION PATIENT AND COMMUNITY EMPOWERMENT RESEARCH AND EVALUATION TRANS-CULTURAL PSYCHIATRY 8

9 WORK PLAN ADVISORY BOARD Step 1 WG1 WG2 WG3 WG4 WG5 WG6 To collect and share models of good policy and practice OUTPUT 1 WEBSITE Step 2 To categorise material and argue for a rationale OUTPUT 2 WORKING PAPERS Step 3 To make proposal for quality tools development OUTPUT 3 MFCC STANDARDS INDICATORS GUIDELINES 9

10 ORGANISATION OF THE TASK FORCE 1. Coordinating team (decision making level): to lead and coordinate actions; to decide and organise activities (projects, workshops, conferences). 2. Advisory group (scientific level): to discuss ideas and developmental activities to inform the coordinator decisions. 3. Working groups (operative level): to collect and develop knowledge and practice in the areas of concern. 4. Hub of networks (partnership level): to facilitate connections between other networks and projects 5. MFH web-site (communication level): to share ideas and knowledge, to promote and disseminate best practice. 10

11 Partnerships & Research projects HOME Health and Social Care for Migrants and Ethnic Minorities a COST/Action project ( ). NOWHERELAND: To improve equity of access to healthcare for UDM in (DG SANCO) ( ) 11

12 an Cooperation in the field of Scientific and Technical Research HOME Health and Social Care for Migrants and Ethnic Minorities A project founded by COST/Action IS0603 Project Objectives To further the development of research and good practice concerning migrant health. To stimulate international and interdisciplinary collaboration. To summarise and review the achievements in this field to date. To identify obstacles to progress and propose ways around them, and to indicate blind spots where research is urgently needed. 12

13 Scientific programme The field of migration health is structured by dividing it into three topic areas: Topic Area 1: Social context and policies Legislation and procedures governing the admission of migrants Public attitudes, political climate and inter-ethnic relations. Policies relating to migrants (in particular education, housing, health, labour market participation, anti-discrimination legislation). Topic Area 2: Migrants state of health and its determinants Occupational health Mental health Mather and child health Topic Area 3: Health care for migrants and ways of improving it Entitlement Accessibility Quality of care 13

14 NOWHERELAND Improving Services for Undocumented Migrants in the EU A project funded by DG Sanco Project Objectives Create a knowledge base for providing, exchanging and developing good practice of health care services for UDM Drawing a EU landscape of the legal and financial frameworks under which health care services/providers act Gaining an overview about problems, experiences and strategies of UDM in getting access to health care services Collecting existing practice of health services in the EU and identifying transferable models of good practice 14

15 Pillars of the project Policies Organisations Undocumented Migrants political frameworks contextualised models problems experience strategies collection EU-landscape collection for reviewing collection EU-landscape analysis / selection models of good practice & recommendations 15

16 Project Consortium Main Partner Danube University Krems, Austria Associate Partner Austria: University of Vienna, Belgium: PICUM International Platform for Undocumented Migrants England: University of Brighton Italy: AUSL di Reggio Emilia HPH-Task Force Portugal : CIES / INSA Sweden: MIM, Universität Malmö Main Collaborating Partner HOPE an Hospital and Healthcare Federation IOM International Organization for Migration an Office for Integrated Health Care Services United for Intercultural Action Networking with other EU-initiatives COST Action IS0603, Migration and Health (HOME) MIGHEALTHNET, DG Sanco CLANDESTINO: Undocumented Migration: Counting the Uncountable. Data and Trends Across, FP

17 ACTIVITIES advisory board meetings (2 per year): to monitor and assess the activities of the groups and to adjust the global work programme. Thematic workshops (MOST RECENT ONES): Policy and Service quality (Berlin, Germany - November 2006) Patient and community empowerment (Brighton Nov. 2007) Intercultural communication (Reggio Emilia March 2008) Next Workshop and AB meeting 6th-7th November Barcelona. Workshop on Cultural competence and staff training hosted by the Hospital del Mar and Asociacion Salud y Familia. International HPH Conferences To organise parallel and poster sessions and workshops in occasion of the international HPH conferences. Next HPH conference May Crete, Greece. 17

18 THANK YOU 18

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