Baumeister, Annika ORCID: 0000-0002-9451-201X, Chakraverty, Digo ORCID: 0000-0002-8952-8092, Aldin, Angela, Seven, Umran Sema, Skoetz, Nicole ORCID: 0000-0003-4744-6192, Kalbe, Elke and Woopen, Christiane ORCID: 0000-0002-7148-6808 (2021). “The system has to be health literate, too” - perspectives among healthcare professionals on health literacy in transcultural treatment settings. BMC Health Services Research, 21 (1). Springer Nature. ISSN 1472-6963

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Abstract

Background: Effective communication is a central aspect of organizational health literacy. Healthcare professionals are expected to ensure an effective and satisfactory flow of information and to support their patients in accessing, understanding, appraising, and applying health information. This qualitative study aimed to examine the health literacy-related challenges, needs, and applied solutions of healthcare professionals when engaging with persons with a migrant background. Based on the integrated model of health literacy (Sørensen et al., BMC Public Health 12:80, 2012), we focused on environmental, personal, and situational factors that shape health literacy in transcultural treatment settings. Methods: We conducted five focus group discussions with healthcare professionals (N = 31) who are in regular contact with persons with a migrant background. Discussions were transcribed verbatim and analyzed using qualitative content analysis by applying a deductive–inductive categorization procedure. Deductive categories were derived from the integrated model of health literacy. Results: Challenges included a mismatch in the provision and use of health services. Participants regarded easily accessible services and outreach counselling as helpful solutions. Further challenges were the migrant patients’ distrust in healthcare professionals and the German healthcare system, the participants’ uncertainty in dealing with patients’ expectations and needs, and the patients’ non-compliance with appointments. Environmental factors included systemic lack of time and economic pressure. Both were reported as impeding the flow of information in all treatment settings. Participants with a migrant background themselves (n = 16) regarded this personal factor as an opportunity that increased patients’ trust in them. They also reported challenges such as high levels of responsibility felt when ad hoc interpreting for colleagues.

Item Type: Journal Article
Translated title:
TitleLanguage
"Das System muss auch gesundheitskompetent sein" - Einschätzungen von Gesundheitsdienstleister:innen zur Gesundheitskompetenz in transkulturellen BehandlungssituationenGerman
Translated abstract:
AbstractLanguage
Hintergrund: Effektive Kommunikation ist ein zentraler Aspekt der organisatorischen Gesundheitskompetenz. Fachkräfte im Gesundheitswesen sollen einen effektiven und zufriedenstellenden Informationsfluss sicherstellen und ihre Patienten beim Zugang zu Gesundheitsinformationen unterstützen, Verstehen, Beurteilen und Anwenden von Gesundheitsinformationen zu unterstützen. Ziel dieser qualitativen Studie war die Untersuchung der Herausforderungen, Bedürfnisse und angewandte Lösungen von Fachkräften des Gesundheitswesens in der Zusammenarbeit mit Personen mit Migrationshintergrund. Auf der Grundlage des integrierten Modells der Gesundheitskompetenz (Sørensen et al., BMC Public Health 12:80, 2012) konzentrierten wir uns auf umweltbezogene, persönliche und situative Faktoren, die die Gesundheitskompetenz in transkulturellen Behandlungssettings beeinflussen. Methoden: Wir führten fünf Fokusgruppendiskussionen mit Fachkräften des Gesundheitswesens (N = 31) durch, die in regelmäßigem Kontakt mit Personen mit Migrationshintergrund haben. Die Diskussionen wurden wortwörtlich transkribiert und mittels qualitativer Inhaltsanalyse unter Anwendung eines deduktiv-induktiven Kategorisierungsverfahrens analysiert. Die deduktiven Kategorien wurden aus dem integrierten Modell der Gesundheitskompetenz abgeleitet. Ergebnisse: Zu den Herausforderungen gehörte ein Missverhältnis zwischen der Bereitstellung und Nutzung von Gesundheitsdiensten. Die Teilnehmer betrachteten leicht leicht zugängliche Dienste und aufsuchende Beratung als hilfreiche Lösungen. Weitere Herausforderungen waren das Misstrauen der Patienten mit Migrationshintergrund Weitere Herausforderungen waren das Misstrauen der Migrantenpatienten gegenüber dem Gesundheitspersonal und dem deutschen Gesundheitssystem, die Unsicherheit der Teilnehmer im Umgang mit den Erwartungen und Bedürfnissen der Patienten sowie die Nichteinhaltung von Terminen durch die Patienten. Umweltfaktoren waren der systemische Zeitmangel und der wirtschaftliche Druck. Beide Faktoren behinderten den Informationsfluss in allen allen Behandlungssituationen. Teilnehmer, die selbst einen Migrationshintergrund haben (n = 16), sahen diesen persönlichen Faktor als Chance, die das Vertrauen der Patienten in sie stärkte. Sie berichteten auch von Herausforderungen wie dem hohen Maß an Verantwortung, die sie beim Ad-hoc-Dolmetschen für Kollegen empfanden.UNSPECIFIED
Creators:
CreatorsEmailORCIDORCID Put Code
Baumeister, AnnikaUNSPECIFIEDorcid.org/0000-0002-9451-201XUNSPECIFIED
Chakraverty, DigoUNSPECIFIEDorcid.org/0000-0002-8952-8092UNSPECIFIED
Aldin, AngelaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seven, Umran SemaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Skoetz, NicoleUNSPECIFIEDorcid.org/0000-0003-4744-6192UNSPECIFIED
Kalbe, ElkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Woopen, ChristianeUNSPECIFIEDorcid.org/0000-0002-7148-6808UNSPECIFIED
URN: urn:nbn:de:hbz:38-644668
DOI: 10.1186/s12913-021-06614-x
Journal or Publication Title: BMC Health Services Research
Volume: 21
Number: 1
Date: 2021
Publisher: Springer Nature
ISSN: 1472-6963
Language: English
Faculty: Faculty of Medicine
Divisions: CERES - Cologne Center for Ethics, Rights, Economics, and Social Sciences of Health
Subjects: Psychology
Social sciences
Medical sciences Medicine
Funders: Bundesministerium für Bildung und Forschung
Projects: Gender-Specific Health Literacy in Individuals with Migration Background: Systematic Review including a Meta-Analysis of Individual Participant Data (GLIM)
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Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/64466

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