Social changes in European societies place migration and cultural diversity on the European political agenda. The European initiative Migrant Friendly Hospitals (MFH) aims to identify, develop and evaluate models of effective interventions. It has the following objectives: To strengthen the role of hospitals in promoting the health of migrants and ethnic minorities in the European Union and to improve hospital services for these groups. This report reviews models of effective intervention in the medical literature and provides the background information needed to enable partner hospitals taking part in the MFH initiative to select and implement suitable interventions. The interventions reviewed in this study are grouped in four areas: Communication, Responsiveness Empowerment of migrant and minority patients and communities. Monitoring of the health of migrants and minorities and the health care they receive. [Ed.]

Vol. 1 examines how much is known about migrant and ethnic minority health and where the barriers to scientific progress lie. Vol. 2 is concerned with the changes that are needed to improve the matching of health services to the needs of these groups.

"This book can be read by anyone with an interest in migration and health, whether as an advocate for migrants health, as a student in a health profession, researcher or policy maker. It provides an ample orientation to the field in the European context. Among other important raised issues, it underlines an all too often neglected fact; health is a human right. By involving broad issues and problem areas from a variety of perspectives, the volume illustrates that migration and health is a field that can not be allocated to a single discipline." Carin Bjrngren Cuadra, Senior Lecturer, Malm University, Sweden Migrants make up a growing share of European populations. However, all too often their situation is compounded by problems with accessing health and other basic services. There is a need for tailored health policies, but robust data on the health needs of migrants and how best these needs can be met are scarce. Written by a collaboration of authors from three key international organisations (the European Observatory on Health Systems and Policies, the EUPHA Section on Migrant and Ethnic Minority Health, and the International Organization for Migration), as well as leading researchers from across Europe, the book thoroughly explores the different aspects of migration and health in the EU and how they can be addressed by health systems. Structured into five easy-to-follow sections, the volume includes: Contributions from experts from across Europe Key topics such as: access to human rights and health care; health issues faced by migrants; and the national and European policy response so far Conclusions drawn from the latest available evidence Comprehensive information on different aspects of health and migration and how they can best be addressed by health systems is still not easy to find. This book addresses this shortfall and will be of major value to researchers, students, policy-makers and practitioners concerned with migration and health in an increasingly diverse Europe.

This book addresses the research and policy issues that emerge from the interface of different cultures as a consequence of migration. It includes articles on the following issues: (1) the contribution of the social sciences to an understanding of migrant health needs; (2) health care across cultural boundaries; (3) health care for labor immigrants; (4) philosophical considerations of health care policy and the position of ethnic minorities; (5) health care research and evaluation in a host country: The Netherlands; (6) health care and Moroccan and Turkish immigrants; (7) problems of health and health care research with particular reference to ethnic minorities; (8) health care research and evaluation from the country of origin: Turkey and Morocco; (9) social and health problems of migrant workers; (10) social and health care of Moroccan workers in Europe; (11) aspects of health care intervention in host countries; (12) advocating for migrants' health; (13) migrants' special needs in sexuality and family planning in Belgium and Germany; (14) health care and education aids for foreigners in the Netherlands; (15) mental health of migrants; and (16) psycho-social problems of migrants. The book concludes with recommendations for researchers and practitioners. (LHW)

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Integrating newcomers and minorities into the social fabric of receiving countries has become one of the crucial challenges of contemporary Western societies. This volume seeks to understand patterns of changing institutional practices and public policies where the challenges of including cultural diversity into the social fabric are most pronounced: namely the health care system. In recent years, pro-migrant organizations and anti-racist activists have repeatedly voiced and politicized demands to improve migrants' access to the health-care system giving rise to a lively debate about migrants' access to health-care and responsiveness of institutions to their needs. In a nutshell the book achieves the following: - Provides a conceptual framework to link patterns of political advocacy/mobilization and processes of migrants' socio-political inclusion - Integrates the (multi-disciplinary) literature on political mobilization and accommodating cultural diversity in an innovative fashion - Presents a comparative study on accommodating diversity in the health care system from a comparative transatlantic perspective - Generates insight into best practices in the health care system that will be of interest to scholars as well as practitioners in the field. The analysis of health care provision offers an opportunity to test new public policy strategies and the policy consequences of the now widespread aspiration to include citizens more fully in designing and implementing them.

This title is directed primarily towards health care professionals outside of the United States. This book provides a practical introduction to and overview of the development and implementation of evidence-based practice. It focuses on how to look for and appraise the available evidence, how to apply the evidence using a variety of approaches and in different organisational contexts, and how to understand different dimensions of personal and organisational change and its ethical components. - Numerous examples from practice and case studies clarify theory - Very readable writing style and user-friendly format with checklists of key issues - Opportunities for reflective learning - Update on current policy and regulatory frameworks - Role of clinical governance in evidence-based practice considered.