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The southernmost entrance to the European Health systems. The experience at Hospital “Punta de Europa”, Algeciras, Cádiz SPAIN. The southernmost entrance to the European Health systems. Fuente: Estadística de Variaciones Residenciales. INE. - PowerPoint PPT Presentation
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Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
The experience at Hospital “Punta de Europa”, Algeciras, Cádiz SPAIN
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
TOTAL 18551 19539 16686 35616 57195 99122 330881 394048 443085 429524
Europa 6696 6456 6004 15921 25735 40327 85994 112619 154589 165037
Africa 4704 5027 4672 8389 13118 20248 54241 55797 55156 58807
Asia 1737 1722 1280 1945 2549 3587 10127 11041 11559 13915
América 5394 6304 4706 9323 15724 34863 180316 214349 221580 191577
Oceanía 20 30 24 38 69 97 203 242 201 188
-Fuente: Estadística de Variaciones Residenciales. INE.
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
0
50000
100000
150000
200000
250000
300000
350000
400000
450000
500000
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003
TOTAL
Europa
Africa
Asia
América
Oceanía
Área de gestión sanitaria del Campo de Gibraltar
MFH EU NETWORK
Kaiser-Franz-Josef-Spital, Vienna, AustriaImmanuel-Krankenhaus GmbH, Rheumaklinik Berlin-Wannsee, Berlin, GermanyKolding Hospital, Velje-Kolding, DenmarkHospital ”Spiliopoulio Agia Eleni”, Athens, GreeceHospital Punta de Europa, Algeciras-Cádiz, SpainTurku University Hospital, Turku, Finland Hôptial Avicenne, Paris, FranceJames Connolly Memorial Hospital, Dublin, IrelandPresidio Ospedaliero della Provincia di Reggio Emilia, Reggio Emilia, ItalyAcademic Medical Center, Amsterdam, The NetherlandsHospital Nossa Senhora do Rosário (HNSR) Barreiro/Lisbon, PortugalUppsala University Hospital, Psychiatric Centre, Uppsala, SwedenBradford Hospitals NHS Trust , Bradford, U.K.
AT
DE
DK
EL
ES
FI
FR
IT
NL
PT
SV
UK
IR
Área de gestión sanitaria del Campo de Gibraltar
Common issues
differences in hospital's ownershipdifferences in demography of the clienteledifferences in degree of settlement of populations...Some areas were common concern all over the EU
Área de gestión sanitaria del Campo de Gibraltar
Problem Areas
Communication
Austria
Denmark
Finland
France
Germany
Greece
Ireland
Italy
Portugal
Spain
Sweden
The Netherlands
United Kingdom
Área de gestión sanitaria del Campo de Gibraltar
Problem Areas
Understanding cultural differences
Austria
Finland
France
Germany
Ireland
Italy
Portugal
Spain
Sweden
Área de gestión sanitaria del Campo de Gibraltar
Problem Areas
Lack of structures for migrant health
Austria
Denmark
Finland
Germany
Greece
Italy
Sweden
The Netherlands
Área de gestión sanitaria del Campo de Gibraltar
Problem Areas
Lack of adequate patient information
Austria
Denmark
Finland
Germany
Greece
Ireland
Portugal
Spain
Sweden
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systemsOur health authority district
•Geography234,000 inhabs.Two hospitals10 primary health care 10 primary health care centers centers Located at the very south of Located at the very south of EuropeEuropeAt only 18 Km from AfricaAt only 18 Km from Africa
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systemsOur Health authority district
•demographyWe attend more than 120,000 emergencies/yeartwo million people cross the Strait of gibraltar from Spain to Morocco and backwards.
We attend people that irregularly entered our country
• Population in transit
• Population with irregular entrance
• Settled population
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
Why did we get involved in MFH?answers to the challenge of a growing diversity in clinical settingsservice must be sensitive to the demands of social forcesadapted to the population it serves
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
WHAT OBSTACLES WILL HAVE TO BE OVERCOME IN ORDER TO MEET THE NEEDS OF THESE PATIENTS?
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
EQUITABLE IS NOT ALWAYS EQUAL
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
LANGUAGECULTURALKNOWLEDGEORGANIZATION
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
LANGUAGECULTURALKNOWLEDGEORGANIZATION
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
LANGUAGECULTURALKNOWLEDGEORGANIZATION
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
LANGUAGECULTURALKNOWLEDGEORGANIZATION
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
LANGUAGECULTURALKNOWLEDGEORGANIZATION
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systemsin addressing this issue, have in mind
•The responseManagerialStaffClientele
• National
• non nationals
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systemsin addressing this issue, have in mind
•Local policieshospital ownership
• integrate within the political framework of the health system on equality, diversity and access to it
• equality in access
• public ownership
• free health care -even in irregular entrance
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
EQUITABLE IS NOT ALWAYS EQUAL
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
Different geographical contextadministrative situationslanguage CultureReligioneconomic situationDemographygeographical distribution
Área de gestión sanitaria del Campo de Gibraltar
WHAT IS (ARE) YOUR LOCAL POPULATION(S) LIKE?
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
WHAT CHANGES IN WORK ROUTINE WILL BE NECESSARY?
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
BAD NEWS!there are no “magic recipes”, tailor to your local situation
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
GOOD NEWS!!LEARN WERE YOU ARELEARN FROM THE EXPERIENCESINCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSEDOVERCOME THE BARRIERSLOOK FOR AN ORGANISATIONAL CHANGEDEVELOP PARTNERSHIP STRATEGIESDEVELOP A SUPPORTING GROUP
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
GOOD NEWS!!LEARN WERE YOU ARELEARN FROM THE EXPERIENCESINCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSEDOVERCOME THE BARRIERSLOOK FOR AN ORGANISATIONAL CHANGEDEVELOP PARTNERSHIP STRATEGIESDEVELOP A SUPPORTING GROUP
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
Part A: MF characteristics of serviceGeneral resources to facilitate communication and information Accessibility, pre-entry and entry into hospitalWhilst in hospital
Hotel services Medical / nursing treatment
Discharge MF patient education / health promotion / empowerment
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
Part B: MF Support System General quality system in hospitalDoes your hospital have a written MF policy ?MF budgetIs a specific MF management structure in place?Involvement of migrant representatives in organisational changeMarketing of MF
internal marketing of MF (at the hospital) External marketing of MF (to the public)
MF training and education for staff
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systemsPart B: MF Support System Monitoring of migrant clientele Monitoring of migrant-specific service outcomes Method/approach used for monitoring migrant dataMonitoring of MF impact on organisational qualityReporting system on MF activities and impactPartnerships and partner alliances
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
GOOD NEWS!!LEARN WERE YOU ARELEARN FROM THE EXPERIENCESINCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSEDOVERCOME THE BARRIERSLOOK FOR AN ORGANISATIONAL CHANGEDEVELOP PARTNERSHIP STRATEGIESDEVELOP A SUPPORTING GROUP
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
GOOD NEWS!!LEARN WERE YOU ARELEARN FROM THE EXPERIENCESINCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSEDOVERCOME THE BARRIERSLOOK FOR AN ORGANISATIONAL CHANGEDEVELOP PARTNERSHIP STRATEGIESDEVELOP A SUPPORTING GROUP
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
GOOD NEWS!!LEARN WERE YOU ARELEARN FROM THE EXPERIENCESINCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSEDOVERCOME THE BARRIERSLOOK FOR AN ORGANISATIONAL CHANGEDEVELOP PARTNERSHIP STRATEGIESDEVELOP A SUPPORTING GROUP
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
GOOD NEWS!!LEARN WERE YOU ARELEARN FROM THE EXPERIENCESINCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSEDOVERCOME THE BARRIERSLOOK FOR AN ORGANISATIONAL CHANGEDEVELOP PARTNERSHIP STRATEGIESDEVELOP A SUPPORTING GROUP
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
GOOD NEWS!!LEARN WERE YOU ARELEARN FROM THE EXPERIENCESINCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSEDOVERCOME THE BARRIERSLOOK FOR AN ORGANISATIONAL CHANGEDEVELOP PARTNERSHIP STRATEGIESDEVELOP A SUPPORTING GROUP
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
GOOD NEWS!!LEARN WERE YOU ARELEARN FROM THE EXPERIENCESINCLUDE CULTURAL DIVERSITY AS A TOPIC TO BE ADDRESSEDOVERCOME THE BARRIERSLOOK FOR AN ORGANISATIONAL CHANGEDEVELOP PARTNERSHIP STRATEGIESDEVELOP A SUPPORTING GROUP
Área de gestión sanitaria del Campo de Gibraltar
MFH EU NETWORK
Kaiser-Franz-Josef-Spital, Vienna, AustriaImmanuel-Krankenhaus GmbH, Rheumaklinik Berlin-Wannsee, Berlin, GermanyKolding Hospital, Velje-Kolding, DenmarkHospital ”Spiliopoulio Agia Eleni”, Athens, GreeceHospital Punta de Europa, Algeciras-Cádiz, SpainTurku University Hospital, Turku, Finland Hôptial Avicenne, Paris, FranceJames Connolly Memorial Hospital, Dublin, IrelandPresidio Ospedaliero della Provincia di Reggio Emilia, Reggio Emilia, ItalyAcademic Medical Center, Amsterdam, The NetherlandsHospital Nossa Senhora do Rosário (HNSR) Barreiro/Lisbon, PortugalUppsala University Hospital, Psychiatric Centre, Uppsala, SwedenBradford Hospitals NHS Trust , Bradford, U.K.
AT
DE
DK
EL
ES
FI
FR
IT
NL
PT
SV
UK
IR
Área de gestión sanitaria del Campo de Gibraltar
Common issues
differences in hospital's ownershipdifferences in demography of the clienteledifferences in degree of settlement of populations...Some areas were common concern all over the EU
Área de gestión sanitaria del Campo de Gibraltar
The 5 most frequent problem areas
8
8
8
9
13
0 5 10 15
Communication
Cultural differences
Lack of structures for migrant health
Lack of documentation + research
Lack ofadequate patient information
number of mentions in all interviews
(n=97, including multiple mentions)
Área de gestión sanitaria del Campo de Gibraltar
The Amsterdam declaration –December ‘04
The Amsterdam declaration
“Towards migrant friendly hospitals in an ethno-culturally diverse Europe”
Área de gestión sanitaria del Campo de Gibraltar
The Amsterdam declaration –December ‘04
www.mfh-eu.net/conf/downloads/AmsterdamDeclaration2004.pdf
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
WHAT BENEFITS CAN BE EXPECTED FOR PATIENTS?
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
Increased quality of service•For staff•For patients•For the organisation
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
For staff Reduce staff workload
• Increase staff skills to manage congflict
• Reduce the stress of staff during cross cultural encounters
• Reduce the opportunities to malpractice
Increase level of comfort Increase level of knowledge
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
For patients•A more person oriented service•Reduce the opportunities of inadequate use of service•Increase the level of comfort during hospital stay
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
For the organisations•Integrate the hospital in a networking process•Increase effectiveness•Send a clear message to all stakeholders•A less expensive and more sustainable health system
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
IN SHORT…•LEARN•NETWORK•MARKETING
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
Área de gestión sanitaria del Campo de Gibraltar
The southernmost entrance to the European Health systems
THANK YOU!.