Table 2 Actions for quality and accessibility of health services
Spain | Portugal | Ireland | |
|---|---|---|---|
Adapting services | - Promotion of equity, diversity and non- discrimination in healthcare - Inclusion of the intercultural perspective in all the health programmes - Creation of a manager position for attention of vulnerable migrants in health centres - Transfer of good practices on migration and health | - Implementation of migrant-friendly hospitals - Improve the organizational culture for migrants | - Promote a culture of diversity and non- discrimination among the administrative employees and health professionals - Implement out of hour GP services |
Training for professionals | - Empowerment and trainings of health professionals on migrants’ health issues and interculturality (health determinants, intercultural communication, immigrants’ rights) - Trainings on health and interculturality for migrants, social and education workers - Trainings for interpreters and cultural mediators to work with mentally ill patients | - Trainings for health professionals and health services employees to interculturality | - Trainings for better cultural competency |
Partnerships and coordination | - Partnerships and collaboration with NGOs - Creation of forums at the local level gathering relevant actors to discuss about relevant issues and responses | - Partnership with other NGOS, public and private services, and migrants to promote access to health services | - Partnerships with other institutions and NGOs targeting migrants |
Communication | - Cultural Mediation programmes - Availability of translation and interpreting services, tele-translation | - Implementation of cultural mediators - Availability of interpreting services | |
Information | - Empower and inform migrants on health services on arrival - Translated (in various languages) material on health services, health issues, and rights and obligations. | - Informing migrants on their rights and duties regarding the NHS - Providing migrant-friendly information on health services and health issues - Training and education to fight the lack of health literacy | - Translated information material on legal entitlements and right - Translated information material on health services |
Direct involvement of migrants | - Participation of migrants in the policy setting | - Integrating migrants with a medicine background into the health services - Involvement of migrants in the implementation of actions - Targeting young migrants to integrate them in the health system | - Providing support to community initiatives - Employ staff from diverse backgrounds |
Administrative procedure | - Institutionalisation of procedures to facilitate PALOP migrants to access health services | ||
Identification of health needs | - Introduction of questions on clinical history and context - Importance of social determinants of health |