European Journal of General Practice
Volume 20, Issue 2, 2014, Pages 148-152

Healthcare for migrants, participatory health research and implementation science-better health policy and practice through inclusion. The RESTORE project (Article)

Macfarlane A.* , O'Reilly-De Brún M. , De Brún T. , Dowrick C. , O'Donnell C. , Mair F. , Spiegel W. , Van Den Muijsenbergh M. , Van Weel Baumgarten E. , Lionis C. , Clissmann C.
  • a Graduate Entry Medical School, University of Limerick, Limerick, Ireland
  • b National University of Ireland, Galway, Ireland
  • c National University of Ireland, Galway, Ireland
  • d University of Liverpool, Liverpool, United Kingdom
  • e University of Glasgow, Glasgow, United Kingdom
  • f University of Glasgow, Glasgow, United Kingdom
  • g Medical University of Vienna, Vienna, Austria
  • h Radboud University Nijmegen, Medical Centre, Nijmegen, Netherlands
  • i Radboud University Nijmegen, Medical Centre, Nijmegen, Netherlands
  • j University of Crete, Crete, Greece
  • k Pintail Ltd., Dublin, Ireland

Abstract

Background: This is a time of unprecedented mobility across the globe. Healthcare systems need to adapt to ensure that primary care is culturally and linguistically appropriate for migrants. Evidence-based guidelines and training interventions for cultural competence and the use of professional interpreters are available across European healthcare settings. However, in real-world practice migrants and their healthcare providers 'get by' with a range of informal and inadequate strategies. RESTORE is an EU FP7 funded project, which is designed to address this translational gap. Objectives: The objective of RESTORE is to investigate and support the implementation of guidelines and training initiatives to support communication in cross-cultural consultations in selected European primary care settings. Design: RESTORE is a qualitative, participatory health project running from 2011-2015. It uses a novel combination of normalization process theory and participatory learning and action research to follow and shape the implementation journeys of relevant guidelines and training initiatives. Research teams in Ireland, England, the Netherlands, Austria and Greece are conducting similar parallel qualitative case study fieldwork, with a complementary health policy analysis led by Scotland. In each setting, key stakeholders, including migrants, are involved in participatory data generation and analysis. Expected results: RESTORE will provide knowledge about the levers and barriers to the implementation of guidelines and training initiatives in European healthcare settings and about successful, transferrable strategies to overcome identified barriers. RESTORE will elucidate the role of policy in shaping these implementation journeys; generate recommendations for European policy driving the development of culturally and linguistically appropriate healthcare systems. © 2014 Informa Healthcare.

Author Keywords

Linguistic and cultural competency Translational gaps Migrant healthcare Participatory learning and action research Normalization process theory

Index Keywords

education sociological theory cooperation primary medical care health care policy Europe interpersonal communication action research human Practice Guidelines as Topic medical research health service language Cultural Competency cultural competence qualitative research Humans migrant consultation Article health care migration health care access participatory research Community-Based Participatory Research Health Policy health care system Transients and Migrants practice guideline Cooperative Behavior Health Services Accessibility primary health care health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84901986549&doi=10.3109%2f13814788.2013.868432&partnerID=40&md5=0d68d3cfd3211d42efdc51aaf7acc1a9
DOI: 10.3109/13814788.2013.868432
ISSN: 13814788
Cited by: 13
Original Language: English