Migrant populations at the Hopital de I'Enfance de Lausanne (HEL): Inquiry, evaluation and statement, take in charge procedures and the positive influences of the cultural mediators interventions [Les populations migrantes a l'Hopital de l'Enfance de Lausanne (HEL): Etat des lieux, prise en charge et apport des traducteurs-mediateurs culturels]

Sozial- und Praventivmedizin
Volume 44, Issue 6, 1999, Pages 264-271

Migrant populations at the Hopital de I'Enfance de Lausanne (HEL): Inquiry, evaluation and statement, take in charge procedures and the positive influences of the cultural mediators interventions [Les populations migrantes a l'Hopital de l'Enfance de Lausanne (HEL): Etat des lieux, prise en charge et apport des traducteurs-mediateurs culturels] (Article)

Gehri M.* , Hunziker B. , Géraud F. , Rouffaer D. , Sopa S. , Cruz C.S.-D. , Métraux J.-C.

^a Hôpital de l'Enf. de Lausanne, 16, avenue de Montétan, CH-1007 Lausanne, Switzerland
^b [Affiliation not available]
^c [Affiliation not available]
^d [Affiliation not available]
^e [Affiliation not available]
^f [Affiliation not available]
^g [Affiliation not available]

Abstract

The number of patients belonging to migrant populations who consult Lausanne's Hopital de l'Enfance (HEL) has increased massively in an exponential manner. HEL is a facility dedicated to children with a vocation of public health and training in a university setting and it has to make a point of developing an adequate and pertinent health care system for these populations. In order to do this, a study was undertaken in the form of a prospective survey including over a thousand ambulatory patients. Administrative data (origin, date of migration, nature of the permit and legal situation), social data (home language, professional situation, number of siblings), medical (diagnosis) and psychosomatic data (sleep, enuresis) was recorded as well as data testing the level of understanding between carer and patient. The study allowed us to define priorities of intervention: introduction of a service of translators - cultural mediators trained by the association 'Appartenances' (as well as on going follow-up and assessment of this service), training of health care workers in the fields of cultural mediation and the different aspects of migrant population medicine and, finally the creation of a steering group within the Institution. Having allowed rapid and spectacular improvement in the quality of the service provided by the HEL, this process is also included in the will to improve health care given to migrant populations at local and national levels in accordance with the priorities defined by the WHO in this domain. It is this experience which is reported in this paper.

Author Keywords

[No Keywords available]

Index Keywords

cultural anthropology Cultural Diversity prospective study immigrant refugee sleep Hospitals, Pediatric Prospective Studies human Refugees comparative study pediatric hospital language Enuresis Humans male case report female preschool child Child, Preschool questionnaire cultural factor Article Questionnaires Translating migration health care quality world health organization Cultural Characteristics health care system hospital Transients and Migrants Switzerland Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033251060&partnerID=40&md5=554c4c70bd0a305078ba5dac9f07b700

ISSN: 03038408

Cited by: 4

Original Language: French