【精品】the language barrier in primary care perspectives of ...48.ppt

The Language Barrier in Primary Care: Perspectives of Refugees and Asylum Seekers Department of General Practice Health Services Research Seminar December 13th 2005 Anne MacFarlane, Department of General Practice, NUI, Galway Unprecedented Patterns of Migration Research about Refugee and Asylum Seeker Health Language differences, communication difficulties Refugees, asylum seekers, services providers (primary and secondary care) Use of interpreters Formal interpreters (telephone/face to face interpreting) Informal interpreters (Friends and relatives) Communication Matters General Practice and nursing Biopsychosocial model of health Participation of patients Patient agenda Patient narratives Shared decision making CARe Communication with Asylum Seekers and Refugees Conduct an in-depth exploration of the impact of language as a barrier in primary care Document experiences of refugees, asylum seekers primary care providers Identify key features of the language barrier and its impact Explore solutions and strategies for service development and improvement Perspectives of Refugees and Asylum Seekers Aim is to document experiences of refugees and asylum who have experience of accessing and using primary care with little or no English Research Approach Participatory Learning and Action (PLA) More radical form of organisational action research Derived from Participatory Rural Appraisal (Chambers, 1994c) “growing family of approaches and methods that enable local people to share, enhance and analyse their knowledge of life and conditions, to plan and to act. PLA Key Characteristics Meaningful participation of community members; acknowledging local expertise Focus on concrete actions arising out of data collection Equal relationship between the ‘researcher’ and the ‘researched’ Doing research ‘with people’ rather than ‘on them’ PLA in action Inter-agency Partners HSE WA Health Promotion, Public Health Community Representation Galway Refugee Support Group PLA i