Migrant Health : A Primary Care Perspective book cover
1st Edition

Migrant Health
A Primary Care Perspective

ISBN 9781351017190
Published June 10, 2019 by CRC Press
304 Pages

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Book Description

In this time of large-scale global migration at levels unrivalled since World War II, primary care practitioners are providing the first line of care to economic migrants and refugees. In doing so, they face daily the considerable challenges that this heterogenic group brings in terms of communication, culture, and legal status as well as physical and mental health.

This accessible book has been carefully crafted to enable primary health care professionals to develop the skills and competencies required to deliver appropriate services to this diverse group of patients and, in turn, to ensure equity in health care for all.

The book satisfies the urgent need for a hands-on guide to support and help general practitioners and other members of the primary health care team improve their provision of care not only to immigrants, but to other vulnerable groups and the whole society.

Table of Contents



Background information – Kumar and Diaz

Part 1: Overarching Themes

    1. Migration and immigrants – BN Kumar & E Diaz
    2. Migration health theories: healthy migrant effect and allostatic load. Can both be true? – BN Kumar & E Diaz
    3. Culture, language and the clinic - three stories, two keys- I Heath & E Schei
    4. The Ethics of Migrant Health: Power and Privilege versus Rights and Entitlements. G Oms, R Hammonds & I Keygnaert
    5. Discrimination and health – J H Magnus
    6. Immigrants’ use of primary health care services: overuse, underuse or both? – E Diaz & BN Kumar
    7. Part 2: A life course perspective on migrant health- Y ben Shlomo, L Mamluk & S Redwood

    8. Promoting the Health of Migrant Children and Children of Immigrants –K M Perreira & L T Fadnes
    9. Adolescent migrant health –M Catallozzi, C A Kolff, R Fowler & T McGovern
    10. Health care for older and elderly immigrants – C O’Donnell
    11. Family and group as a unit of care - B Kiely &B Viken,
    12. Part 3: Health challenges at the clinic- M van den Muijsenbergh

    13. Gynaecology and obstetrics– B Austveg, K A Møen
    14. Chronic disease prevention and management: an understated priority N Nitti
    15. Understanding unexplained and complex symptoms and diseases - M Sodemann
    16. Cancer among immigrant patients- K Albrecht & S De Maesschalck
    17. Immigration and Mental health - R Farrington
    18. Multimorbidity- the complexity - A Calderón & L Gimeno
    19. Part 4: Opportunities and tools when meeting immigrant patients- C Phillips & J Benson

    20. Bridging Cultural and Language Discordance – E Diaz & BN Kumar
    21. Evidence Based Guidelines and Advocacy– K Pottie
    22. Diversity sensitive versus adapted services for immigrants: the example of dementia care in Germany - O Razum & H Tezcan-Guentekin
    23. Assessments tools for dementia an depression in older immigrants – T R Nielsen & M Nørredam
    24. Community participation in primary healthcare: meaningful involvement of immigrants- A MacFarlane & C Lionis

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Bernadette N. Kumar leads the Migration Health work package of the EU Joint Action on Health Inequalities and is the current President of the EUPHA section of Migration and Ethnic Minority Health. She was appointed Director of NAKMI (Norwegian Center for Migration and Minority Health, now part of the Norwegian Institute of Public Health) in 2010 and Associate Professor, Global Health at the Institute for Health and Society, University of Oslo in 2013. She has also been a commissioner of the Lancet Commission on Migration and Health.

Esperanza Diaz is a Specialist in Primary Care. She works as Associate Professor in the Department of Global Public Health and Primary Care, University of Bergen, and is a Senior Researcher at the Unit for Migration and Health, Norwegian Institute of Public Health, Norway.


"This is an outstanding monograph on the medical and psychological considerations clinicians must keep in mind when caring for a person who has immigrated to a land with different customs and lifestyles. The book offers insights that
clinicians usually are not exposed to in their training programs. The book also is a tremendous asset for clinicians who participate in medical missions to developing areas, sensitizing them to the cultures they may not have experience
Vincent F Carr, DO, MSA, FACC, FACP(Uniformed Services University of the Health Sciences)

"The chapters are very well referenced, and despite the evident diversity of countries and health care systems presented here, readers can easily apply authors’ evidence-based suggestions and conclusions to local situations. University libraries supporting programs for health professionals, including not only future physicians and nurses but also social workers, would do well to acquire this book. Recommended. Upper-division undergraduates through graduate students and practitioners."

--T. D. DeLapp, emerita, University of Alaska Anchorage, CHOICE Reviews