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
- Migration and immigrants – BN Kumar & E Diaz
- Migration health theories: healthy migrant effect and allostatic load. Can both be true? – BN Kumar & E Diaz
- Culture, language and the clinic - three stories, two keys- I Heath & E Schei
- The Ethics of Migrant Health: Power and Privilege versus Rights and Entitlements. G Oms, R Hammonds & I Keygnaert
- Discrimination and health – J H Magnus
- Immigrants’ use of primary health care services: overuse, underuse or both? – E Diaz & BN Kumar
- Promoting the Health of Migrant Children and Children of Immigrants –K M Perreira & L T Fadnes
- Adolescent migrant health –M Catallozzi, C A Kolff, R Fowler & T McGovern
- Health care for older and elderly immigrants – C O’Donnell
- Family and group as a unit of care - B Kiely &B Viken,
- Gynaecology and obstetrics– B Austveg, K A Møen
- Chronic disease prevention and management: an understated priority N Nitti
- Understanding unexplained and complex symptoms and diseases - M Sodemann
- Cancer among immigrant patients- K Albrecht & S De Maesschalck
- Immigration and Mental health - R Farrington
- Multimorbidity- the complexity - A Calderón & L Gimeno
- Bridging Cultural and Language Discordance – E Diaz & BN Kumar
- Evidence Based Guidelines and Advocacy– K Pottie
- Diversity sensitive versus adapted services for immigrants: the example of dementia care in Germany - O Razum & H Tezcan-Guentekin
- Assessments tools for dementia an depression in older immigrants – T R Nielsen & M Nørredam
- Community participation in primary healthcare: meaningful involvement of immigrants- A MacFarlane & C Lionis
Part 2: A life course perspective on migrant health- Y ben Shlomo, L Mamluk & S Redwood
Part 3: Health challenges at the clinic- M van den Muijsenbergh
Part 4: Opportunities and tools when meeting immigrant patients- C Phillips & J Benson
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