CANADIAN DELPHI STUDY | EUROPE16* | AUSTRALIA18 | UNITED STATES20 |
---|---|---|---|
Language interpretative services | Access to health care | Migration system and entitlements | Hiring and promoting minorities in the health care work force |
Comprehensive health care | Empowerment of immigrants | Addressing specific health problems of refugees | Involving representatives from the community in planning and quality improvement efforts |
Evidence-based clinical practice guidelines | Culturally sensitive health services | Health professional training | Providing on-site interpreters in settings with large numbers of patients with limited proficiency in English |
Training and mentorship for health care providers | General quality of health care | Free multilingual materials available | Ensuring that health information is at an appropriate literacy level and targeted to the language and culture of patients |
Intersectoral collaboration | Patient–health care provider communication | Help with issues related to asylum seekers | Collecting racial, ethnic, and language preference data for patients in order to monitor disparities in care |
Community engagement and support | Respect toward immigrants | Ethnic-specific services available | Integrating cross-cultural training into professional development and training activities for health care providers |
Networking in and outside health services | Information available to assist with health service planning | Incorporating cultural and language-appropriate survey methods into quality improvement efforts |
↵* The EUGATE project was funded by the General Directorate of Health and Consumer Protection of the European Union.16