Table 6.

Comparison of supportive health care strategies for migrants

CANADIAN DELPHI STUDYEUROPE16*AUSTRALIA18UNITED STATES20
Language interpretative servicesAccess to health careMigration system and entitlementsHiring and promoting minorities in the health care work force
Comprehensive health careEmpowerment of immigrantsAddressing specific health problems of refugeesInvolving representatives from the community in planning and quality improvement efforts
Evidence-based clinical practice guidelinesCulturally sensitive health servicesHealth professional trainingProviding on-site interpreters in settings with large numbers of patients with limited proficiency in English
Training and mentorship for health care providersGeneral quality of health careFree multilingual materials availableEnsuring that health information is at an appropriate literacy level and targeted to the language and culture of patients
Intersectoral collaborationPatient–health care provider communicationHelp with issues related to asylum seekersCollecting racial, ethnic, and language preference data for patients in order to monitor disparities in care
Community engagement and supportRespect toward immigrantsEthnic-specific services availableIntegrating cross-cultural training into professional development and training activities for health care providers
Networking in and outside health servicesInformation available to assist with health service planningIncorporating 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