AMSTERDAM 9 – 12 december 2004
Health promotion in an Intercultural
Hospital: some tools
Direzione Distretti EST OVEST
Responsabile Progetto Speciale Immigrati
Giovanna Dallari
•6,3% of the Italian population
•more than 190 ethnic groups
10 Countries with the highest number of
population in RER
4%
4%
Morocco
Albania
4%
30%
5%
Tunisia
Romania
China
5%
Senegal
Philippine
7%
Pakistan
Ghana
8%
India
22%
11%
Bologna’s LHU 1/1/2004
Residents 812.330
City 373.539
Foreing residents in
Bologna as to 30/09/04
48.000 in the province
24.742 (6,6%) in the city
• Male 12.164
• Female 12.578
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males and females
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Maschi
Femmine
Regione Emilia Romagna year 2003
Admissions 871.180
35.609 (4%) from DC
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1 1 MESI2 002
1
• It is impossible
to satisfy the
need of each
ethnic group.
•Bologna’s LHU has implemented a set of
services, focused on individual needs and on
the reengineering of health services (more
accessible, appropriate and sensitive to all
patients and service users).
ACTION PLAN
13
POPOLAZIONE
IMMIGRATA E ALTRE
POPOLAZIONI A RISCHIO DI
ESCLUSIONE SOCIALE.
AI.
13
13. LA POPOLAZIONE TARGET E I PROBLEMI RILEVANTI
Le disuguaglianze di salute nella nostra popolazione,
indipendentemente dall’indicatore di salute e sociale
utilizzato, sono consistenti: a qualsiasi livello della scala
sociale ci si ponga, il livello inferiore presenta un profilo
epidemiologico più ……..
Actions and Instruments (1)
• Law, medical literature and experiences at the
local, national and international level analysis;
• involvement of all stakeholders within the
community;
• a comprehensive health program and
monitoring process;
• patient’s education programs to self health
care;
• intercultural mediators (liaison officers)
training courses;
• analysis of quality perception in different
health services.
PROGETTO SPECIALE IMMIGRATI
MISSION
Garantire
la rilevazione dei bisogni,
la pianificazione, la programmazione, il coordinamento, il
monitoraggio e la verifica delle attività
erogate in favore di Cittadini Stranieri Immigrati,
sia a livello ospedaliero sia a livello distrettuale,
attraverso la messa in rete dei soggetti aziendali e delle Istituzioni
pubbliche, private e di associazionismo volontario che si
occupano di quel target di popolazione.
Actions and Instruments (2)
• Multicultural menu;
• a web site showing all the information on tools, documents, projects, laws,
activities, news, links, etc. related to the immigrant’s social and health care;
• informative brochures in different languages;
• intercultural liaison officers help bridging
the cultural and
linguistic gap between patient and healthcare professional - eight linguistic areas
covered;
• free telephone line and information centre:
–
–
offers counselling and information on health services in eight languages to support foreign
citizens and socio – sanitary professional;
a consultative instrument which enables users to contribute effectively to service development.
• training courses for social and health
professionals, including Dietologists and administrative
staff
• Mammographic screening
Particular relevance…
• Progetto Speciale Immigrati
• Liaison officer and free telephone line
• Benchmarking
• Interistitutional and interprofessional network
• Web site
Progetto Speciale Immigrati
MISSION
To identify the needs, to plan, to program, to
coordinate, to check and to evaluate all the
actions proposed and carried out to improve
access to health and social services - in the
hospital and in the outpatient clinics.
The project supports a network involving
volunteers associations, public and private
sectors.
Liaison officers (intercultural mediators)
• On 1998 the Liaison officers course, organized by
the Local Government (U.E. funds – 350+350
hours) was set up for the first time.
• Liaison officers created AMISS (Associazione
Mediatrici Interculturali Socio Sanitarie), the
Socio-Sanitary Liaison Officers Organization.
Objectives
• To ensure equal access to Health and Social Services
in the Province of Bologna.
• To help in the reengeneering of the hospital structure
and activities.
• To implement communication and educational
activities to protect migrants from social and cultural
differences.
To achieve a better access and a better health situation.
Main subjects
• Information about sanitary assitance rights.
• Information about the correct use of services
offered by health service and social services
offered by local governments.
• Contribution in the reengineering of the hospital
and ward’s services.
• Connection with volunteer services.
• Set up of innovative activities.
• Teaching in the Multicultural Course for health
and social services providers.
Objectives
• To create a reference point for institutions in
charge of access improvement to Health Services.
• To facilitate best practice diffusion.
• To create a net between public and private
institutions that are related to access opportunities
for migrant citizens.
Future plans
• To enhance all the activities to the entire Azienda
• Enquiry on the health status of 3.500 workers
• Different spiritual care
• Cross-culture communication enhanced by use of
translated information cards and pictorial aids,
also useful for illiterate people.