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Multicultural Health Care: Experiences from a New Town Discovering opportunities for the interculturalisation of health care. Auke Vlonk , research by Renske Voorn. Istanbul, 10-09-2013. Outline. Planning a New Town Current (health) status of De Bijlmermeer Health system

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Multicultural Health Care:Experiencesfrom a New TownDiscovering opportunitiesfor the interculturalisation of health care

Auke Vlonk, research by Renske Voorn

Istanbul, 10-09-2013

outline
Outline
  • Planning a New Town
  • Current (health) status of De Bijlmermeer
  • Health system
  • Objective & Research Question
  • Conceptual model
  • Methodology
  • Results
  • Conclusions
planning a new town de bijlmer
Planning a New Town: De Bijlmer
  • 1965, Nassuth
  • Aimed at the workingmiddle class
  • High rise buildings with large green areas (unsafety)
  • Segregation of facilities
however
However…
  • The actualpopulation of De Bijlmer/Amsterdam South East (wijkscan.com):
    • Low incomes
    • Influx of ethnicminorities (Suriname, Ghana, Antilles
    • Little relocations, thoughrelativelyyoungpopulation
  • The role of (urban) planning in relationto health care?
health system in de bijlmer
Health system in De Bijlmer
  • Insufficient services, notconsidered as a problem
  • High unemployment, low education level, unsafety, low incomes, ethnicminorities
  • High burden of disease?
multicultural health services
Multicultural Health Services
  • Culturalbarrier, literacy
  • Notfamiliarwith the system
    • Gatekeeping
  • Interculturalisation
    • Culturalsensitivity
    • Culturaldiversity
    • Supply or demanddriven?
objective research question
Objective & Research Question
  • Objective
  • The objective of this research is to make recommendations on how a health system could connect with a society with high cultural diversity by investigating the health system and determine its best and worst practices in the Bijlmermeer, the Netherlands.
  • Research question
  • What are the best and worst practices concerning the health system in the Bijlmermeer the Netherlands and how can this knowledge be used to make recommendations for health systems within a society with high cultural diversity?
methodology
Methodology
  • Embedded case study
    • Qualitative data
  • 9 semi-structured interviews
    • Health care providers
    • Health policy makers
    • Content analysis
results
Results
  • Stewardship
    • The role of the city council
  • Creating resources
    • Difficult to get educated personnel
    • 2 out of 36 GP with other ethnic background
    • Cultural sensitivity vs diversity
  • Service delivery
    • Historically good cooperation within and between formal institutions
    • Linking formal vs informal care
    • Institutions are too white
  • Finance
    • Relatively inexpensive area
    • The Law of the handicap of a head start
conclusions
Conclusions
  • Although the population of the area differs from what was expected:
  • Good cooperation between health care providers, city council and insurance company
  • Awareness of cultural differences (cultural sensitivity)
  • Demand driven: flexibility to cope with (un)expected changes
  • Room for improvement to achieve more interculturalisation?
  • Cultural diversity (workforce), interculturalisation
  • No culturally specific care providing (although not considered as a problem)
  • The role of informal care
  • Structural governmental changes needed?
questions
Questions?

a.vlonk@jvei.nl | http://www.jvei.nl

http://www.newtowninstitute.org | http://www.efpc.nl/