Full Description
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.
Contents
Section I: Overarching Themes. 1. Migration and migrants: What we know about worldwide mobility and why it matters. 2. Migration health theories: Healthy migrant effect and allostatic load. Can both be true? 3. Culture, language and the clinic - Three stories, two keys. 4. The ethics of migrant health: Power and privilege versus rights and entitlements. 5. Discrimination and health. 6. Migrants' use of primary health care services: Overuse, underuse, or both? Section II: A Life-Course Perspective. 7. A life-course perspective on migrant health. 8. Promoting the health of migrant children and children of migrants. 9. Adolescent migrant health. 10. Health care for older and elderly migrants. 11. Family and group as a unit of care. Section III: Health Challenges at the Clinic. 12. Health challenges at the clinic. 13. Gynaecology and obstetrics. 14. Chronic disease prevention and management: An understated priority. 15. Understanding unexplained and complex symptoms and diseases. 16. Cancer among migrant patients. 17. Migration and mental health. 18. Multimorbidity: The complexity. Section IV: Opportunities and Tools. 19. Opportunities and tools when meeting migrant patients. 20. Bridging cultural and language discordance. 21. Evidence-based guidelines and advocacy. 22. Diversity-sensitive versus adapted services for migrants: The example of dementia care in Germany. 23. Assessment tools for dementia and depression in older migrants. 24. Community participation in primary health care: Meaningful involvement of migrants.
