Beheerder videotheek Databank Communicatie in de Gezondheidszorg
Publicatie
Publicatie datum
Cultural Interview by mental health nurses in diagnosis and treatment of non-western patients in primary care, The Netherlands, 2013.
Devillé, W., Hosper, K., Groen, S., Bartels, K., Starmans, R., Dijk, R. van, Rohlof, H., Tulder, M. van, Tempelman, D. Cultural Interview by mental health nurses in diagnosis and treatment of non-western patients in primary care, The Netherlands, 2013. European Journal of Public Health: 2013, 23(Suppl. 1), p. 262-263. Abstract. 6th European Public Health Conference: Health in Europe: are we there yet? Learning from the past, building the future. 13-16 November 2013, Brussel.
Lees online
Background: Anxiety, depression and medically unexplained physical symptoms are highly prevalent among non-western migrants. Complaints are presented differently, compromising diagnosis. The difficult relationship between doctor and patient reflects on patient satisfaction, trust, compliance and referrals to secondary care. Taking social and cultural context of the patient into consideration by using the Cultural Interview (CI) will result in an improved doctor-patient relationship, more adequate diagnosis and more effective treatment. Methods and Design: The CI is adapted for implementation in primary care among migrant patients. A training module is developed. A controlled and clustered trial started to assess the effect on compliance to treatment compared with usual care. Quantitative data are collected using questionnaires and information from GP registries. Qualitative information is collected from the registry of the process, intake reports, as well as from interviews with nurses, general practitioners and patients. Quantitative outcome measures: primary outcome is compliance to treatment. Direct secondary outcomes are: trust in health care, the health care provider-patient relationship, the number of no-shows, and the degree of insight in complaints. Indirect secondary outcomes are: improved mental and physical health, medical consumption, absenteeism and the effects on the implementation of stepped care therapy. Results: In the intervention group of the study it is expected to obtain a higher compliance, increased trust by the patient, an improved health care provider – patient relationship and a better diagnosis of clarification of complaints. This should lead to improved social functioning and quality of life, resulting in improved mental and physical state of health. decreasing number of consultations, less diagnostics, lower medical consumption and less absenteeism has to increase costeffectiveness. Conclusions: The final product will be a version of the Cultural Interview, ready for use in primary care, also outside mental health support, together with a training module for its implementation. Key message: Practitioners should integrate social and cultural context of the patient into diagnosis and treatment resulting in an improved doctor-patient relationship.
Background: Anxiety, depression and medically unexplained physical symptoms are highly prevalent among non-western migrants. Complaints are presented differently, compromising diagnosis. The difficult relationship between doctor and patient reflects on patient satisfaction, trust, compliance and referrals to secondary care. Taking social and cultural context of the patient into consideration by using the Cultural Interview (CI) will result in an improved doctor-patient relationship, more adequate diagnosis and more effective treatment. Methods and Design: The CI is adapted for implementation in primary care among migrant patients. A training module is developed. A controlled and clustered trial started to assess the effect on compliance to treatment compared with usual care. Quantitative data are collected using questionnaires and information from GP registries. Qualitative information is collected from the registry of the process, intake reports, as well as from interviews with nurses, general practitioners and patients. Quantitative outcome measures: primary outcome is compliance to treatment. Direct secondary outcomes are: trust in health care, the health care provider-patient relationship, the number of no-shows, and the degree of insight in complaints. Indirect secondary outcomes are: improved mental and physical health, medical consumption, absenteeism and the effects on the implementation of stepped care therapy. Results: In the intervention group of the study it is expected to obtain a higher compliance, increased trust by the patient, an improved health care provider – patient relationship and a better diagnosis of clarification of complaints. This should lead to improved social functioning and quality of life, resulting in improved mental and physical state of health. decreasing number of consultations, less diagnostics, lower medical consumption and less absenteeism has to increase costeffectiveness. Conclusions: The final product will be a version of the Cultural Interview, ready for use in primary care, also outside mental health support, together with a training module for its implementation. Key message: Practitioners should integrate social and cultural context of the patient into diagnosis and treatment resulting in an improved doctor-patient relationship.