“What it really takes” – A qualitative study of how professionals coproduce healthcare service with immigrant patients
Background: The concept of coproduction shows great promise for meaningful partnerships between patients and health professionals. This is particularly relevant for immigrant patients who are less inclined to take an active role in consultations. The present study described health professionals’ pra...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Journal of Migration and Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666623522000241 |
| _version_ | 1828820806348570624 |
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| author | Christina Radl-Karimi Dorthe S. Nielsen Morten Sodemann Paul Batalden Christian von Plessen |
| author_facet | Christina Radl-Karimi Dorthe S. Nielsen Morten Sodemann Paul Batalden Christian von Plessen |
| author_sort | Christina Radl-Karimi |
| collection | DOAJ |
| description | Background: The concept of coproduction shows great promise for meaningful partnerships between patients and health professionals. This is particularly relevant for immigrant patients who are less inclined to take an active role in consultations. The present study described health professionals’ practices and experiences of coproducing healthcare service with immigrant and refugee patients in clinical encounters. Methods: We conducted a three-phase qualitative study with immigrant and refugee patients and health professionals at an interdisciplinary outpatient clinic for immigrants and refugees with complex long-standing health problems at a Danish university hospital. First, we conducted 25 observations of consultations between seven professionals (three doctors, three nurses, one social worker) and 24 patients with varied backgrounds and health problems. Findings were discussed in a focus group and individual interviews with the migrant clinic's staff. Finally, the themes were discussed with co-researchers and revised in a member check with experienced clinicians. Data were analyzed through meaning condensation, supported by the NVivo software. Results: We identified four themes characterizing the work of health professionals in creating coproduced healthcare service: a team effort of sense-making, disentangling the chaos first, when everything fails - listen to the patient, and continuity - becoming part of the patient's story. Conclusion: Interdisciplinary work fostering values of doing what makes sense to form a positive partnership with the patient allows health professionals to act autonomously, flexibly, and creatively. Using communication tools designed around patient needs, create optimal conditions for coproduction as health professionals empathically validate and integrate patient experiences. Professionals need advanced listening and relational skills and tolerance of ambiguity and insecurity. Relational continuity facilitates long-term coproduction but also bears risks of emotional dependency. |
| first_indexed | 2024-12-12T12:41:37Z |
| format | Article |
| id | doaj.art-5d9f7d3ccbc544cf90259735a5f281a3 |
| institution | Directory Open Access Journal |
| issn | 2666-6235 |
| language | English |
| last_indexed | 2024-12-12T12:41:37Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Migration and Health |
| spelling | doaj.art-5d9f7d3ccbc544cf90259735a5f281a32022-12-22T00:24:12ZengElsevierJournal of Migration and Health2666-62352022-01-015100101“What it really takes” – A qualitative study of how professionals coproduce healthcare service with immigrant patientsChristina Radl-Karimi0Dorthe S. Nielsen1Morten Sodemann2Paul Batalden3Christian von Plessen4OPEN Patient data Explorative Network, University of Southern Denmark and Odense University Hospital, J. B. Winsløws Vej 9A, 3. Sal, C, Odense 5000, Denmark; Corresponding author.Migrant Health Clinic, Odense University Hospital, Kløvervænget 10, Indgang 112, stuen, C, Odense 5000, DenmarkMigrant Health Clinic, Odense University Hospital, Kløvervænget 10, Indgang 112, stuen, C, Odense 5000, DenmarkThe Dartmouth Institute, Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755-1404, USADirection Générale de la Santé, Av. des Casernes 2, Lausanne 1014, Switzerland; Department of Clinical Research, University of Southern Denmark, Winsløwparken 19, 3. Sal, C, Odense 500, Denmark; Center for Primary Care and Public Health, University of Lausanne, Rue de Bugnon 44, Lausanne 1011, SwitzerlandBackground: The concept of coproduction shows great promise for meaningful partnerships between patients and health professionals. This is particularly relevant for immigrant patients who are less inclined to take an active role in consultations. The present study described health professionals’ practices and experiences of coproducing healthcare service with immigrant and refugee patients in clinical encounters. Methods: We conducted a three-phase qualitative study with immigrant and refugee patients and health professionals at an interdisciplinary outpatient clinic for immigrants and refugees with complex long-standing health problems at a Danish university hospital. First, we conducted 25 observations of consultations between seven professionals (three doctors, three nurses, one social worker) and 24 patients with varied backgrounds and health problems. Findings were discussed in a focus group and individual interviews with the migrant clinic's staff. Finally, the themes were discussed with co-researchers and revised in a member check with experienced clinicians. Data were analyzed through meaning condensation, supported by the NVivo software. Results: We identified four themes characterizing the work of health professionals in creating coproduced healthcare service: a team effort of sense-making, disentangling the chaos first, when everything fails - listen to the patient, and continuity - becoming part of the patient's story. Conclusion: Interdisciplinary work fostering values of doing what makes sense to form a positive partnership with the patient allows health professionals to act autonomously, flexibly, and creatively. Using communication tools designed around patient needs, create optimal conditions for coproduction as health professionals empathically validate and integrate patient experiences. Professionals need advanced listening and relational skills and tolerance of ambiguity and insecurity. Relational continuity facilitates long-term coproduction but also bears risks of emotional dependency.http://www.sciencedirect.com/science/article/pii/S2666623522000241CoproductionPatient-centered careDelivery of health careCultural competencyImmigrantsRefugees |
| spellingShingle | Christina Radl-Karimi Dorthe S. Nielsen Morten Sodemann Paul Batalden Christian von Plessen “What it really takes” – A qualitative study of how professionals coproduce healthcare service with immigrant patients Journal of Migration and Health Coproduction Patient-centered care Delivery of health care Cultural competency Immigrants Refugees |
| title | “What it really takes” – A qualitative study of how professionals coproduce healthcare service with immigrant patients |
| title_full | “What it really takes” – A qualitative study of how professionals coproduce healthcare service with immigrant patients |
| title_fullStr | “What it really takes” – A qualitative study of how professionals coproduce healthcare service with immigrant patients |
| title_full_unstemmed | “What it really takes” – A qualitative study of how professionals coproduce healthcare service with immigrant patients |
| title_short | “What it really takes” – A qualitative study of how professionals coproduce healthcare service with immigrant patients |
| title_sort | what it really takes a qualitative study of how professionals coproduce healthcare service with immigrant patients |
| topic | Coproduction Patient-centered care Delivery of health care Cultural competency Immigrants Refugees |
| url | http://www.sciencedirect.com/science/article/pii/S2666623522000241 |
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