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Article
Publication date: 26 April 2024

Camilla Michaëlis, Johanna Falby Falby Lindell, Cæcilie Hansen, Allan Krasnik, Susanne Reventlow, Marie Nørredam, Melissa Lutterodt and Annette Sofie Davidsen

Following the introduction of user fee for interpreting in Danish health care, a considerable decrease in interpreter services has been shown. This study aims to explore the…

Abstract

Purpose

Following the introduction of user fee for interpreting in Danish health care, a considerable decrease in interpreter services has been shown. This study aims to explore the experiences of language minority patients with health-care encounters when an interpreter was needed but not present.

Design/methodology/approach

Semistructured, in-depth interviews were conducted with 13 language minority patients with limited Danish proficiency. All interviews were conducted with interpreters in the participants’ native language. Data were analyzed using an inductive thematic approach.

Findings

Most participants experienced communication difficulties and difficulties participating actively in their own health care. The experience of unresolved language barriers led to a high degree of uncertainty and left the participants with unanswered health concerns. Participants expressed a reluctance to seek health care, which consequently limited the utilization of health care services.

Research limitations/implications

Although the findings only represent a small sample of patients, the results still reveal major challenges that minority-language patients encounter when seeking health care. Future studies should explore, if the intention of the law is met through the user fees.

Practical implications

Despite having the same entitlements as native Danish-speaking patients, minority-language patients experienced difficulties accessing and using health care services due to the user fee and unresolved language barriers. The study elucidates patient perspectives and points to important ways of improving the quality of health care.

Originality/value

To the best of the authors’ knowledge, no investigation into the communicative consequences of the introduction of the user fee for interpreting services exists. Thus, this study seeks to address that gap.

Details

International Journal of Migration, Health and Social Care, vol. 20 no. 2
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 30 November 2012

Susan E. Zimmerman, Dawn Chatty and Marie Louise Nørredam

As immigration detainee numbers grow, doubts have arisen over the consistency, quality and suitability of the health care services provided among the UK detention estate and in…

451

Abstract

Purpose

As immigration detainee numbers grow, doubts have arisen over the consistency, quality and suitability of the health care services provided among the UK detention estate and in other Western countries. Detained immigrants, due to their past and present situations, may be especially vulnerable in terms of their health. They may simultaneously lack entitlements to care due to their legal situation. Health needs and access to health care services in immigration detention is understudied. Therefore, this exploratory study aims to test the usefulness of a questionnaire among former detainees examining perceptions of their health needs and access to care within immigration detention in the UK.

Design/methodology/approach

In total, 30 former detainees completed questionnaires, and 27 of these also participated in semi‐structured interviews, in June/July 2010. Frequency analyses of questionnaire responses were performed.

Findings

The results showed that 66 per cent of the participants entered detention with pre‐existing mental or physical health conditions that required ongoing or new treatments. In addition, new mental/emotional (93 per cent) or physical (53 per cent) health problems arose for the majority of the participants within detention.

Research limitations/implications

Access to health care in detention was often problematic in its effectiveness or availability due to a variety of formal and informal challenges.

Originality/value

The results of this exploratory study cast doubt on how appropriately the mental and physical health needs of detainees are being provided for within the current UK detention estate.

Details

International Journal of Migration, Health and Social Care, vol. 8 no. 4
Type: Research Article
ISSN: 1747-9894

Keywords

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