title: Health services and the treatment of immigrants: data on service use, interpreting services and immigrant staff members in services across Europe.
abstract: BACKGROUND
  The number of immigrants using health services has increased across Europe. For assessing and improving the quality of care provided for immigrants, information is required on how many immigrants use services, what interpreting services are provided and whether staff members are from immigrant groups.
  
  
  METHODS
  Structured interviews were conducted with 15 health services (9 primary care, 3 emergency departments, 3 mental health) located in areas with high immigrant populations in each of 16 European countries (n=240). Responses were collected on the availability of data on service use by immigrant patients, the provision of interpreting services and immigrant staff members.
  
  
  RESULTS
  Data on service use by immigrants were recorded by only 15% of services. More than 40% of services did not provide any form of interpreting service and 54% of the services reported having no immigrant staff. Mental health services were more likely to use direct interpreting services, and both mental health and emergency services were more likely to have immigrant staff members.
  
  
  CONCLUSIONS
  For assessing and improving the quality of care provided for immigrants, there is a need to improve the availability of data on service use by immigrants in health services throughout Europe and to provide more consistent access to interpreting services.
authors.affiliation: Department of Psychiatry and Psychotherapy, Charité - University Medicine Berlin, CCM, Charitéplatz 1, 10117 Berlin, Germany. ulrike.kluge@charite.de
authors.forename: U
authors.initials: U
authors.lastname: Kluge
authors.forename: M
authors.initials: M
authors.lastname: Bogic
authors.forename: W
authors.initials: W
authors.lastname: Devillé
authors.forename: T
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authors.lastname: Greacen
authors.forename: M
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authors.lastname: Dauvrin
authors.forename: S
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authors.lastname: Dias
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authors.lastname: Gaddini
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authors.lastname: Koitzsch Jensen
authors.forename: E
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authors.lastname: Ioannidi-Kapolou
authors.forename: R
authors.initials: R
authors.lastname: Mertaniemi
authors.forename: R
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authors.lastname: Puipcinós I Riera
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authors.initials: S
authors.lastname: Sandhu
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authors.initials: A
authors.lastname: Sarvary
authors.forename: J J F
authors.initials: JJ
authors.lastname: Soares
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authors.lastname: Stankunas
authors.forename: C
authors.initials: C
authors.lastname: Straßmayr
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authors.initials: M
authors.lastname: Welbel
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authors.lastname: Heinz
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authors.lastname: Priebe
mesh_terms: D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005060:Europe; D006282:Health Personnel / Q000706:statistics & numerical data*; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D006801:Humans