Weber Alexander Wilhelm, Erim Yesim, Georgiadou Ekaterini
Department of Psychosomatic Medicine and Psychotherapy University Hospital Erlangen Friedrich-Alexander-University Erlangen-Nürnberg (FAU) Schwabachanlage 6 D-91054 Erlangen Germany Department of Psychosomatic Medicine and Psychotherapy Erlangen.
Z Psychosom Med Psychother. 2020 Feb;66(1):20-31. doi: 10.13109/zptm.2020.66.1.20.
Intercultural opening of the health care system is supposed to optimize health services for migrants. It is part of the National Integration Plan and promoted by medical societies in Germany. This study examines its state of implementation at hospitals and rehabilitation centres for psychosomatic medicine and psychotherapy in Bavaria. A written survey was conducted using a modified version of the questionnaire for the implementation of intercultural opening in the mental health care system IKÖ-P (Penka et al. 2012a). Altogether 18 institutions responded. Migrants were underrepresented among patients and employees excluding physicians. Specialized psychotherapeutic interventions for migrants were rarely available, but frequently used when offered. Intercultural opening was poorly implemented in a structural level. Due to the low response-rate of 21.7 % the survey is not representative. Participation of institutions interested in intercultural opening could have led to biased results. To provide adequate psychosomatic medical care for migrants, intercultural opening should be further developed.
医疗保健系统的跨文化开放旨在为移民优化医疗服务。它是国家融合计划的一部分，并由德国的医学协会推动。本研究考察了巴伐利亚州身心医学与心理治疗医院及康复中心的实施情况。使用心理健康护理系统跨文化开放实施调查问卷IKÖ-P（彭卡等人，2012年a）的修改版进行了书面调查。共有18家机构做出回应。在患者和非医生员工中，移民所占比例较低。针对移民的专业心理治疗干预很少有，但提供时却经常被使用。跨文化开放在结构层面实施得很差。由于21.7%的低回复率，该调查不具有代表性。对跨文化开放感兴趣的机构的参与可能导致结果有偏差。为了给移民提供充分的身心医疗护理，跨文化开放应进一步发展。
