OPEN - Open Patient data Explorative Network, University of Southern Denmark and Odense University Hospital, Odense, Denmark.
Migrant Health Clinic, Odense University Hospital, Odense, Denmark; Center for Global Health, University of Southern Denmark, Odense, Denmark; Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark.
Patient Educ Couns. 2022 Jul;105(7):2338-2345. doi: 10.1016/j.pec.2021.11.009. Epub 2021 Nov 18.
Interest in the coproduction concept in healthcare is increasing. According to coproduction, services are, unlike goods, always coproduced by a user and a service provider. This study explored how immigrants and refugees perceive the coproduction of their healthcare service in clinical encounters.
We conducted semi-structured interviews with thirteen patients with varied backgrounds and health problems. Participants were purposefully recruited in an interdisciplinary clinic for immigrants and refugees at a Danish University Hospital. Interviews were transcribed, anonymized, and analyzed using meaning condensation.
Patients emphasized the importance of a safe space where they could be themselves and feel supported. This encouraged them to be open and assume an active role in the coproduction of their health. A stable therapeutic alliance based on kindness and kinship helped them find strength and take responsibility for their own health.
This study improves our understanding of how immigrants and refugees experience the coproduction of healthcare services. Further studies, evaluating long-term outcomes of coproduction efforts, are required.
Providing a safe space in which health professionals have time to listen and empathically validate immigrant and refugee patients' lived realities, can enable patients to open up and become agents of their own health.
人们对医疗保健领域共同生产理念的兴趣日益浓厚。根据共同生产的理念，与商品不同，服务总是由用户和服务提供者共同提供。本研究探讨了移民和难民如何在临床接触中感知他们的医疗服务的共同生产。
我们对 13 名具有不同背景和健康问题的患者进行了半结构化访谈。参与者是在丹麦大学医院的一个移民和难民跨学科诊所中有意招募的。访谈内容被转录、匿名化，并使用意义浓缩进行分析。
患者强调了安全空间的重要性，在这个空间里，他们可以做自己，并感到支持。这鼓励他们开放自己，在共同生产健康方面发挥积极作用。基于善良和亲情的稳定治疗联盟帮助他们找到力量，并为自己的健康负责。
本研究增进了我们对移民和难民如何体验医疗服务共同生产的理解。需要进一步研究评估共同生产努力的长期结果。
为卫生专业人员提供一个安全的空间，让他们有时间倾听并同理心验证移民和难民患者的生活现实，可以使患者敞开心扉，成为自己健康的推动者。
