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Migration and Health:
and Equality of Opportunity
Dr. Sylvie Schuster
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Dimensions of Diversity
• Gender
• Nationality
• Language
• Sexual orientation
• Age etc.
� Cultural Diversity
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Cultural Diversity
How can cultural diversity be grasped?
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Demographic Shift Canton Basel-City
1987: 2011:
1987
Deutschland12.2%
Italien32.0%
Türkei14.0%
Jugoslaw ien9.3%
Übrige8.8%
Sri Lanka0.8%
Österreich2.1%
USA1.2%
Frankreich2.9%
Indien0.5%
Grossbritannien1.5%
Portugal1.4%
Spanien13.2%
2011
Deutschland
23.2%
Italien
12.5%
Türkei
10.5%
Übrige
18.1% Slowenien
0.2% Bosnien-
Herzegowina
1.2%
Sri Lanka
1.4% Kroatien
1.6% Österreich
1.8%
USA
2.0%
Frankreich
2.3%
Indien
2.4%
Grossbritannien
3.1%
Mazedonien
3.5%
Portugal
4.3%
Spanien
4.6% Serbien,
Montenegro, Kosovo
7.3%
1987
Schweiz
79.6%
Ausland
20.4%
2011
Schweiz
66.6%
Aus land
33.4%
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5
University Hospital of Basel
(UHBS)
�Out-patients 2011:• A total of 179’570 patients• Proportion of ‘non-Swiss’ patients: 64’011 (35.6%)
• Within a random sample up to 58%
�Employees 2011:
• A total of 5’638 employees
• Proportion of ‘non-Swiss’ employees with place of residence in Switzerland: 1,466 (26%)
• Including employees without place of residence in Switzerland: 42.7%
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25th anniversary of the interpreter service UHBS
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25th anniversary of the interpreter service UHBS
Available languages:
1987:
Turkish
2012:
Albanian, Amharic, Arabic, Aramaic,
Azerbaijani, Bamileke, Bengali,
Croatian / Serbian, Bulgarian,
Chinese (Cantonese / Mandarin),
Dari, English, Pidgin English,
Ewondo, French, Greek, Hindi, Italian,
Croatian, Kurdish (Kurmanci / Zazaca/
Sorani / Bahdinani), Luhya,
Lithuanian, Macedonian, Mongolian,
Pashto, Persian etc.
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Project UHBS
� Target group:� Patients with immigration background
� USB employees
� Out- and in-patients
� Measurements:� Improving hospital processes in patient care� Promoting research, education and training� Optimizing and extending the hospitals’ interpreter
service
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Sample at an out-patient clinic – February 2011
• In the policlinic of the Women’s Hospital 178 out of
302 patients had an immigration background (58%)
and 106 were Swiss nationals (35%).
• Only 5 out of 21 employees (medical staff/ midwives)
were Swiss nationals.
• Interpreting was carried out by:• Professional interpreters: 11
• Hospital employees: 2
• Accompanying persons 23
• Medical Doctors (in person) 18
• Not specified 4
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Optimizing and extending the hospitals‘
interpreter service
�Development of internal
guidelines
� General rules
� When to call an interpreter?
� Which one?
� How to organize an
interpreter?
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Optimizing the use of interpreter service
�Staff information by training, intranet and print
media
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Patient-Provider-Interpreter Triad
Interpreter
Health care
provider
Patient
�Providing information
�Access to services
�Training
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Optimizing the use of interpreter service
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Optimizing the use of interpreter service
� Information on interpreting services
within training for health care
providers on cultural competence,
first year information session etc.
� Training of health professionals on
how to collaborate with interpreters
best.
� Further information:www.unispital-
basel.ch/kursprogramm or
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Call to Action
� Ensure that health professionals know when and why to
work with professional interpreters, in order to make
appropriate decisions concerning communication with
allophone patients.
� Ensure that both health professionals and interpreters
are trained in how best to collaborate to ensure quality
and safety in health care for allophone patients.
� Develop a national-level solution for financing health care
interpreting.
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Thank you very much for your attention!
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For further information please contact:
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