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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

Matthieu.Funtsch@usb.ch

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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:

Sylvie.Schuster@usb.ch