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"When I feel safe, I dare to open up": immigrant and refugee patients' experiences with coproducing healthcare
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.
Migrant Health Clinic, Odense University Hospital, Odense, Denmark; Center for Global Health, University of Southern Denmark, Odense, Denmark.
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). The Dartmouth Institute, Geisel School of Medicine at Dartmouth, Hanover, USA.
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2022 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 105, no 7, p. 2338-2345Article in journal (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

OBJECTIVE: 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.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

PRACTICE IMPLICATIONS: 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.

Place, publisher, year, edition, pages
Elsevier, 2022. Vol. 105, no 7, p. 2338-2345
Keywords [en]
Coproduction, Culturally competent care, Healthcare service delivery, Patient-provider relationship
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-55597DOI: 10.1016/j.pec.2021.11.009PubMedID: 34823924Scopus ID: 2-s2.0-85120383083Local ID: HOA;intsam;791012OAI: oai:DiVA.org:hj-55597DiVA, id: diva2:1628153
Available from: 2022-01-14 Created: 2022-01-14 Last updated: 2022-12-18Bibliographically approved

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Batalden, Paul B.

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