Abstract
This study presents a first assessment of the challenges faced by Dutch health care providers dealing with the increasing cultural diversity in Dutch society. Qualitative interviews with 24 Dutch caregivers and policy-makers point to a number of important difficulties encountered when confronted with the growing diversity of patient populations. The study focuses explicitly on the challenges health care providers perceive in their direct interactions with patients. On the basis of the observations of the 24 respondents five strategies were formulated to improve the delivery of care in a multicultural environment. Their findings were further evaluated by confronting the empirical data with care-ethical notions (attentiveness, responsibility, competence, and responsiveness) and intercultural communication-theory.
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References
Andre, J. (1992) Learning to See: Moral Growth During Medical Training. Journal of Medical Ethics 18, 148–152.
Dijkshoorn, H., Diepenmaat, A.C.M., Buster, M.C.A., Uitenbroek, D. and Reijneveld, S.A. (2000) Sociaal-economische status als verklaring van verschillen in gezondheid tussen Marokkanen en Nederlanders. Tijdschrift voor Gezondheidswetenschappen 78(4), 217–222.
Gudykunst, W.B. and Kim, Y.Y. (2003) Communicating With Strangers. An Approach to Intercultural Communication, (4th ed.) New York: McGraw-Hill.
el Haddouchi, M., Aouaj, Y., Brouwer, H.J. and Stronks, K. (2000) Marokkanen bij de huisarts aan het woord; de mate waarin de huisarts de reden van komst achterhaalt. Nederlands Tijdschrift voor Geneeskunde 144(5), 219–224.
Hafferty, F.W. and Franks, R. (1994) The Hidden Curriculum, Ethics Teaching, and the Structure of Medical Education. Academic Medicine 69(11), 861–871.
Haveman, H.B. and Uniken Venema, P. (Eds.) (1996) Migranten en gezondheidszorg. Houten: Bohn Stafleu Van Loghum.
Raad voor de Volksgezondheid en Zorg (RVZ) (2000) Interculturalisatie van de gezondheidszorg. Advies aan de minister van VWS. Zoetermeer: RVZ
Stronks, K., Uniken Venema, P., Dahhan, N. and Gunning-Scheppers, L. (1999) Allochtoon, dus ongezond? Mogelijke verklaringen voor de samenhang tussen etniciteit en gezondheid geïntegreerd in een conceptueel model. Tijdschrift voor Gezondheidswetenschappen 77(1), 33–40.
Tronto, J. (1993) Moral Boundaries. A Political Argument for an Ethics of Care. London/New York: Routledge.
Weide, M.G. and Foets, M. (1998) Migranten in de huisartspraktijk: andere klachten en diagnosen dan Nederlanders. Nederlands Tijdschrift voor Geneeskunde 142(38), 2105–2109.
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Olthuis, G., van Heteren, G. Multicultural Health Care in Practice. Health Care Analysis 11, 199–206 (2003). https://doi.org/10.1023/B:HCAN.0000005492.49818.76
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DOI: https://doi.org/10.1023/B:HCAN.0000005492.49818.76