Intercultural Approach and Knowledge of Migrant Health Policy in Healthcare Teams and Migrants in Chile
Author(s)
Cabieses B1, Obach A1, Oyarte M2, Blukacz A1, Campaña Castillo C3
1Universidad del Desarrollo, Santiago, Chile, 2Instituto de Salud Pública, Santiago, Santiago, Chile, 3Universidad del Desarrollo, Santiago, RM, Chile
OBJECTIVES:
Chile has experienced a dynamic migratory scenario, necessitating new conceptual, empirical, and action approaches in intercultural health. However, there is currently no conceptual proposal that effectively defines, operationalizes, and measures strategies for intercultural health care with international migrants. This study aimed to identify the level of knowledge about the existing intercultural approach in Chile and the health policy for migrants among healthcare teams (HT) and migrants receiving healthcare servicesMETHODS:
A quantitative survey was conducted using the secure and encrypted RedCap platform in four large Chilean communes (northern, center and southern territories). The survey included 474 HT and 1440 migrants, collecting data on sociodemographic characteristics, knowledge of intercultural care and experiences within the healthcare system. Statistical analysis was performed with a 95% confidence level. Project financed by FONIS SA19I0066, ANID-Chile.RESULTS: Among migrants, only 9.93% were aware of the migrant health policy, and their knowledge varied based on sociodemographic characteristics. Among HT, the awareness rate was higher at 28.27%, with differences observed between doctors and other professionals. Additionally, 58.44% of HT respondents had heard about the intercultural approach in health, while 39.35% had received formal training in this area. A significant number of surveyed migrants were unaware of the existence of intercultural facilitators or mediators in healthcare centers. Concerning access to healthcare, 50.21% of migrants believed they couldn't enroll without a Rut or visa, and 30.97% believed they couldn't receive care in life-threatening situations.
CONCLUSIONS: The results raise concerns about potential barriers to healthcare access for migrants, particularly in life-threatening situations. A tailored intercultural approach towards the international migrant population is urgently required, considering the perspectives of all stakeholders involved. Incorporating suggestions for improvement from healthcare providers directly involved in migrant care would be valuable in establishing a comprehensive intercultural approach in Chile.
Conference/Value in Health Info
Value in Health, Volume 26, Issue 11, S2 (December 2023)
Code
EPH106
Disease
No Additional Disease & Conditions/Specialized Treatment Areas