Page 115 - S. Ličen, I. Karnjuš, & M. Prosen (Eds.). (2019). Women, migrations and health: Ensuring transcultural healthcare. Koper, University of Primorska Press.
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Current Issues and Future Possibilities for Improving Healthcare

reported they had experienced violence in health facilities should be taken
seriously. Individuals may also have different criteria and different desires for
health and healthcare (Clarke, 2017) and that may also be an issue to con-
sider.

It should also be recalled that inequality, as O’Neil, Fleury, and Foresti (2016)
state, causes the expectation that women are responsible for unpaid domes-
tic care and responsibilities. This aspect also significantly affects and inter-
sects with inequality and discrimination.

Most respondents stated they had not encountered any problems in a
healthcare institution. Throughout the questionnaire, the respondents con-
stantly indicated serious difficulties are present. And those difficulties are
mostly related to (mis)understanding of the language. Respondents fre-
quently mentioned suggestions to provide more interpreters/translators in
clinical environments. Some also stated there should be more staff who ei-
ther speak other languages or even come from other countries and cultures.
There is also extensive evidence showing the importance of ethnic, religious
and linguistic factors that affect socio-economic factors and that problems
which arise are both language barriers and the lack of relevant information
and resources for migrants (Durieux-Paillard, 2011). Respondents frequently
mentioned suggestions to provide more interpreters/translators in clinical
environments and healthcare settings. Some also said there should be more
staff available who either speak other languages or even came from other
countries. This, in fact, also acts as a call for both the state and the politi-
cal sphere to move in the direction of solving such problems so as to meet
the needs of migrants. Ingelby (2011) highlights and indicates interactions in
healthcare, where a variety of methods are proposed to overcome language
barriers:

– Professional face-to-face interpretation as one of the most accurate
methods, but with many drawbacks. It is an expensive method. Patients
sometimes also do not want the presence of a third person because
they fear that intimate details will not be kept confidential (especially
if the translator come from the same community);

– Professional interpretation by telephone where the interpreter is not
physically present, with this able to solve a number of logistical and
cost problems. The disadvantage is that this method has fewer visual
cues, despite technological progress;

– Informal face-to-face interpretation where reliance on family members
(especially children) may impact on the confidentiality of the meeting

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