Rev Prat. 2014 Oct;64(8):1095-8.
La Revue du praticien
[Article in French] Olivier Bouchaud
PMID: 25510133
Representing 40% of the new infections, immigrants living in France appear as a target population for prevention. Care givers have to adapt their practice in taking into account their specificities which are not restricted to cultural differences but include socio-economic determinants playing a major role. In addition to trainings on the foreigners rights and socio- cultural basic knowledge, care-givers (especially clinicians) have to give more time (especially at the beginning of the relationship) and to accept sharing the "medical power" with other people, including mediators, having the possibility of taking into account the other aspects of the patients' life in addition to the medical one. Assuming the fact there is no evidence for any difference regarding adherence between migrants and the other patients, this is probably the price to pay to insure long term therapeutic success.
