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Radl-Karimi C, Nielsen DS, Sodemann M, et al. "When I feel safe, I dare to open up": immigrant and refugee patients' experiences with coproducing healthcare. Patient Educ Couns. 2021;doi: 10.1016/j.pec.2021.11.009.
Radl-Karimi, C., Nielsen, D. S., Sodemann, M., Batalden, P., & von Plessen, C. (2021). "When I feel safe, I dare to open up": immigrant and refugee patients' experiences with coproducing healthcare. Patient education and counseling, . https://doi.org/10.1016/j.pec.2021.11.009
Radl-Karimi, Christina, et al. ""When I feel safe, I dare to open up": immigrant and refugee patients' experiences with coproducing healthcare." Patient education and counseling vol. (2021). doi: https://doi.org/10.1016/j.pec.2021.11.009
Radl-Karimi C, Nielsen DS, Sodemann M, Batalden P, von Plessen C. "When I feel safe, I dare to open up": immigrant and refugee patients' experiences with coproducing healthcare. Patient Educ Couns. 2021 Nov 18; doi: 10.1016/j.pec.2021.11.009. Epub 2021 Nov 18. PMID: 34823924.
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Patient Educ Couns. 2021 Nov 18; doi: 10.1016/j.pec.2021.11.009. Epub 2021 Nov 18.

"When I feel safe, I dare to open up": immigrant and refugee patients' experiences with coproducing healthcare.

Patient education and counseling

Christina Radl-Karimi, Dorthe Susanne Nielsen, Morten Sodemann, Paul Batalden, Christian von Plessen

Affiliations

  1. OPEN - Open Patient data Explorative Network, University of Southern Denmark and Odense University Hospital, Odense, Denmark. Electronic address: [email protected].
  2. 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. Electronic address: [email protected].
  3. Migrant Health Clinic, Odense University Hospital, Odense, Denmark; Center for Global Health, University of Southern Denmark, Odense, Denmark. Electronic address: [email protected].
  4. The Dartmouth Institute, Geisel School of Medicine at Dartmouth, Hanover, USA. Electronic address: [email protected].
  5. Direction générale de la santé, Lausanne, Switzerland; Department of Clinical Research, University of Southern Denmark, Odense, Denmark; Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland. Electronic address: [email protected].

PMID: 34823924 DOI: 10.1016/j.pec.2021.11.009

Abstract

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.

Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.

Keywords: Coproduction; Culturally competent care; Healthcare service delivery; Patient-provider relationship

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this pa

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