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Interpreting in the Health Sector

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  • 1. Partnership Health Canterbury
    Te Kei o Te Waka
  • 2. Refugee and AsianCommunity Report
    New Zealand Diversity Forum - 2010
  • 3. Christchurch
    Total Population: 398,801
    European: 281,385
    Asian: 27,438
    Maori: 27,735
    Pacific: 9,756
    Others: 52,434
    (Middle Eastern/African: 3,036)
    Statistics NZ 2006
  • 4. Oriental Ethnic Breakdown
    Statistics NZ 2006
  • 5. Partnership Health Canterbury – Capitated Age Bands
    PHO: Dec 2009
  • 6. Ethnic Report Card
  • 7. Ethnic Report Card
  • 8. Language
  • 9. Interpreters
    Every consumer has the right to effective communication in a form, language, and manner that enables the consumer to understand the information provided. Where necessary & reasonably practicable, this includes the right to a competent interpreter.
    Right 5. Right to Effective Communication (1)The Health & Disability Commissioner
    (Code of Health and Disability Services Consumers’ Rights) Regulations 1996
  • 10. Diabetes
    9.7%
    92,400,000
    15.5%
    148, 200,000
    NEJM – March 2010
    ~6,800 people
    2008 - 400
    2009 - 263
  • 11. In the 2006/07 New Zealand Health Survey, Asian males and females had almost 2.5 (males) and over 1.5 (females) times the prevalence of diagnosed diabetes than males and females in the total population. This placed the Asian adult group with the second highest incidence of diagnosed diabetes behind that of Pacific Islanders.
  • 12. Health Issues - Migrant
    Lack of understanding of the NZ health system
    Language barriers
    Cultural barriers
    Low access to services
    Little knowledge of entitlements
    Inappropriate use of ED
  • 13. Refugee Health
    • Number of general practices with enrolled refugees = 22
    • 14. Enrolled patients vary from 2 to 155
    • 15. Average sustainable by most general practices <20
    • 16. Practices either contracted or fee-for-service
    • 17. First three months fully covered by PHO - until capitation funding is received
  • Refugee Health
    • After that, funding depends on patients ability to contribute – this can take weeks/months depending on language, employment, health issues
    • 18. Last financial year, the PHO received $105k for refugee primary health care.
    • 19. Currently 740 enrolled people from refugee backgrounds; Somali, Ethiopian, Afghani, Iranian, Iraqi, Kurdish, Burmese, Cambodian, Bhutanese.
  • Changes to Canterbury's refugee and migrant mental health service will make it harder for troubled refugees to get help, the departing clinical leader fears.
    The Hillmorton Hospital service is changing from a dedicated assessment and treatment service to a consult-only service with the loss of its founder and clinical leader, Dr Lynne Briggs.
    Canterbury District Health Board general manager of specialist mental health services Sandra Walker said patients would have access to a specialist service in the same way as in the past.
    She said experienced psychiatrists would continue to provide consultations that could involve some brief intervention, prescribing drugs or referring patients to a GP.
  • 20. PHC Future Activities
    Providing advice on access to services & linguistically specific literature
    Roll out nutritional programmes
    Advocating culturally specific services, centrally based, affordable interpreter service & culturally appropriate mental health services. Funding is key to this.
  • 21. PHC Future Activities
    PHC Future Activities
    Workforce development for trained migrants
    Improve PHO ethnicity data
    Target funding for migrant primary health care
    Establish a PCW based in an Asian organisation
    Key liaison function with agencies
  • 22. Primary Health Care Issues Amongst Asian Peoples in Christchurch
    The report recommends:
    Governance:
    • The development of an Asian Health Advisory Board as part of PHC
    • 23. The implementation of an Asian Mental Health Governance and Management project
    Advocacy:
    • The creation of an Asian Health Careers Service to address current barriers to employment
    • 24. The development of an Asian Health Profile for Canterbury
    • 25. The improvement of ethnicity data to accurately target specific groups.
  • Primary Health Care Issues Amongst Asian Peoples in Christchurch
    Activity:
    • The development of a DVD presentation covering basic nutrition and healthy food choices.
    • 26. A concerted push through the ethnic media and societies to increase the level of enrolment to general practice.
    • 27. The provision of an effective, safe interpreting and translation service for Asian people
    • 28. The improvement of access to appropriate health services
    • 29. The improvement of the utilisation of health services
    • 30. A focus on health promotion, early intervention and a reduction in risk behaviours
    • 31. The development of an Asian Health Needs Analysis
    • 32. Inclusion of an Asian section in the CDHB DAP
    Education:
    • The development of language-specific literature across all health spectra.