Quantification of multi-local forms of living has been an urgent need expressed by science, planning, and politics. In the present paper, this aim is pursued by analysing sources of official statistics in Germany, Austria and Switzerland. The available data sources turn out to differ in the three countries as regards content-related accuracy and depth as well as spatio-temporal differentiation. This forms the frame for discussing conceptual and methodological implications for future survey and evaluation practices and for pointing out both the problems and the prospects of quantifying this phenomenon.
RésuméL'habiter multilocal comme pratiques à la fois d'ancrages locaux et de circularité entre lieux d'habitation géographiquement éclatés bouscule le paradigme habituel du double container territorial, celui de la gestion des territoires administratifs et celui de l'adéquation entre une personne, son ménage et son logement d'appartenance unique. L'habiter multilocal est un ensemble de modes de vie mobilo-séden-taires hybrides (living apart together ; enfant pendulaire entre parents séparés, etc.) pour partie émergents et constitue un nouveau champ de recherche. Pour y voir plus clair, l'article propose tout d'abord un cheminement conceptuel entre habitat, pratique et pratiquant au plus près des enquêtes suisses quantitatives existantes. Il s'ensuit une analyse critique de données existantes sur la birésidentialité formelle et ce qu'elles peuvent nous apporter pour comprendre l'ensemble du phénomène de l'habiter multilocal. Au vu des premiers résultats, l'habiter multilocal est une pratique non négligeable en Suisse, marquée par les structures sociales, mais demande à être mieux éclairé démographiquement et sociologiquement, audelà même de l'actualité du trop-plein controversé de résidences secondaires dans les régions touristiques. L'article suggère quelques pistes de recherche concrètes provenant des réflexions autour du projet de recherche «L'habiter multilocal en Suisse».
ObjectivesThis study investigated the perspective of asylum-seeking caregivers on the quality of healthcare delivered to their children in a qualitative in-depth interview study. The health of asylum-seeking children is of key interest for healthcare providers, yet knowledge of the perspective of asylum-seeking caregivers when accessing healthcare is limited.SettingThe study took place in a paediatric tertiary care hospital in Basel, Switzerland.ParticipantsInterviews were done with 13 asylum-seeking caregivers who had presented with their children at the paediatric tertiary care hospital. Nine female and four male caregivers from Tibet, Eritrea, Afghanistan, Syria, Iraq, Albania and Macedonia were included. A diverse sample was chosen regarding cultural and social background, years of residence in Switzerland and reasons for seeking care. A previously developed and pilot-tested interview guide was used for semistructured in-depth interviews between 36 and 92 min in duration. Data analysis and reporting was done according to Consolidated Criteria for Reporting Qualitative Research. The number of interviews was determined by saturation of data.ResultsThe interviewees described a mismatch of personal competencies and external challenges. Communication barriers and unfamiliarity with new health concepts were reported as challenges. These were aggravated by isolation and concerns about their child’s health. The following factors were reported to strongly contribute to satisfaction of healthcare delivery: a respectful and trusting caregiver–provider relationship, the presence of interpreters and immediate availability of treatment.ConclusionsA mismatch of personal competencies and external challenges importantly influences the caregiver–provider relationship. To overcome this mismatch establishment of confidence was identified as a key factor. This can be achieved by availability of interpreter services, sufficient consultation time and transcultural trainings for healthcare workers. Coordination between the family, the government’s asylum system and the medical system is required to facilitate this process.
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