Palliatieve zorg voor migranten

Muijsenbergh, Maria van den; Graaff, Fuusje de

doi:10.1007/s12479-015-0036-8

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“…In order to identify relevant topics for the development of our questionnaire suitable for GP trainees and GP trainers, we conducted a literature review on facilitators and barriers in the care of people with a migration background in the Netherlands. In addition, two books [ 20 , 21 ] on the care of migrants and socially vulnerable people in the Netherlands, based on scientific literature and best practices, were reviewed. One of these books is used in the Dutch GP residency programme, and the other [ 21 ] was found in the referenced literature.…”

Section: Methodsmentioning

confidence: 99%

Cultural competency of GP trainees and GP trainers: a cross-sectional survey study

Bouchareb,

van der Heijden,

van Diesen

et al. 2023

Scandinavian Journal of Primary Health Care

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Objective To assess the cultural competence (CC) of GP trainees and GP trainers. Design and setting: A cross-sectional survey study was conducted at the GP Training Institute of Amsterdam UMC. Subjects We included 92 GP trainees and 186 GP trainers. Main outcome measures We measured the three domains of cultural competency: 1) knowledge, 2) culturally competent attitudes and 3) culturally competent skills. Regression models were used to identify factors associated with levels of CC. Participants rated their self-perceived CC at the beginning and end of the survey, and the correlation between self-perceived and measured CC was assessed. Results Approximately 94% of the GP trainees and 81% of the GP trainers scored low on knowledge; 45% and 42%, respectively, scored low on culturally competent attitudes. The level of culturally competent skills was moderate (54.3%) or low (48.4%) for most GP trainees and GP trainers. The year of residency and the GP training institute were significantly associated with one or more (sub-)domains of CC in GP trainees. Having >10% migrant patients and experience as a GP trainer were positively associated with one or more (sub-) domains of cultural competence in GP trainers. The correlation between measured and self-perceived CC was positive overall but very weak (Spearman correlation coefficient ranging from −0.1–0.3). Conclusion The level of cultural competence was low in both groups, especially in the knowledge scores. Cultural competence increased with experience and exposure to an ethnically diverse patient population. Our study highlights the need for cultural competence training in the GP training curricula.

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Section: Methodsmentioning

confidence: 99%