Türkiye’de Göçmenlere Sunulan Sağlık Hizmetleri İçin Yürütülen İletişim Çalışmaları

Abstract

Communication, which constitutes a large part of healthcare delivery, forms the basis of medical care. Good relationships can be established and individual's needs can be understood by providing correct information exchange with effective communication. Being a foreigner in a country and not understanding the language spoken in that country poses a risk in accessing healthcare services. Migration, is an action caused by social change, affects the whole society in both the receiving and originating country. Firstly classic communication barriers are encountered when considering the adaptation process in terms of health communication. Although the concept of "mother tongue" is at the top, when viewed with the sub dimensions, spoken language, typefaces, terminology, visual symbols, the alphabet used and differences in dialect and accent also have an important place. Immigrants may have difficulties in describing their health problems due to differences in their mother tongue and culture, in this way the need for a interpreter may arise. Health professionals' experiences with immigrants are also important. Mostly communication-related difficulties such as lack of communication, not getting informed consent, inability of empathizing, not effectively carrying out the diagnosis and treatment process can be experienced. In our country great steps have been taken to facilitate the provision of health services to immigrants. The interpreter support was provided in existing health centers. Separate health centers and call centers had been established, even foreign healthcare workers had been employed in these centers. However, the biggest barrier for immigrants to access healthcare services is still communication problems. The communication skills of existing interpereters and encouraging community translation services are need to be improved, especially in order to fill the gap of qualified interpereters.

Mültecilerde Sağlık Hizmetlerine Erişim

“…Sağlık personelleri çoğunlukla iletişim problemleri, hasta onamı alamama, empati kuramama, tanı-tedavi sürecini yönetmede sorun yaşamaktadır. Bununla birlikte sağlık çalışanları Türkçe bilinmediği için göçmenlerle hiç iletişim kuramama ve anlaşamama, tercüman olmadığı için sağlık hizmeti sağlayamama, tedaviye uyum güçlüğü, psikolojik açıdan yetersizlik, anlaşabilmek içim beden dili ve sözlük kullanma, resimler ve çizimler ile durumu anlatmaya çalışma ve tercümanın ne derecede doğru çeviri yapabildiğinden emin olmadığı gibi konularda da güçlük yaşamaktadır (15). Katılımcıların Türkçe olarak ifade edilen konuları anlama sıklıkları sorgulandığında %12,7'sinin "hiçbir zaman" cevabını verdiği ve %28,9'unun "nadiren" cevabını verdiği görüldü.…”