Under what circumstances can immigrant patients and healthcare professionals co-produce health? - an interpretive scoping review

Abstract

Purpose Immigrant patients run a risk of receiving lower quality of care. Co-production, as the concept of how to collaboratively create valuable healthcare service for the patient, offers a new perspective that might help. The scoping review aimed at identifying and analysing factors facilitating co-production between immigrant patients and healthcare professionals. Methods We searched seven scientific databases for peer-reviewed publications of all study designs. Two reviewers independently screened the publications for eligibility and performed data extraction. Data were analysed by applying an inductive, interpretive approach for data synthesis. Results Fifteen publications were included for analysis. We identified six factors hat facilitate co-production: 1) prioritizing co-production in the organization, 2) providing a safe environment that promotes trust and patience, 3) using a language the patient understands, 4) respecting the patient’s knowledge and priorities, 5) improvising with knowledge and courage, and 6) engaging in self-reflection. Conclusions The scoping review illustrated that co-production with immigrant patients can be successful if the system and professionals are interested and prepared. Immigrant patients could be a valuable source of information and powerful co-producers of their own health. The study contributed to a growing body of research on patient-professional co-production in healthcare and might also prove relevant for other disadvantaged patient groups.

Transferring Knowledge on Motor Development to Socially Vulnerable Parents of Infants: The Practice of Health Visitors

“…Conversely, they find that the materials increase the willingness and ability of the parents to engage in co-producing the implementation, and consequently, this factor enhances the implementation. Our study thereby confirms earlier studies on co-production, highlighting the importance of providing the necessary tools and consultation, in order to engage people in socially vulnerable positions in co-producing the implementation of public services [ 28 , 29 , 37 , 52 , 53 ]. Our results show that the materials handed out make the programme more concrete and visual (many of the parents do not understand Danish language).…”

Ameliorating epistemic injustice in practice: Communication strategies in a research project with refugee youth coresearchers

“…Similar insights were previously discussed by Burroughs and Tollefsen, 17 who stated that relationships is central to the epistemic position of children. This was also seen in youth involvement in mental health research 13,26 and in involvement with refugees 11,27 . It is well‐established that conducting PPI in an ethical and meaningful way, takes time and commitment with relationships that might last beyond the project itself 28 .…”

Health-related integration interventions for migrants by civil society organizations: an integrative review

“…In the slightly more diverse, migrant-driven integration-separation spectrum (including the two interventions directed at integration only), the interventions appear to open up new spaces of intelligibility and practice concerning health, because they tended towards greater theoretical flexibility, ranging from biomedicine to a more collective view of health (Akinsulure-Smith & Jones, 2011 ; Dhillon et al, 2020 ; Gerber et al, 2017 ; Gonzalez et al, 2012 ; Rich et al, 2015 ; Spaaij, 2012 ). An openness concerning knowledge exchange and problematization of taken-for-granted “truths” has even been confirmed as a beneficial prerequisite for the enhanced accessibility of health care and, thus, an enhanced, co-produced migrant health (Barenfeld et al, 2015 ; Radl-Karimi et al, 2020 ).…”