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Table 2 Actions for quality and accessibility of health services

From: Migrants’ access to healthcare services within the European Union: a content analysis of policy documents in Ireland, Portugal and Spain

  Spain Portugal Ireland
Adapting services - Promotion of equity, diversity and non- discrimination in healthcare - Inclusion of the intercultural perspective in all the health programmes - Creation of a manager position for attention of vulnerable migrants in health centres - Transfer of good practices on migration and health - Implementation of migrant-friendly hospitals - Improve the organizational culture for migrants - Promote a culture of diversity and non- discrimination among the administrative employees and health professionals - Implement out of hour GP services
Training for professionals - Empowerment and trainings of health professionals on migrants’ health issues and interculturality (health determinants, intercultural communication, immigrants’ rights) - Trainings on health and interculturality for migrants, social and education workers - Trainings for interpreters and cultural mediators to work with mentally ill patients - Trainings for health professionals and health services employees to interculturality - Trainings for better cultural competency
Partnerships and coordination - Partnerships and collaboration with NGOs - Creation of forums at the local level gathering relevant actors to discuss about relevant issues and responses - Partnership with other NGOS, public and private services, and migrants to promote access to health services - Partnerships with other institutions and NGOs targeting migrants
Communication - Cultural Mediation programmes - Availability of translation and interpreting services, tele-translation   - Implementation of cultural mediators - Availability of interpreting services
Information - Empower and inform migrants on health services on arrival - Translated (in various languages) material on health services, health issues, and rights and obligations. - Informing migrants on their rights and duties regarding the NHS - Providing migrant-friendly information on health services and health issues - Training and education to fight the lack of health literacy - Translated information material on legal entitlements and right - Translated information material on health services
Direct involvement of migrants - Participation of migrants in the policy setting - Integrating migrants with a medicine background into the health services - Involvement of migrants in the implementation of actions - Targeting young migrants to integrate them in the health system - Providing support to community initiatives - Employ staff from diverse backgrounds
Administrative procedure   - Institutionalisation of procedures to facilitate PALOP migrants to access health services  
Identification of health needs - Introduction of questions on clinical history and context - Importance of social determinants of health