Interpreting in the Health Sector
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Transcript of Interpreting in the Health Sector
Partnership Health CanterburyTe Kei o Te Waka
New Zealand Diversity Forum - 2010
Refugee and AsianCommunity Report
ChristchurchTotal Population: 398,801
European: 281,385
Asian: 27,438
Maori: 27,735
Pacific: 9,756
Others: 52,434
(Middle Eastern/African: 3,036)Statistics NZ 2006
Oriental Ethnic Breakdown
Ethnicity Total - Canterbury % of Population Total - Christchurch % of Population
Chinese 13,410 46.0% 12,807 46.7%
Korean 4,746 16.3% 4,611 16.8%
Indian 3,429 11.8% 3,171 11.6%
Japanese 2,580 8.8% 2,319 8.6%
Filipino 1,287 4.4% 1,059 3.9%
Thai 822 2.8% 738 2.7%
Sri Lankan 453 1.6% 435 1.6%
Cambodian 258 0.9% 255 0.9%
Other Asian Groups 2,463 8.4% 2,301 8.4%
Total 29,172 27,438
Statistics NZ 2006
Partnership Health Canterbury – Capitated Age Bands
Ethnicity 0 - 4 5 - 14 15 - 24 25 - 44 45 - 64 65+
New Zealand European
6.2% 11.6% 11.8% 25.8% 28.2% 16.3%
European (Other) 5.3% 10.7% 8.9% 31.8% 26.9% 16.4%
Maori 12.2% 21.5% 18.5% 27.3% 16.8% 4.0%
Asian 8.6% 14.5% 13.2% 36.0% 22.0% 5.7%
Pacific Island 11.5% 21.1% 17.9% 28.2% 17.2% 4.0%
Middle Eastern 9.9% 18.5% 14.4% 30.9% 22.2% 4.1%
African 13.0% 20.2% 16.0% 36.2% 12.3% 2.4%
Other 3.5% 32.4% 3.3% 11.8% 7.3% 2.4%
Total 6.7% 12.8% 12.6% 26.6% 24.5% 14.2%
PHO: Dec 2009
Service Maori Pacific Asian
GP Utilisation (rate) 61.9 52.3
B4 School Check (%) 14 31
HPV Immunisation (%)Cohort 1 (born 1990 and 1991)Cohort 2 (born 1992.93 and 97)
5956
5452
Fully Immunised 2-year-olds (%) 87 91
Flu over 65 (%) 61 48
Youth Sexual Health (rate) 11.9 4.7
PEGS Smoking Cessation (%) 1.4 0.6
Mammography Screens (%) 91 57
Care Plus (%) 4.3 4.1
Diabetes Annual Reviews (%) 4.4 7.1
Mental Health GP Liaison (%) 0.52 0.19
Ethnic Report Card
Service Maori Pacific Asian
GP Utilisation (rate) 61.9 52.3 42.8B4 School Check (%) 14 31 20HPV Immunisation (%)Cohort 1 (born 1990 and 1991)Cohort 2 (born 1992.93 and 97)
5956
5452
5550
Fully Immunised 2-year-olds (%) 87 91 83Flu over 65 (%) 61 48 66Youth Sexual Health (rate) 11.9 4.7 2.7PEGS Smoking Cessation (%) 1.4 0.6 0.3Mammography Screens (%) 91 57 69Care Plus (%) 4.3 4.1 2.2Diabetes Annual Reviews (%) 4.4 7.1 3.6Mental Health GP Liaison (%) 0.52 0.19 ?
Ethnic Report Card
Language
Every consumer has the right to effective communication in a form, language, and manner that enables the consumer to understand the information provided. Where necessary & reasonably practicable, this includes the right to a competent interpreter.
Right 5. Right to Effective Communication (1)The Health & Disability Commissioner(Code of Health and Disability Services Consumers’ Rights) Regulations 1996
Interpreters
Diabetes
9.7%92,400,000
15.5%148, 200,000
NEJM – March 2010
~6,800 people
2008 - 400
2009 - 263
New Ze
aland Eu
ropea
n
Euro
pean O
ther
New Ze
aland M
aori
Pacific Is
land
Asian
African
Middle Ea
stern
Other (La
tin America
etc)
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
12.7%BMI < 25BMI 25-30BMI > 30
New Z
ealand
Eur
opea
n
Euro
pean
Oth
er
New Z
ealand
Mao
ri
Pacific
Island
Asian
Afric
an
Mid
dle
East
ern
Other
(Lat
in A
mer
ica
etc)
0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%
50.3%
BMI < 25BMI > 25BMI > 30
In the 2006/07 New Zealand Health Survey, Asian males and females had almost
2.5 (males) and over 1.5 (females) times the prevalence of diagnosed diabetes
than males and females in the total population. This placed the Asian adult
group with the second highest incidence of diagnosed diabetes behind that of
Pacific Islanders.
Health Issues - Migrant
• Lack of understanding of the NZ health system
• Language barriers
• Cultural barriers
• Low access to services
• Little knowledge of entitlements
• Inappropriate use of ED
•Number of general practices with enrolled refugees = 22
•Enrolled patients vary from 2 to 155
•Average sustainable by most general practices <20
•Practices either contracted or fee-for-service
•First three months fully covered by PHO - until capitation funding is received
Refugee Health
•After that, funding depends on patients ability to contribute – this can take weeks/months depending on language, employment, health issues
•Last financial year, the PHO received $105k for refugee primary health care.
•Currently 740 enrolled people from refugee backgrounds; Somali, Ethiopian, Afghani, Iranian, Iraqi, Kurdish, Burmese, Cambodian, Bhutanese.
Refugee Health
Changes to Canterbury's refugee and migrant mental health service will make it harder for troubled refugees to get help, the departing clinical leader fears. The Hillmorton Hospital service is changing from a dedicated assessment and treatment service to a consult-only service with the loss of its founder and clinical leader, Dr Lynne Briggs.
Canterbury District Health Board general manager of specialist mental health services Sandra Walker said patients would have access to a specialist service in the same way as in the past. She said experienced psychiatrists would continue to provide consultations that could involve some brief intervention, prescribing drugs or referring patients to a GP.
PHC Future Activities
• Providing advice on access to services & linguistically specific literature
• Roll out nutritional programmes• Advocating culturally specific services,
centrally based, affordable interpreter service & culturally appropriate mental health services. Funding is key to this.
PHC Future Activities
• Workforce development for trained migrants
• Improve PHO ethnicity data• Target funding for migrant primary
health care• Establish a PCW based in an Asian
organisation• Key liaison function with agencies
PHC Future Activities
The report recommends:
Governance:
•The development of an Asian Health Advisory Board as part of PHC•The implementation of an Asian Mental Health Governance and Management projectAdvocacy:•The creation of an Asian Health Careers Service to address current barriers to employment•The development of an Asian Health Profile for Canterbury•The improvement of ethnicity data to accurately target specific groups.
Primary Health Care Issues Amongst Asian Peoples in Christchurch
Activity:
•The development of a DVD presentation covering basic nutrition and healthy food choices.•A concerted push through the ethnic media and societies to increase the level of enrolment to general practice.•The provision of an effective, safe interpreting and translation service for Asian people•The improvement of access to appropriate health services•The improvement of the utilisation of health services•A focus on health promotion, early intervention and a reduction in risk behaviours•The development of an Asian Health Needs Analysis•Inclusion of an Asian section in the CDHB DAP
Education:
•The development of language-specific literature across all health spectra.
Primary Health Care Issues Amongst Asian Peoples in Christchurch