1. Mike Mösko, Juliette Maggu, Kirstin Bührig & Holger Schulz
Department of Medical Psychology
Research Group on Migration and Psychosocial Health (MiPH)
Multilingualism in hospital: demands, resources and practices – explorative study
Mike Mösko, Juliette Maggu, Kirstin Bührig & Holger Schulz
, 1st World Congress on Migration, Ethnicity, Race & Health, Edinburgh

2. Research Group on Migration and Psychosocial Health (MiPH)
Research Group on Migration and Psychosocial Health (MiPH)
Research Focus
Relationship between migration and health/resilience
Intercultural Health Care Research
Multilingualism in healthcare
Intercultural opening of the healthcare system
Epidemiology, Evaluation and Quality Assurance
Aktivitäten:
(Versorgungs-)Epidemiologie
Struktur-, Prozess- und Ergebnisqualität in der Gesundheitsversorgung
Fragebogenentwicklung
Lehre, Versorgung & Forschung
Entwicklung, Durchführung & Evaluation von Interventionen
(Inter-)nationale Vernetzung 2

3. Source: http://www. healthcarecommunication

4. Background Perspective: Health Care System
Patients with limited language proficiency have less access to care and less understanding of physician’s explanation (Yeo 2004, Mösko et al. 2013, Lebrun 2012;)
Non-native speakers with limited German proficiency are discharged earlier from inpatient mental health care treatment than German speakers (Bermejo et al 2009)
Perspective: Population
US internal medicine residency program: 10 % of patients with limited English skills (Cardinal et al., 2016)
After 2 years 47% of refugees in Germany still have little to not any German language skills (Brücker, 2016)

5. Research questions
How many limited-German-proficient patients are attending the hospital?
Do staff members use their language competencies in daily clinical routine?
Vorschlag von mir – aber gern noch Layout und Textfluss verbessern.
Ich würd diese Forschungsfragen nehmen:
Wie viele nicht-deutschsprachige Patient(inn)en werden versorgt und welche Sprachen sprechen diese Patient(inn)en?
Wie wird mit Sprachbarrieren im Klinikalltag umgegangen?
Welche Ressourcen haben die Mitarbeiter(inn)en, wie und in welchem Umfang werden diese eingebracht?
Welche Unterstützung braucht es für die Mitarbeiter(inn)en in der Versorgung nicht- deutschsprachiger Personen?

6. Results - Sample Department of psychiatry & psychotherapy
Department of oncology & hematology

7. Results - Sample Function group Total N Sample Response rate (%)
Medical personal
105 41 39
Nursing staff
314
142 45
Psychological personal 46 29 63
Specialist therapists 43 28 65
Cleaning personal 23 12 52
Supply assistant 27 93
Unclear - 14
612
249 48
Department of psychiatry & psychotherapy
Department of oncology & hematology

8. Results - Sample Function group Total N Sample Response rate (%)
Medical personal
105 41 39
Nursing staff
314
142 45
Psychological personal 46 29 63
Specialist therapists 43 28 65
Cleaning personal 23 12 52
Supply assistant 27 93
Unclear - 14
612
249 48
Department of psychiatry & psychotherapy
Department of oncology & hematology

9. Note: 1/3 of the cleaning personal has a university-entrance diploma
Results – characteristics of the sample
Note: 1/3 of the cleaning personal has a university-entrance diploma

10. Patients with Limited German Proficiency (LGP)
I. Patients with limited German proficiency
Patients with Limited German Proficiency (LGP)
Setting
In-patient
Out-patient n
Mean
Estimation of staff with migration background (MB)
Respondants with MB 27
9.4% 54
10.9%
Respondants without MB 74
9.8%
135
12.7%
Estimations within the departments
Department of Oncology 43
11.3% 92
14.9%
Department of Psychiatry 51
8.7% 88
Estimations of Occupational groups
Physicians 23
10.1% 34
8.6%
Nurses
7.8% 97
14%
Psychologists and therapists 24
3.8% 31
7.2%
Supply chain and cleaning staff 21
18.3%
Total 98
9,8% (s=13,8)
186
12,3% (s=15,3)

11. III. Language usage of supply assistants and cleaning staff
Did it happen, that you support other persons at work with patients in the last month who do not speak sufficient German?
while physicians (14.3%), psychologists and (psycho)therapists (15.4 %) as well as nurses (14.3%) were less likely help out with interpretation. No
Yes
No answer

12. III. Language usage of supply assistants and cleaning staff
Did it happen, that you support other persons at work with patients who do not speak sufficient German?
With, translating texts: 2,5%
With communication with patients: 52,5%
Appreciation of the language support (very much)?
Patients: 50%
Colleagues: 25%
Head: 13%
while physicians (14.3%), psychologists and (psycho)therapists (15.4 %) as well as nurses (14.3%) were less likely help out with interpretation.

13. Conclusion
Substantial Number of Patients who come to the hospital do not speak German sufficiently
Clinic staff as well as cleaning staff and food supply assistants have substantial language competencies
These competencies are used in clinical setting
Conflict appears between the professional role (duties) and clinical needs

14. Outlook Scientific: Replication studies for in- & outpatient settings
Include patientst` perspective (and competencies?)
Develop interventions to promote and use staff`s language competencies
Health Care:
Implementation of structures and gratifications for multilingual staff
Implementation of structures and gratifications for qualified community interpreters (CI)
Standards in qualification of CI

15. Welcome to Hamburg

16. Thank you for your attention!
Dr. Mike Mösko University Medical Center Hamburg-Eppendorf Department of Medical Psychology Head of Research Group on Migration and Psychosocial Health (MiPH) Phone: +49 (0) Telefax: +49 (0) Website: