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Jirovsky E, Hoffmann K, Mayrhuber EAS, Mechili EA, Angelaki A, Sifaki-Pistolla D, Petelos E, van den Muijsenbergh M, van Loenen T, Dückers M, Kolozsvári LR, Rurik I, Rotar Pavlič D, Sandoval DC, Borgioli G, Pinilla MJC, Ajduković D, De Graaf P, van Ginneken N, Dowrick C, Lionis C. Development and evaluation of a web-based capacity building course in the EUR-HUMAN project to support primary health care professionals in the provision of high-quality care for refugees and migrants. Glob Health Action 2019; 11:1547080. [PMID: 30499386 PMCID: PMC6282415 DOI: 10.1080/16549716.2018.1547080] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND The ongoing refugee crisis has revealed the need for enhancing primary health care (PHC) professionals' skills and training. OBJECTIVES The aim was to strengthen PHC professionals in European countries in the provision of high-quality care for refugees and migrants by offering a concise modular training that was based on the needs of the refugees and PHC professionals as shown by prior research in the EUR-HUMAN project. METHODS We developed, piloted, and evaluated an online capacity building course of 8 stand-alone modules containing information about acute health issues of refugees, legal issues, provider-patient communication and cultural aspects of health and illness, mental health, sexual and reproductive health, child health, chronic diseases, health promotion, and prevention. The English course template was translated into seven languages and adapted to the local contexts of six countries. Pre- and post-completion knowledge tests were administered to effectively assess the progress and knowledge increase of participants so as to issue CME certificates. An online evaluation survey post completion was used to assess the acceptability and practicability of the course from the participant perspective. These data were analyzed descriptively. RESULTS A total of 390 participants registered for the online course in 6 countries with 175 completing all modules of the course, 47.7 % of them medical doctors. The mean time for completion was 10.77 hours. In total, 123 participants completed the online evaluation survey; the modules on acute health needs, legal issues (both 44.1%), and provider-patient communication/cultural issues (52.9%) were found particularly important for the daily practice. A majority expressed a will to promote the online course among their peers. CONCLUSION This course is a promising learning tool for PHC professionals and when relevant supportive conditions are met. The course has the potential to empower PHC professionals in their work with refugees and other migrants.
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Affiliation(s)
- Elena Jirovsky
- a Department of General Practice and Family Medicine , Medical University of Vienna , Vienna , Austria
| | - Kathryn Hoffmann
- a Department of General Practice and Family Medicine , Medical University of Vienna , Vienna , Austria
| | | | - Enkeleint Aggelos Mechili
- b Clinic of Social and Family Medicine, School of Medicine , University of Crete , Heraklion , Greece
| | - Agapi Angelaki
- b Clinic of Social and Family Medicine, School of Medicine , University of Crete , Heraklion , Greece
| | - Dimitra Sifaki-Pistolla
- b Clinic of Social and Family Medicine, School of Medicine , University of Crete , Heraklion , Greece
| | - Elena Petelos
- b Clinic of Social and Family Medicine, School of Medicine , University of Crete , Heraklion , Greece
| | - Maria van den Muijsenbergh
- c Department of Primary and Community Care , Radboud University Medical Centre , Nijemegen , The Netherlands
| | - Tessa van Loenen
- c Department of Primary and Community Care , Radboud University Medical Centre , Nijemegen , The Netherlands
| | | | - László Róbert Kolozsvári
- e Department of Family and Occupational Medicine, Faculty of Public Health , University of Debrecen , Debrecen , Hungary
| | - Imre Rurik
- e Department of Family and Occupational Medicine, Faculty of Public Health , University of Debrecen , Debrecen , Hungary
| | - Danica Rotar Pavlič
- f Department of Family Medicine , University of Ljubljana , Lubljana , Slovenia
| | | | - Giulia Borgioli
- h Azienda USL Toscana Centro - Global Health Center , Region of Tuscany , Florence , Italy
| | | | - Dean Ajduković
- j Department of Psychology, Faculty of Humanities and Social Sciences , University of Zagreb , Zagreb , Croatia
| | - Pim De Graaf
- g European Forum for Primary Care , Utrecht , The Netherlands
| | - Nadja van Ginneken
- k Primary Medical Care , University of Liverpool , Liverpool , United Kingdom
| | - Christopher Dowrick
- k Primary Medical Care , University of Liverpool , Liverpool , United Kingdom
| | - Christos Lionis
- b Clinic of Social and Family Medicine, School of Medicine , University of Crete , Heraklion , Greece
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