532 KB67 KB2020Škraban, Jušštevilka:9str. 1-16DOI:10.26318/JZ-20-09ISSN:2591-0906COBISSID_HOST:34391043URN:URN:NBN:SI:doc-SO4PCMXYslNacionalni inštitut za javno zdravjeJavno zdravjeintercultural mediationjezikovne in kulturne ovirelanguage and cultural barriersmedkulturna mediacijareducing health inequalitieszmanjševanje neenakosti v zdravstvuRaziskava o izvajanju medkulturne mediacije v zdravstvenih domovih v letu 2019| izsledki aktivnosti projekta Krepitev zdravja za vse|In accessing healthcare, foreign speaking patients and their health providers are faced with language and cultural barriers which impede equity. Few different practices have been developed internationally to reduce these barriers, one of them being intercultural mediation. In Slovenia, there have been some initiatives of implementing it in healthcare, the biggest one being The upgrade and development of preventive care programmes and their implementation in primary healthcare and local communities project, with acronym Health Promotion for All. The research is based on quantitative data which were provided by intercultural mediators themselves as an extension of their monthly reports for Community Health Centres where they worked. The research findings were contextualised and explained by ethnographic fieldnotes, which were produced through monthly training of intercultural mediators and in other occasions. In 2019, intercultural mediation was implemented in 11 Community Health Centres (with altogether 12 intercultural mediators). 1,033 interventions were registered, the vast majority in Slovene-Albanian language combination. Throughout the year, constant increase of the number of interventions was detected. Intercultural mediation was used the most in paediatric, gynaecological, community nursing and family medicine health interventions. Importantly, intercultural mediators carried out relatively high number of interventions, which we can code as "support" (interpreting via phone call and helping patients with making appointments) with which they were widening the access to health services for foreign-speaking patients. Most of interventions lasted 30 minutes and that was also the extension of the average time in providing support before or after health interventions. The article provides the first statistical data on intercultural mediation in healthcare in Slovenia and therefore gives the basis for a possible future systemic implementationV dostopu tujejezičnih pacientov do zdravstvene oskrbe prihaja do jezikovnih in kulturnih ovir, s katerimi se soočajo tujejezični pacienti in zdravstveni delavci. Kot odgovor na te ovire se je v mednarodnem prostoru razvilo več praks, med drugim tudi medkulturna mediacija. V Sloveniji se le-ta razvija predvsem z različnimi projekti, najbolj obsežno pa se je v zdravstvo vpeljala v okviru projekta Nadgradnja in razvoj preventivnih programov ter njihovo izvajanje v primarnem zdravstvenem varstvu in lokalnih skupnostih, katerega krajši naziv je Krepitev zdravja za vse. Raziskava temelji na kvantitativnih podatkih, ki so jih s pomočjo tabele v programu Excel vnašale medkulturne mediatorke v obliki poročila o svojem delu. Kvantitativne podatke smo kontekstualizirali in pojasnili z etnografskimi zapisi iz mesečnih usposabljanj na Nacionalnem inštitutu za javno zdravje in iz drugih stikov z medkulturnimi mediatorkami. V letu 2019 je medkulturno mediacijo v svoje obravnave vključevalo skupaj 11 zdravstvenih domov. Vanje je bilo vključenih 12 medkulturnih mediatork. V letu 2019 so medkulturne mediatorke opravile 1033 intervencij (veliko večino v jezikovni kombinaciji slovenščina-albanščina). V številu intervencij medkulturnih mediatork je zaslediti postopno naraščanje od začetka do konca leta 2019. Medkulturne mediatorke so bile najpogosteje vključene v pediatrične in ginekološke obravnave, obravnave patronažnega varstva in družinske medicine. Poleg tega so medkulturne mediatorke zagotavljale tudi telefonsko tolmačenje in pomoč pri naročanju pacientov, s čimer so širile dostopnost zdravstvenih storitev za tujejezične paciente. Največ intervencij medkulturnih mediatork je trajalo 30 minut, prav toliko časa pa so v povprečju porabile v stiku s tujejezičnimi uporabniki pred ali po zdravstveni obravnavi. Članek ponuja prve statistične podatke na tem področju in s tem daje izhodišče za sistemsko vpeljevanje medkulturne mediacije v zdravstvo v SlovenijiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaNacionalni inštitut za javno zdravje