Publications by authors named "W Spiegel"

Plain English Summary: It is important for health care workers to know the needs and expectations of their patients. Therefore, service users have to be involved in research. To achieve a meaningful dialogue between service users, healthcare workers and researchers, participatory methods are needed.

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Background: The material practices which researchers use in research partnerships may enable or constrain the nature of engagement with stakeholder groups. Participatory learning and action (PLA) research approaches show promise, but there has been no detailed analysis of stakeholders' and researchers' experiences of PLA techniques for data generation and co-analysis.

Objectives: To explore stakeholders' and researchers' experiences of PLA techniques for data generation and co-analysis.

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Objectives: To describe and reflect on the process of designing and delivering a training programme supporting the use of theory, in this case Normalisation Process Theory (NPT), in a multisite cross-country health services research study.

Design: Participatory research approach using qualitative methods.

Setting: Six European primary care settings involving research teams from Austria, England, Greece, Ireland, The Netherlands and Scotland.

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Article Synopsis
  • Migration in Europe is rising, creating a need for 'migrant-sensitive healthcare systems,' but barriers exist, particularly in Greece's primary care for migrants during economic austerity.
  • Service providers highlighted three main barriers: challenges in healthcare provision, feelings of low control and effectiveness regarding migrant care, and the focus on addressing the needs of impoverished local populations.
  • The study emphasizes the urgency for Greece's healthcare system to improve communication support in cross-cultural consultations to better serve its increasingly diverse population.
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Background: Cross-cultural communication in primary care is often difficult, leading to unsatisfactory, substandard care. Supportive evidence-based guidelines and training initiatives (G/TIs) exist to enhance cross cultural communication but their use in practice is sporadic. The objective of this paper is to elucidate how migrants and other stakeholders can adapt, introduce and evaluate such G/TIs in daily clinical practice.

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