Tak fordi I lavede en bedre version af mig - Ugeskrift for Læger

Refugees, Immigrants and Integration which formulates the bill-proposal for improved screening of newly
arrived refugees, which becomes effective from 1. July 2013.
It is therefore recommended that there be established one Migrant Health Clinic in every region, at the level of a
University hospital, that can manage the development of competency, document discriminatory practice and
suggest improvements in regards to a more desirable continuity of care and finally becoming the clinical specialdepartment
for particularly complicated or serious courses of disease. There is as of May 2013 a newly
established Migrant Health Clinic at Hvidovre Hospital in Copenhagen, but the other regions will, with this
review, find it difficult to sustain their refusal of a need for this type of clinic. It is furthermore proposed that a
national center of expertise be established for the strengthening of clinical ethnic qualifications and the aid of
interpretation.
Post graduate training in clinical ethnic competencies has proven effective and is in high demand. Ethnic
qualifications should be a part of every education in the area of social and health sciences, both as part of the
curricula and as part of post graduate training. “Readiness for astonishment” must be turned into a professional
clinical tool. In the USA, there was at one point a trend of driving ones old mother to the mall once she began to
speak nonsense and had become too demanding of care. The family would hurry away, leaving the senile
grandmother without identity papers, thereby leaving the government to pay for the expenses at the nursing
home. The practice was, with good reason, called ”Granny Dumping”. The reality for ethnic minority patients is
not far from the same situation: municipal authorities and hospitals dump time consuming- and interpreter
demanding problem patients with each other and sneak away leaving the other to solve the problem and the bill.
The title of the review is a quote from a patient, when she was discharged from the clinic. The patient was much
happier with the model of herself that we had developed together in the clinic. Our hope, with this review, is
that it can provide the starting point in the making of a better model of our healthcare system, with the help of
the experiences of the brave patients.
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