Health systems internationally are dealing with greater diversity in patient populations. However the focus on 'the language problem' has meant little attention is paid to diversity within and between migrant populations; and how interpreted consultations are influenced by intersecting migratory, ethnicity and sociodemographic variables. Our analysis of the experiences of patients, health care providers and interpreters in Scotland evidences the need to move beyond language, addressing multiple hidden inequalities in health care access and provision that operate in both clinic and, especially, home-based settings. We call for a practice-evidenced research agenda promoting cultural communication across health care and home settings, acknowledging immigration status as a social determinant of health. Sur le plan international, des systèmes de santé font face à une diversité croissante dans ses populations de patients. Cependant, l'accent sur 'le problème de langue' se traduit dans une manque d'attention à la diversité à l'intérieur même et entre des populations des migrants; et la façon par laquelle des variables migratoire, ethnique et sociodémographique influencent elles-mêmes des consultations interprétées. Notre analyse des expériences des patients, des professionnels fournissant de soins de santé et des interprètes offre des preuves du besoin de dépasser le problème de langue. Et en faisant cela, nous adressons des multiples inégalités, souvent cachées dans des contextes de soins de santé, dans les milieux clinique et domicile. Nous proposons un programme de recherche basé sur la pratique, qui favorise la communication culturelle dans des milieux clinique et domicile, et qui reconnait le statut d'immigration comme un déterminant social de la santé.

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Since 2015, new forms of migrant solidarity work emerged in Glasgow, spurred in part by refugee flows into Europe. Yet, for many organisations, much of their work has not changed since 2000, when the government began dispersing asylum seekers around the UK. Using histories and memories of place as an analytical lens, we examine solidarity work since the 2015 'crisis' as well as over the longer term. In our analysis, the 'crisis' is not a critical juncture but understood within a broader spatio-temporal context. This raises interesting questions regarding how history and memory are animated in the present, and when and what kinds of solidarity work emerge. In conversation with two community-led organisations in Glasgow, we suggest that as tropes of crisis and hierarchies of deservingness manifest around Europe, solidarity efforts can create spaces of resistance by drawing on a politics of place and recognizing the constructed nature of crises.

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