Global Politics and Multinational Health-care Encounters: Assessing the Role of Transnational Competence

Koehn, Peter H.

doi:10.1007/s10393-004-0002-0

Cited by 8 publications

(3 citation statements)

References 134 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, "intercultural competence involves overcoming the constraints embedded in an individual's culturally shaped repertoire, creating new responses, and thereby expanding the repertoire of potential interpretations and behaviors available in future intercultural interactions" (p. 75). At a complementary level, the term transcultural competence refers to the ability to consider both the culturally familiar and unfamiliar and achieve a shared understanding (Koehn, 2004).…”

Section: Intercultural Competencementioning

confidence: 99%

Research: International possibilities and partnerships for psychologists.

Kapadia¹,

Mehrotra²,

Nastasi³

et al. 2023

Going Global: How Psychologists Can Meet a World of Need.

View full text Add to dashboard Cite

T he world is becoming increasingly global with cross-border connections on the rise. Evidence for this trend is apparent at multiple levels, including the use of search and publication terms such as "international," "cross-cultural," "collaboration," and "partnership" and the eagerness of psychology research scholars across the world to venture outside of their familiar territory to share, discuss, debate, and create novel knowledge that has wider social relevance for humankind (Kliegl & Bates, 2011). How has this situation emerged? Why is international collaboration in research valuable? What does it entail? How does one go about it? This chapter addresses these questions with the goals of demystifying the process of international research and describing how scholars at all levels can engage in such work. Through a pragmatic look at how early and established scholars may join or create international research projects, this chapter seeks to address (a) ways that current and future psychologists and allied colleagues may learn about and participate in small and large multinational and interdisciplinary research projects and (b) what resources, processes, and considerations are advisable in developing and implementing an international research project.Before venturing into the how-to of international research, we explore the need for international research vis-à-vis changing global dynamics and opportunities that are increasingly conducive to cross-cultural dialogue and partnership. The next section discusses a range of methodological issues that should be considered before, during, and after engagement in an international

show abstract

Section: Intercultural Competencementioning

confidence: 99%

Research: International possibilities and partnerships for psychologists.

Kapadia¹,

Mehrotra²,

Nastasi³

et al. 2023

Going Global: How Psychologists Can Meet a World of Need.

View full text Add to dashboard Cite

show abstract

“…The TC framework calls for a comprehensive and patient-informed perspective on multiple-culture and subcultural consultations, as opposed to a standardized and formulaic approach to two-culture interactions. Overall, TC encompasses five separate, but interrelated, skill domains (see Koehn, 2004;Koehn and Rosenau, 2002). This study assessed the five dimensions of TC intersubjectively.…”

Section: Patients' Preparation For Transnational Medical Encountersmentioning

confidence: 99%

Transnational Migration, State Policy and Local Clinician Treatment of Asylum Seekers and Resettled Migrants

Koehn

2006

Global Social Policy

Self Cite

View full text Add to dashboard Cite

Based on interviews conducted at five Finnish reception centers and in two municipal communes during summer 2002 with 93 migrants, mainly from a variety of Southern and Eastern countries of origin, and their ethnoculturally discordant clinicians, the article compares asylum seekers and foreign-born residents in terms of health care treatment and outcome perspectives. Comparative analysis suggests that context makes a difference in post-migration medical encounters. The legally admitted foreign nationals consulted at community facilities were considerably more likely than were asylum seekers assisted at reception centers to be satisfied with the health care they had received and to be confident that the attending physician's recommendations would serve them well in the future. Policy implications related to the study's findings are explored. In Finland and elsewhere, the education of general practitioners for transnational medical encounters needs to be enhanced. International and national efforts to promote health also need to encompass political asylum and third country resettlement policies. In Finland and other migrantreceiving states, prolonged insecure immigration status can be debilitating for both asylum seeker and host society. Expedited admission to legal residence and expanded choice of physician are likely to result in improved health outcomes.

show abstract

“…In comparison with the emphasis of cultural competence on standardized two-culture interactions (Shapiro and Lenahan 1996: 249;Wear 2003: 550-551), TC offers a more comprehensive approach for today's fluid and diverse multicultural medical encounters. The TC framework treats case-relevant knowledge acquisition, perceptual sensitivity, creative partnering, communicative facility, and effective functional behaviour as interdependent, contextspecific, and ongoing (see Tervalon and Murray-Garcia 1998: 118) individual skill-based challenges (see Koehn 2004; also see Koehn and Rosenau 2002). In 2004/2005, four US medical schools initiated the process of introducing a TC curriculum by piloting changes in clinical clerkships that are aimed at enhancing physicians' transnational analytic, emotional, and functional competence (further information available from the author).…”

Section: Introductionmentioning

confidence: 99%

Medical Encounters in Finnish Reception Centres: Asylum-Seeker and Clinician Perspectives

Koehn

2005

Journal of Refugee Studies

View full text Add to dashboard Cite

Refugee health often is shaped by interactions with clinicians in care settings that lack ethnocultural match. The article analyses intersubjective perspectives concerning key aspects of 41 ethnoculturally discordant medical encounters involving asylum seekers, mainly from the former Soviet Union, the former Yugoslavia, Kurdish areas in the Middle East, and Somalia, resident during summer 2002 in five Finnish reception centres. Attaining congruent perspectives is an important challenge in transnational encounters involving clinicians and displaced persons. The healthcare perspectives of asylum seekers and their attending Finnish physicians showed little correspondence. Transnational competence (TC) offers an innovative comprehensive framework for assessing and addressing ethnoculturally discordant healthcare encounters. In this study, we most frequently encountered congruent perspectives regarding health status at the time of arrival, illness explanations, utilization of ethnocultural healthcare practices, and perceptions regarding the presence of mental health problems, depression, and place-of-origin contributors among patients attended by high-TC physicians. The findings also suggest that the TC of all medical-encounter participants makes a difference in terms of asylum seekers' satisfaction with medical encounters, confidence in the future value of the attending physician's recommendations, and perceived healthcare effectiveness in their new surroundings-perspectives with the potential to exert a positive impact on health outcomes for forced migrants and receiving societies.

show abstract

Global Politics and Multinational Health-care Encounters: Assessing the Role of Transnational Competence

Cited by 8 publications

References 134 publications

Research: International possibilities and partnerships for psychologists.

Research: International possibilities and partnerships for psychologists.

Transnational Migration, State Policy and Local Clinician Treatment of Asylum Seekers and Resettled Migrants

Medical Encounters in Finnish Reception Centres: Asylum-Seeker and Clinician Perspectives

Contact Info

Product

Resources

About