Evidence map›Paper›PMID 31753892›Full record

ArticleBMJ open2019

Transcultural mediation programme in a paediatric hospital in France: qualitative and quantitative study of participants' experience and impact on hospital costs.

Jonathan Lachal, Mélanie Escaich, Serge Bouznah, Clémence Rousselle, Pascale De Lonlay, Pierre Canoui, Marie-Rose Moro, Isabelle Durand-Zaleski

Erratum issuedAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Family-centred care interventions for children with chronic conditions: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Jonathan Lachal *AP-HP, Cochin Hospital, Maison de Solenn, Paris, France jonathan.lachal@gmail.com.ORCID 0000-0002-6282-7359
Mélanie Escaich *CESP, Fac. de médecine - Univ. Paris-Sud, Fac. de médecine - UVSQ, INSERM, Université Paris-Saclay, Villejuif, France.
Serge BouznahCentre Babel, European Resource Center in Transcultural Medicine, Paris, France.
Clémence RousselleURCEco Ile de France, Hôpital de l'Hôtel Dieu, Paris, France.
Pascale De LonlayDepartment of Pediatrics, Hôpital des Enfants Malades, APHP, Université Paris Descartes, Paris, France.
Pierre CanouiDepartment of Child and Adolescent Psychiatry, Hôpital des Enfants Malades, APHP, Paris, France.
Marie-Rose MoroAP-HP, Cochin Hospital, Maison de Solenn, Paris, France.
Isabelle Durand-ZaleskiURCEco Ile de France, Hôpital de l'Hôtel Dieu, Paris, France.ORCID 0000-0002-4078-1476

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn France, immigrants with chronic diseases encounter numerous difficulties in gaining access to care and then in its initiation and organisation, difficulties only partly explained by socioeconomic factors. A

designQualitative and quantitative descriptive study.

settingThis study of inpatients treated at Necker Hospital included those whose families participated in transcultural mediation in 2014 through 2016.

participantsThe first portion of the study applied quantitative methods and compared hospital costs before and after the mediation from the patients' records and accounting data for 15 cases. The qualitative portion analysed 15 semistructured interviews of physicians and families after the mediation, and a focus group of three psychologists.

resultsThe results show a systematic reduction in costs after mediation, associated with fewer emergency hospitalisations and the shift of care toward less specialised facilities, calmer relationships between families and professionals, improved mutual understanding and increased confidence by the professionals in the families' ability to manage the treatment.

conclusionTranscultural mediation can benefit both patients and the healthcare system and may be useful for other hospitals that care for socially and culturally diverse patients.

Indexed as

Hospital CostsHospitals, PediatricNegotiatingTransients and MigrantsAcculturationChildFamilyFocus GroupsHealth Services AccessibilityHumansInterviews as TopicPhysiciansQualitative ResearchSocioeconomic Factorschronic illnesscostseffectivenessmigrantqualitative studytranscultural mediation

Identifiers

PMID31753892
PMCPMC6887050

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.