Adaptation of health care for migrants: whose responsibility?

Table 5 Who is responsible for adapting health care to diversity, according to the health professionals in the COMETH study in Belgium in 2010–2012 : Covariates of responsibility, Beta and 95% Confidence Intervals from the mixed regression model (n = 569)

	Score of responsibility according to the factor analysis
	Score of responsibility for adaptation to the instrumental communication [-2; +2]	Score of responsibility for adaptation to the negotiation of values [-2; +2]	Score of responsibility for adaptation to the health beliefs [-2; +2]
Covariates of responsibility	Beta [95% CI]	Beta [95% CI]	Beta [95% CI]
Professional background
Physicians	-0.31 [-0.55; -0.10]	-	-0.49 [-0.70; -0.29]
Other professions^±	0.00	-	0.00
Nationality
Belgian	0.46 [0.19; 0.71]	0.32 [0.06; 0.57]	-
Non Belgian^±	0.00	0.00	-
Type of health service
Intensive care unit	-	-	0.34 [0.19; 0.49]
Not an intensive care unit^±	-	-	0.00
Primary care service	0.52 [0.25; 0.79]	-0.52 [-0.78; -0.25]	-
Not a primary care service^±	0.00	0.00	-
Covariates estimates
Random intercept^┼	0.04	0.04	-
Random intercept^┼	p = 0.073	p = 0.08	-
Residual	0.91	0.93	0.94
	p < 0.0001	p < 0.0001	p < 0.0001

^±Indicates the reference category- Indicates non-significant results ^┼random intercept = service.
A score below 0 implied that the responsibility was attributed to the health professionals.
A score over 0 implied that the responsibility was attributed to the patients.

ISSN: 1472-6963