COMPETENT AND ADEQUATE MEDICAL SUPPORT FOR EXPATRIATES NEEDED

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Lille, France: Over the course of a few sunny October days, the Catholic University of Lille hosted the annual congress of SIETAR France. SIETAR stands for Society of Intercultural Education, Training and Research, and its purpose is to encourage the development and application of knowledge, values and skills which enable effective intercultural and interethnic relations.

Dr. Franck Scola presented his full day workshop on the “Need for Customized Medical Services for Professional Expatriates and Accompanying Families”; a novel topic that receives limited attention from Global Mobility and HR professionals. Dr. Scola is not only the doctor at an international school, but also a researcher (SIETAR, AIEP, Dauphine, Paris 13) as well as a certified intercultural mediator and trainer (health, corporate and academic context). He argues that the mobility of the modern-day workforce in terms of international relocation has not only an impact on the social and psychological state of the employee and family, but also affects them physically. The change of physical, cultural, linguistic and social environment and changed access to proper and adequate medical care has a demonstrated impact on life as a couple, as a professional and as a developing child. Since an expatriation is often considered a privilege, there is little known research into the vulnerable state of transition that a professional and his family finds themselves in.

In order to not only acknowledge, but also appropriately and effectively respond to the specific needs and potential cultural differences in health care (e.g. patient to caretaker relationship, different cultural interpretations of diseases, who and how to consult), medical staff, HR/Global Mobility professionals, and MNC* management must be further educated and coordinate their efforts. Providing a list of native language-speaking doctors is not a sufficient response to the physical and psychological needs during an expatriation. The main challenges of effective medical care in cross-cultural situations besides the linguistic barrier are:

•Lack of knowledge about the medical system in the host country
•Being sick whilst out of your comfort zone (non-objective determinants that influence a diagnosis are often undermined)
•Cultural differences of the patient and the medical staff (i.e. behaviors and descriptions of symptoms can be interpreted differently, different expectations towards medical staff and health care facilities and services)
•Risk of expatriate network taking on the role of a medical advisor (often not well-informed, biased evaluations of medical care in host country, word of mouth recommendations)

Dr. Scola’s goals are that all involved parties work together to create a system that buffers the potential risks of expatriation (physical, psychological and social risks). In order to do so, expatriation-specific measures for prevention, as well as anticipated access to adapted medical care should be put in place to ensure the health and safety of expatriated staff and their families with adequate medical support and proper understanding of their situation.

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About Susan Salzbrenner 1 Article
Susan trains, writes, presents and researches about intercultural communication and psychology.Her main goal is to assist people in bridging the cultural gap; at work or in private life. As a trainer, she focuses not only on increasing “intercultural fitness” of expats or teams , but also supports the relocating family. Her natural interest of all things intercultural has led her to leave her native country Germany at the age of 16 years to live in the U.S., and later on Denmark, Australia, and China. Since February 2012 she is living in Chartres, France, with her two multilingual children and her Brazilian partner. Susan completed a master in psychology (double major in organizational as well as clinical psychology) in Germany and Australia, as well as a post-graduate certificate as an intercultural trainer. For the past five years she has been working both as a trainer and manager in the corporate consulting industry, as well as Human Resources. Besides her corporate experience, Susan conducted research on the effects of multiculturalism on minorities, and is currently running new exciting research projects. In her free time, she is an active member of Young Sietar (Society for Intercultural Education, Training and Research), involved in setting up train the trainer courses and designing and implementing workshops. Besides that, she likes to spend her time being active (running, basketball, dancing) or travelling and exploring new places and food, while taking pictures along the way.