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Health monitoring of the migrant population in most European countries shows that migrants have a lower standard of health conditions than the resident population. One of the problems is that the interaction between migrants and general practitioners (GPs) is not optimal. Most of the migrants are not able to fully understand the GP’s advice or instructions. GPs report that they are not adequately supported by health institutions, and they are asking for new solutions. Therefore, the purpose of this paper is to conduct a systematic review to find existing international approaches to improve the interaction between GPs and their migrant patients.

The literature search identified 2,387 articles, 36 of which met the full inclusion criteria. In total, 12 of the included studies referenced approaches for improving GPs’ communication skills. Seven articles described solutions for a better understanding of cultural differences, and six articles listed approaches to health education for GPs. One article highlighted how health information can improve the interaction between GPs and migrants, and four articles detailed new technologies that could improve and enhance quality of care. The last six articles included good practice strategies described by GPs.

This paper provides an overview of international approaches from the viewpoint of GPs. It concludes that there is no single instrument or method that works in all situations. There are, however, a wide range of approaches available that could lead to substantial improvements in the quality of care for the migrant population.

Different health systems in the reviewed countries and changing roles of GPs must be taken into consideration when making statements about successful approaches. Migrants have different backgrounds and cannot all be categorized as one and the same group of patients. Another limitation of the review concerns the evidence level of the articles included, since most of the studies do not reach high level of evidence. In addition, there is a need to analyze aspects of the relationship between GPs and the migrant population that have been neglected up to now, such as financial issues, patients’ expectations, or lack of trust.

This paper provides an overview of international approaches from the viewpoint of GPs.

Part II and last MECHETTI. Vienna FOUNDED in 1795 by Carlo Mechetti as a dealer; since 1807 in partnership with his nephew, Pietro; the publishing firm styled Carlo Mechetti & Neffe in 1809; after Carlo's death in 1811, Pietro became sole owner; he was succeeded in 1850 by his widow, Therese; c. 1855 the firm was taken over by A. Diabelli & co. (cp. Peter Cappi).

I want to raise a more philosophical question. What fundamental images and ambitions have guided us in the past and may guide us in the future? I want to particularly call attention to the way we explain ourselves to ourselves and to those we work with. This question may not seem practical but, ultimately, our self-image determines the way we design: our buildings reflect how we see ourselves. To let you know right from the beginning what I am aiming at, my talk can be summarized as follows: we come from a tradition of monument builders, but today we are almost entirely immersed in design for everyday environments. Where we come from is very different from what we do now. The way we see ourselves is a product of the past and is becoming increasingly counter productive.