Antonio Chiarenza

Antonio Chiarenza
Università degli Studi di Modena e Reggio Emilia | UNIMO · Department of Biomedical, Metabolical and Neurosciences

PhD Sociology

About

76
Publications
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341
Citations
Introduction
Dr Chiarenza's research interests have focused on health promotion, equity, migrant health, and cultural competence. At present, he leads the international Task Force on Migration, Equity and Diversity (TF MED). He is a member of the Steering committee of the Migrant and ethnic Minority Health section of the European Public Health Association (EUPHA).
Additional affiliations
September 2001 - February 2021
Azienda Unità Sanitaria Locale Reggio Emilia
Position
  • Head of Research and Innovation Unit

Publications

Publications (76)
Article
Full-text available
Background: The COVID-19 pandemic has had a disproportionately hard impact on refugees and other migrants who are often exposed to the virus with limited means to protect themselves. We tested the hypothesis that during the COVID-19 pandemic, refugees and other migrants have suffered a negative impact on mental health and have been unjustly discri...
Article
Full-text available
The COVID-19 pandemic is a defining global health crisis of our time. While the impact of COVID-19, including its mental health impact, is increasingly being documented, there remain important gaps regarding the specific consequences of the pandemic on particular population groups, including refugees and migrants. This study aims to uncover the imp...
Chapter
Full-text available
The aim of this chapter is to present the role and structure of practice-based training as part of the overall programme for intercultural mediators of the Reggio Emilia Local Health Authority (AUSL RE). The pedagogical approach for this type of training is based on experiential learning geared towards promoting reflection and group discussion in o...
Article
Full-text available
The inaugural conference of the Global Society on Migration, Ethnicity, Race and Health COVID-19 examined the impact of the COVID-19 pandemic on migrants and ethnic minorities and the role of racism. Migrants everywhere have faced tightening immigration restrictions, more obstacles to healthcare, increased racism and worsening poverty. Higher COVID...
Preprint
Full-text available
The aim of this chapter is to present the role and structure of practice-based training as part of the overall programme for intercultural mediators of the Reggio Emilia Local Health Authority (AUSL RE). The pedagogical approach for this type of training is based on experiential learning geared towards promoting reflection and group discussion in o...
Chapter
Negli ultimi dieci anni la migrazione su larga scala ha cambiato il contesto sociale in cui operano i sistemi sanitari, ponendo specifiche sfide sia agli operatori e sia ai responsabili dei servizi assistenziali. Quello che notiamo è che l’afflusso di migranti e rifugiati ha progressivamente portato con sé un aumentato livello di diversità nella po...
Technical Report
Full-text available
This technical guidance outlines current evidence, knowledge and best practice relating to the integration of migration health data into national health information systems. It highlights key principles, summarizes priority actions and challenges, maps existing international commitments and frameworks and provides practical policy considerations fo...
Article
Introduzione. Il problema del sovra-utilizzo di interventi sanitari ha implicazioni di carattere clinico ed economico. Sul piano clinico rimanda a prestazioni inefficaci o efficaci ma utilizzate in indicazioni cliniche inappropriate; sul piano economico rimanda a inefficienza allocativa, ovvero risorse che potrebbero essere impiegate per interventi...
Article
Introduction: The overuse of health care interventions is a problem which has clinical and economic implications. On a clinical level this means that ineffective interventions or effective interventions in inappropriate clinical indications are used. On an economic level it refers to allocative inefficiency which implies that these resources could...
Article
Full-text available
Health systems are faced with different needs, conditions and expectations concerning health and healthcare delivery. The most vulnerable groups risk receiving poorer care due to barriers and inequities in health service provision and utilisation. However health care organisations are often not sufficiently equipped to effectively recognise and res...
Chapter
Full-text available
Information on the medical history of migrants and refugees, their test results, vaccinations, diagnoses and medications is often not available, and this fragmentation results in the lack of reliable and timely data for health-care providers interacting with patients and for policymakers to improve health services. Health records (HRs) can help to...
Chapter
Full-text available
L’assenza di un sistema sanitario “migrant-friendly” è il fattore che maggiormente influisce sull'accesso ai servizi e sulla qualità delle cure per la popolazione immigrata. Senza una preparazione strutturale alla gestione dei bisogni dei diversi gruppi di immigrati, il sistema sanitario si trova ad affrontare sfide tali da rappresentare un problem...
Conference Paper
Full-text available
Health professionals face specific challenges providing care for migrants and refugees, including communication barriers, misunderstanding due to cultural differences, patient’s low health literacy. Rather than relying exclusively on a preconceived knowledge about migrant cultures, health professionals should invest more in the relationship with th...
Conference Paper
Full-text available
Background Several sets of standards aiming at improving access and quality of care for service users have been published in recent years. Certain standards focused on improving healthcare providers’ responsiveness to specific target groups. The general goal of this research was to improve organisations’ awareness of equity standards that are not f...
Article
Full-text available
Background In 2015 the increased migratory pressure in Europe posed additional challenges for healthcare providers. The aim of this study was to inform the development of a “Resource Package” to support European Union (EU) member states in improving access to healthcare for refugees, asylum seekers and other migrants. Methods A mixed method appr...
Article
Introduction One of the challenges facing migrants and refugees is access to medical records. The aim of this study was to identify Health Records (HRs) developed specifically for migrants and refugees, describe their characteristics, and discuss their reported strengths and weaknesses. Materials and methods A systematic review of articles focusin...
Article
Full-text available
A confronto dei grandi gruppi di migranti che hanno caratterizzato le migrazioni del dopoguerra, oggi assistiamo all’arrivo di ondate migratorie formate da tanti piccoli gruppi nazionali, maggiormente stratificati sul piano giuridico e sociale, poco organizzati e meno radicati nei paesi d’arrivo. Non solo, notiamo una grande diversità fra i gruppi...
Chapter
In the context of the arrival of large numbers of refugees and migrants to the Italian region of Sicily, the Regional Health Authority of Sicily and the WHO Regional Office for Europe created the first public health contingency plan for migration in the WHO European Region. The plan aims at redefining the role of the health sector in the area of mi...
Chapter
Reggio Emilia is one of the provinces with the highest percentage of migrants in Italy. At the beginning of 2016, migrants accounted for 12.7% of its entire population. Migrants residing in Reggio Emilia come from a wide variety of countries and cultural and ethnic backgrounds. ƒSeveral structural changes in the health-care sector in Reggio Emilia...
Technical Report
Full-text available
The scale of international migration in the WHO European Region has increased substantially in the last decade. The dynamics of large-scale migration pose specific challenges and opportunities to health systems, and responses will differ from country to country. Strengthening health system responses is one of the priority areas in the 2016 Strategy...
Conference Paper
Background: Migrants and refugees face barriers in accessing health services during various stages of the migration process: they are often seen by different health professionals and travel without personal health records (PHRs), impacting quality and continuity of care. We systematically reviewed the available evidence on the use of PHRs for migra...
Conference Paper
Full-text available
The global phenomenon of migration has dramatically changed the social context in which health care professionals operate. European states are facing a growing need to effectively train healthcare professionals to understand and respond appropriately to the diverse needs of migrants and ethnic minorities. Many EU countries have adopted specific ini...
Article
Full-text available
Background The global phenomenon of migration has dramatically changed the social context in which healthcare professionals operate. European states are facing a growing need to effectively train healthcare professionals to understand and respond appropriately to the diverse needs of migrants and ethnic minorities. While many European Union (EU) co...
Conference Paper
Background/Problem/Objective In 2015 the enormous influx of migrants towards Europe posed new challenges for health care providers. In this scenario the HPH-Task Force Migration Equity and Diversity developed a “resource package”, as part of the EU project SH-CAPAC, aiming to support EU member states in ensuring access to health care for refugees a...
Chapter
Full-text available
This chapter reports on the findings of interviews and focus groups carried out in ten EU countries with healthcare professionals and managers working in centres for refugees and asylum seekers, in primary care services and hospitals. Findings of the interviews and FGs clearly show that access to healthcare for refugees and asylum seekers is not li...
Article
Full-text available
We conducted a scoping review of literature to improve our understanding of the accuracy of infectious disease monitoring in migrants in the Europe. We searched PubMed for papers relevant to the topic including: case reports, observational and experimental studies, reviews, guidelines or policy documents; published after 1994. We identified 532 pap...
Article
Full-text available
Aim: To summarize evidence on the effectiveness of educational interventions for type 2 diabetes control in South Asians living in high-income countries. Methods: We systematically searched PubMed, EMBASE, Cinahl and the Cochrane Library, using Medical Subject Heading and free-text terms. The considered outcomes were: mortality, morbidity, glyca...
Conference Paper
Abstract introduction and background Foreign women act a third of the interruption of pregnancy, mainly in the first years after the migration. In East Europe the contraceptive methods most used are the vaginal ring and the IUD; in Morocco, the 50% of women use a contraceptive (pill and IUD for a 42%). In China the contraception is widespread with...
Conference Paper
Introduction and background The International cooperation is been developed through a network of associations which consider people, and their competences, as the most important resource. As the health professional, who is responsible of care, the nurse is often called in the cooperation contexts (Guardoni, 2003); the number of the involved nurses...
Conference Paper
Introduzione: Negli ultimi anni il numero dei minori non accompagnati è aumentato in diversi Pasi d’Europa: se consideriamo i primi 5 mesi dell’anno, dal 2015 al 2016 il numero di bambini arrivati in Italia attraverso il Nord Africa è più che raddoppiato. Inoltre secondo il rapporto dell'UNICEF del 2016, i minori non accompagnati costituiscono oltr...
Conference Paper
Full-text available
The Task Force on Migrant-friendly and Culturally Competent Healthcare (TF MFCCH) has developed a set of standards aiming at monitoring and measuring equity in health care for migrants and other vulnerable groups. The standards for equity in health care address 5 domains: (1) Equity in policy, (2) Equitable access and utilisation, (3) Equitable qua...
Article
Full-text available
The diabetes prevalence increases at an alarming rate around the world and understanding disparities in occurrence, care management, and health outcomes may be a starting point towards achieving more effective strategies to prevent and manage it. The aims of this study are to compare immigrants and Italians in terms of the differences in diabetes p...
Article
Full-text available
There are limitations in our capacity to interpret point estimates and trends of infectious diseases occurring among diverse migrant populations living in the European Union/European Economic Area (EU/EEA). The aim of this study was to design a data collection framework that could capture information on factors associated with increased risk to inf...
Technical Report
Full-text available
The main aim of this review is to identify, select and assess existing good quality training programmes, which address the particular issues related to improving access and quality of health care delivery for migrants and ethnic minorities. The collection of data was based on a survey addressed to key persons in the 28 EU MS and representatives of...
Article
Full-text available
There are limitations in our capacity to interpret point estimates and trends of infectious diseases occurring among diverse migrant populations living in the European Union/European Economic Area (EU/EEA). The aim of this study was to design a data collection framework that could capture information on factors associated with increased risk to inf...
Research Proposal
Full-text available
The HPH-Task Force on Migrant-friendly and Culturally Competent Healthcare (TF MFCCH) has developed a set of standards aiming at monitoring and measuring equity in health care for migrants and other vulnerable groups. The standards for equity in health care address 5 domains: (1) Equity in policy, (2) Equitable access and utilisation, (3) Equitable...
Research Proposal
The HPH-Task Force on Migrant-friendly and Culturally Competent Healthcare (TF MFCCH) has developed a set of standards aiming at monitoring and measuring equity in health care for migrants and other vulnerable groups. The standards for equity in health care address 5 domains: (1) Equity in policy, (2) Equitable access and utilisation, (3) Equitable...
Article
Full-text available
In this article, we outline the conceptual assumptions that define the basic theoretical framework for the development of equity standards for healthcare organisations. We begin by critiquing current assumptions by healthcare organisations regarding gender,migration and disability. By challenging these assumptions through the interrelated concepts...
Conference Paper
https://www.ausl.re.it/sites/default/files/Gradellini%20et%20al%20%20HPH_DEF.pdf
Article
Objectives. The follow-up of breast cancer is still a controversial issue. Even though there is no evidence in the literature on the effectiveness of an intensive approach, there is a trend to request and prescribe more than necessary, especially in low-risk women. Currently, after primary treatment, the majority of women is followed by the hospita...
Chapter
Full-text available
One of every 33 people today is a migrant , but the percentage of migrants varies between countries. The WHO European Region has an estimated 75 million migrants, 8% of the population. Despite the fact that most migrants are healthy when they first arrive in their host country, they risk suffering from poorer health compared to that of the average...
Chapter
Full-text available
it is concerned with the changes that are needed to improve the matching of health services to the needs of these groups. Its chapters analyse work on ‘cultural competence’ in the USA and Europe, as well as the use of interpreters and cultural mediators to overcome linguistic and cultural barriers. Other topics covered include user involvement, ser...
Article
Full-text available
Objectives - The linguistic groups most represented in the province of Reggio Emilia are North African, Chinese and Indian. In 2008, the Authors started a survey to examine eating habits during the first year of life among the three groups, in order to customise our nutritional information even further. Materials and methods - The interviews with t...
Article
Full-text available
European cities are characterized by increasing numbers of foreign-born and foreign-language speaking inhabitants. The resulting cultural and linguistic diversity presents a number of challenges to health-care services. This paper describes a European initiative aimed at improving hospitals' responses to the health-care needs of migrants and ethnic...
Article
Full-text available
Questo articolo si propone di commentare e riflettere sul lavoro di Ilona Kickbusch e Daniela Maag (2007) tradotto e pubblicato dalla rivista Salute e Società, Fascicolo 1 nel 2007, col titolo “Lo sviluppo della health literacy nelle moderne società della salute. Kickbusch e Maag pongono l’accento su un tipo di competenza cognitiva e sociale che de...
Article
Full-text available
Il fenomeno dell'immigrazione pone nuove sfide ai sistemi sanitari. Per questo, un gruppo di ospedali di 12 paesi europei, fra cui il presidio ospedialiero dell'AUSL di Reggio Emilia, ha dato vita al progetto "Migrant-friendly Hospitals". Lo scopo è quello di introdurre nell'assistenza sanitaria le modifiche necessarie per venire incontro alle esig...
Chapter
Full-text available
Over the last few years, the number of migrants has dramatically increased in all European countries. In Italy, this phenomenon has become particularly acute because the migratory flow has targeted this country not only as the place of arrival but also as a place of passage, by those who, in search for better living conditions, have decided to sett...
Article
Full-text available
L’articolo illustra un tipo di approccio allo sviluppo delle politiche regionali per la salute che parte dalle Reti regionali degli Ospedali per la Promozione della Salute: una possibile strada per consolidare l’affermazione del nuovo paradigma della salute attraverso il ri-orientamento delle strutture ospedaliere e la diffusione di una nuova conce...
Conference Paper
Full-text available
La SoIS, Società Italiana di Sociologia, l'organizzazione che rappresento, è una associazione scientifico-professionale che si propone di promuovere e tutelare lo sviluppo della sociologia e della professione di sociologo. Dalla sua nascita, avvenuta nel 1989, la SoIS si è posta come obiettivo primario il riconoscimento giuridico della professione...
Book
Full-text available
The aim of this research is to investigate developments in public librarianship in a period of fundamental change which took place in the first half of the nineties. Within the framework of the sociological approach to the study of occupations, an attempt is made to understand how the profession responded to changed circumstances due to external po...
Article
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L'obiettivo di questo articolo è di dare un contributo alla comprensione dei processi che possono condurre all'istituzionalizzazione della sociologia come professione. L'argomento su cui si vuole convogliare l'attenzione riguarda le possibili strategie che il gruppo dei sociologi professionali può mettere in atto per ottenere forme culturali e isti...
Chapter
Full-text available
I codici deontologici si occupano di ciò che è considerato giusto e sbagliato nel lavoro professionale, rappresentano cioè una forma di regolazione e di controllo del comportamento dei singoli professionisti. In particolare, servono a stabilire se un professionista ha agito in accordo ai principi e agli ideali professionali, nel rispetto dei colleg...
Article
Full-text available
La vita della sociologia professionale, dopo un periodo di immobilismo determinato da crisi ideologiche e dispute interne alla disciplina, sembra finalmente avviarsi verso una nuova fase della propria storia. La nascita di una associazione professionale di sociologi (SOIS) che si affianca a quella dei sociologi universitari (AIS) la pubblicazione d...

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Projects (6)
Project
ApartTogether is a global study to assess the public health social impact of the COVID-19 pandemic on refugees and migrants. It is a collaboration between World Health Organization, across its regional offices, the UN System, and a collaboration of research centres led by Ghent University (Belgium) and the University of Copenhagen (Denmark).
Project