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Journal of Child Health Care
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Health emigration: a challenge in paediatric oncology

Luisa M. Massimo, MD

Department of Paediatric Haematology and Oncology, Giannina Gaslini Children's Research Hospital, Genoa, Italy, luisamassimo{at}ospedale-gaslini.ge.it

Thomas J. Wiley, BSc

International Relationships, Giannina Gaslini Children's Research Hospital, Genoa, Italy

Daniela Caprino, MD, PhD

Department of Paediatric Haematology and Oncology, Giannina Gaslini Children's Research Hospital, Genoa, Italy

For the past 10 years European states have experienced an increasing flow of emigrating families from developing countries seeking better medical care for their sick children. For Italian paediatricians this has become a new challenge, considering the cultural differences in customs regarding the illness. The onset of a life-threatening disease has a strong impact on the family. The natural bond between the patient and the family must be preserved and strengthened; parents should be encouraged to entertain their child during hospitalization. The inclusion of art therapy may facilitate communication, especially for children of a different language and culture. This approach can help medical staff to understand better both the child's and the parents' anxieties and feelings. This article discusses facets of the now well-known phenomenon of `health emigration', that is, when a family searches abroad in the hope of finding the most advanced medical treatment possible for their sick child.

Key Words: childhood malignancies • Eastern Europe • health care • health emigration of children

Journal of Child Health Care, Vol. 12, No. 2, 106-115 (2008)
DOI: 10.1177/1367493508088547
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