在初级保健中与移民相关的法律合作:评估对知识和福祉的影响
Journal of health care for the poor and underserved
|July 19, 2023
概括
将移民律师纳入初级保健诊所改善了参与者的法律理解. 然而,这一干预措施本身并没有显著改善健康结果或减少痛苦,这表明需要更广泛的社会支持.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 移民法 移民法 移民法
背景情况:
- 移民身份显著影响健康和福祉.
- 初级保健机构可以成为弱势群体的关键接入点.
- 解决法律需求对于改善移民社区的健康结果至关重要.
研究的目的:
- 评估在初级保健诊所内嵌入移民律师的有效性.
- 评估对患者对合法移民选择的理解的影响.
- 检查心理困扰和自我评估一般健康状况的变化.
主要方法:
- 一项涉及42名参与者的混合方法研究于2019年5月至2020年2月进行.
- 数据收集包括心理困扰,法律选择的理解,以及咨询前后的一般健康评估.
- 咨询后60-90天进行了后续评估,60天后的后续评估损失为42.8%.
主要成果:
- 参与者在咨询后和随访时 (p<.05) 显著改善了对合法移民选择的理解.
- 在自我评估的健康评分或心理困扰方面没有观察到显著的改善.
- 定性数据强调了移民身份和健康之间的强烈联系.
结论:
- 在初级保健中嵌入移民法律服务可以提高患者对合法移民途径的理解.
- 缓解不稳定的移民身份对健康的影响可能需要除了法律援助之外的全面社会干预.
- 在初级保健中,法律服务的整合是有希望的,但需要进一步的研究来解决健康差异.
相关概念视频
Community Based Intervention
66
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
66
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Interdisciplinary Care: The Health Care Team-I
1.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.7K
Methods of Documentation VI: Case Management Model
598
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
598
Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K


