加拿大尼泊尔移民人口中未满足的初级医疗保健需求
Bishnu Bahadur Bajgain1,2, Mohammad Z I Chowdhury1,3, Rudra Dahal1,4
1Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada.
Healthcare (Basel, Switzerland)
|August 12, 2023
概括
卡尔加里近一半的尼泊尔移民有未满足的医疗需求,主要是由于长时间等待,成本和服务不可用. 这些障碍对个人福祉和财务稳定有重大影响.
科学领域:
- 公共卫生 公共卫生
- 移民健康 移民健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 移民占加拿大人口的重要且不断增长的部分.
- 获得初级保健至关重要,但由于提供者短缺而受到挑战.
- 许多加拿大人,包括移民,面临着未得到满足的医疗保健需求.
研究的目的:
- 评估卡尔加里尼泊尔移民中未满足的医疗保健 (UHC) 需求.
- 确定与这些未满足的医疗保健需求相关的因素.
主要方法:
- 2019年的一项横截面研究使用了自我管理的问卷.
- 未满足的医疗保健需求是通过直接询问医疗帮助的感知需求但缺乏医疗帮助来衡量的.
- 描述性统计和多变量后勤回归分析了UHC需求的预测因素.
主要成果:
- 在401名参与者中,近一半 (46.63%) 报告说,他们有未满足的医疗保健需求.
- 较年长的年龄组 (26-45岁和≥56岁) 显示UHC需求显著增加.
- 主要障碍包括长时间等待 (67.91%),成本 (57.22%) 和服务不可用 (73.26%).
- 心理健康影响和使用非处方药的增加是常见的后果.
结论:
- 在卡尔加里的尼泊尔移民人口中,未满足的医疗保健需求普遍存在.
- 等待时间,成本和服务可用性等障碍限制了获得医疗保健的机会.
- 有针对性的战略对于改善弱势移民群体获得初级保健的机会至关重要.
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