"分散的护理":寻求庇护者在新南威尔士州获得医疗保健的经验
Zelalem Mengesha1, Danielle Weber2, Mitchell Smith2
1Centre for Health Equity Training, Research & Evaluation (CHETRE); UNSW Australia Research Centre for Primary Health Care & Equity; A Unit of Population Health; member of the Ingham Institute, Sydney, NSW, Australia.
Health promotion international
|October 21, 2023
概括
在新南威尔士州没有医疗保险的寻求庇护者面临着获得医疗保健的重大障碍,特别是慢性和心理健康需求. 提高对免费费和政策准入的认识对于健康公平至关重要.
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
- 社会学 社会学 社会学
背景情况:
- 医疗保险对于澳大利亚的医疗保健服务至关重要.
- 许多寻求庇护者没有资格获得医疗保险.
- 新南威尔士州的一项政策为不符合医疗保险资格的寻求庇护者提供了一些公共卫生服务,于2020年11月更新.
研究的目的:
- 检查新南威尔士 (NSW) 的不符合医疗保险资格的寻求庇护者获得医疗保健的经验.
- 了解修订后的"医疗保险无资格寻求庇护者 - 提供特定公共卫生服务"政策的影响.
主要方法:
- 使用半结构面试进行的定性研究.
- 参与者包括西南悉尼的寻求庇护者 (n=7) 和服务提供者 (n=6).
- 专题分析和社会生态模型用于数据解释.
主要成果:
- 慢性和心理健康状况是寻求庇护者的首要问题.
- 在个人 (缺乏意识),人际 (社会支持),组织 (提供者对免费费用的不知情) 和政策 (有限的初级保健准入) 层面上确定了障碍.
- 新南威尔士州的不符合医疗保险资格的寻求庇护者经历了低于最佳的医疗保健接入.
结论:
- 对于不符合医疗保险资格的寻求庇护者来说,低于最佳的医疗保健准入可能会加剧健康差异.
- 需要采取教育举措,提高服务提供商和寻求庇护者对政策和免费费用的认识.
- 提高认识对于促进新南威尔士州寻求庇护者的健康平等至关重要.
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