东南亚的移民健康伦理:一个范围审查
Shu Hui Ng1, Sharon Kaur2, Phaik Yeong Cheah3,4
1School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Selangor, 47500, Malaysia.
Wellcome open research
|April 10, 2024
概括
这次范围审查突出了东南亚移动人口医疗保健的伦理研究缺口. 需要对移民儿童,参与式研究和健康质量进行更多的实证研究.
科学领域:
- 全球健康 全球健康
- 生物伦理学生物伦理学
- 移民研究 移民研究
背景情况:
- 东南亚 (SEA) 面临着大量的国际移民,包括劳动力,强迫和环境移民.
- 东南亚地区的流动和边缘化人口面临着独特的医疗保健和研究伦理挑战.
- 现有的研究还没有完全解决这些弱势群体的医疗保健和研究的伦理层面.
研究的目的:
- 确定南亚地区移动和边缘化人口的医疗保健伦理方面的关键主题和研究差距.
- 检查涉及这些人群的研究伦理.
- 为未来关于该地区移民健康伦理的研究和政策提供信息.
主要方法:
- 进行了范围审查,重点关注人口 (移民,难民等). ),问题 (医疗保健和道德),以及背景 (11个南亚国家).
- 从2000年到2023年5月,在PubMed,CINAHL和Web of Science进行了搜索,并补充了引用搜索和生物伦理学期刊的手动搜索.
- 用NVivo 14对18篇已识别的论文进行了主题分析.
主要成果:
- 确定了18篇有着实质性的生物伦理分析的论文,重点关注能力,代理,尊严,脆弱性和结构性暴力等概念.
- 伦理问题主要在研究伦理 (9篇论文) 的背景下进行讨论,在临床 (1) 和公共卫生伦理 (1) 中较少讨论.
- 确定的研究缺陷包括移民儿童研究,移民发送国家的研究,医疗保健质量,参与式研究和内部移民.
结论:
- 实证研究对于理解移民健康研究,临床护理和公共卫生中的伦理问题至关重要.
- 对移民,健康和道德之间的交叉点进行批判性审查对于推动南亚地区移民健康道德至关重要.
- 解决发现的研究缺口将改善该地区流动和边缘化人口的伦理考虑.
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