了解难民在东道国的健康经验:三个理论观点
Yana D Gepshtein1, Jung-Ah Lee1, Dawn T Bounds1
1University of California Irvine, USA.
Clinical nursing research
|May 31, 2024
概括
流离失所人口的医疗保健缺口源于有限的提供者知识和忽视难民经历的研究. 解决这些问题需要了解难民,提供者和机构之间的互动.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 医疗保健提供者往往缺乏专门的知识来照顾被迫流离失所的人口.
- 现有的难民健康研究经常忽视难民的适应能力,多样化的经验和日常生活背景.
- 关于社会政治环境如何影响难民医疗保健研究和实践的理解有限.
研究的目的:
- 确定难民医疗保健和研究中的关键缺口.
- 应用一种关系式方法,整合三个理论框架,以更深入地了解难民护理.
- 探索难民,医疗保健提供者和机构在塑造健康结果方面的相互作用.
主要方法:
- 利用一种关系式方法,专注于医疗互动中的过程和关系.
- 应用博迪欧的实践理论来分析难民生活经验和医疗保健提供者实践之间的不匹配.
- 雇佣圣阿诺的帮助的文化决定因素 试图检查难民提供者互动中的不同含义.
- 纳入了Canales的Othering概念,以调查难民与医疗保健系统参与中的权力动态.
主要成果:
- 护理差距源于难民和医疗保健提供者之间的技能和情绪不匹配.
- 难民和提供者对互动的不同含义有助于护理缺陷.
- 医疗保健系统中的权力动态,包括"Othering",会对难民护理和研究产生负面影响.
- 社会政治背景极大地影响了难民的健康维护和寻求帮助的行为.
结论:
- 一种关系式的方法提供了对难民医疗保健实践的务实见解.
- 了解这三重相互作用对于改善强迫流离失所者的护理至关重要.
- 解决文化束机制和社会政治影响对于公平的难民医疗保健和研究至关重要.
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