乌克兰流离失所者的护理点的经验和观察:比利时安特卫普的一个社区案例研究
Stefan Morreel1, Veronique Verhoeven1, Hilde Bastiaens1
1Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium.
Frontiers in public health
|July 11, 2024
概括
在安特卫普的乌克兰难民通过专门的中心获得初级保健. 护士优先模式在急性问题上被证明是有效的,但慢性护理和心理健康需要进一步融入难民医疗保健系统.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 移民研究 移民研究
背景情况:
- 比利时安特卫普在2022年4月至12月期间接收了7307名乌克兰难民.
- 为了让难民融入比利时的初级保健系统,建立了三个护理中心,提供医疗档案和各种护理服务.
研究的目的:
- 分析安特卫普新抵达的乌克兰难民的初级保健服务的组织和内容.
- 思考这种模式对主流医疗保健系统的影响.
主要方法:
- 一项使用常规电子病历数据的观察性研究.
- 对200名受试者进行了回顾性图表审查.
- 纳入标准:所有在三个参与护理中心中的一个有医疗病历的难民.
主要成果:
- 我们接触了2,261名难民 (30%的潜在用户),记录了6,450个总体联系人.
- 护士进行了76%的咨询,独立管理了一半的病例,并将37%的病例转诊给全科医生.
- 初级保健专注于急性问题; 慢性疾病和心理健康代表性不足. 护士提供建议和订购测试,而全科医生专注于处方和专家转诊.
结论:
- 已建立的护理点主要提供急性初级护理,护士发挥着中心作用.
- 护士优先模式在最初的难民护理中看起来是可行的和有效的,但慢性疾病和心理健康管理需要加强.
- 调查结果将为决策者提供有关为流入人口利用初级保健中心的信息,并强调需要为移民提供全面,综合的护理.
相关概念视频
Specialized Care Centers and Settings-I
940
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
940
Community Based Intervention
38
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...
38
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Case Studies
11.6K
There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
11.6K
Bystander Effect
9.5K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.5K


