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跨境使用卫生服务:墨西哥 - 危地马拉边境的一个探索性混合方法项目
Ietza Bojorquez1, Marcel Arévalo2, Ana L Chávez2
1Department of Population Studies, El Colegio de la Frontera Norte, Tijuana, Baja California, Mexico.
PLOS global public health
|November 20, 2024
概括
墨西哥和危地马拉之间的跨境医疗保健使用是由感知质量和可用性驱动的. 负担能力和质量也推动了跨境药品购买,墨西哥人更有可能在危地马拉寻求治疗.
科学领域:
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
- 边境卫生服务中心
背景情况:
- 跨境医疗服务利用率主要从高收入国家到低收入和中等收入国家 (LMICs) 进行研究.
- 特别是在墨西哥和危地马拉边境的LMIC之间利用情况仍未得到充分研究.
- 了解这种动态对于区域卫生规划和政策至关重要.
研究的目的:
- 量化墨西哥-危地马拉边境寻求的医疗服务的频率和类型.
- 确定推动这种跨境利用的健康需求.
- 探索影响人们在邻国寻求护理或购买药物的决定的因素.
主要方法:
- 一种混合方法的方法,结合了定量调查和定性访谈.
- 从对4733名越境者进行的概率调查中收集的定量数据 (加权为74228).
- 从28次与边境附近的卫生服务用户和提供者进行的半结构化访谈中收集了定性数据.
主要成果:
- 接受调查的个人中,3.8%的受访者跨越了医疗保健,7.4%在过去的一年,和21.8%的药物.
- 墨西哥居民比危地马拉居民更有可能穿越医疗保健和购买药品.
- 公共服务用于预防性护理 (如疫苗接种),而私人服务用于专门治疗.
结论:
- 感知质量和地理可访问性是寻求跨境医疗保健的关键驱动因素.
- 可负担性和感知质量是跨境购买药物的首要动机.
- 跨境医疗服务的使用提供了通过预防性服务获得当地经济利益和促进公共卫生的机会.
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