在澳大利亚的南亚移民中探索医疗保健获取挑战:一种混合方法研究
Mehwish Nisar1, Nathalia Costa1,2, Tracy Kolbe-Alexander3,4
1School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
概括
澳大利亚的南亚移民在获得及时和负担得起的医疗保健方面面临重大障碍,包括长期等待和语言问题. 应对这些挑战对于在不同人群中获得公平的健康结果至关重要.
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
- 卫生社会学 卫生社会学
背景情况:
- 获得医疗保健的差异正在增加,特别是在移民人口中.
- 澳大利亚的南亚社区面临着长期疾病的高负担,加剧了接入问题.
研究的目的:
- 探索澳大利亚南亚移民在医疗保健获取方面的差异.
- 为这一群体确定及时,负担得起和以患者为中心的医疗保健的障碍.
主要方法:
- 一个探索性的顺序混合方法设计,结合了定性焦点组 (n=5) 和定量在线调查 (n=460).
- 定性数据的专题分析 (NVivo) 和定量数据的统计分析 (SPSS).
主要成果:
- 确定的主要障碍包括偏好家庭疗法,语言障碍,有限的信息获取,高专家/牙医费用和忙的咨询.
- 六分之一的移民面临着访问挑战;长时间的等待时间 (72%),自付费用 (48%) 和服务意识/可用性 (36%) 是最常见的.
- 患有多种慢性疾病的移民报告了最高的障碍 (57.8%).
结论:
- 南亚移民在获得公平医疗保健方面遇到重大障碍.
- 服务,提供者和社区之间的合作对于有效的解决方案至关重要.
- 减少等待时间,语言障碍以及改善获得负担得起的医疗保健的机会对于健康公平至关重要.
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