在奥斯陆的两家医院为无证移民提供医疗保健的财政保障:一项定性研究
Kristine Fjelltorp-Veland1, Heidi E Fjeld1, Frode Eick1,2
1Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Norway.
Scandinavian journal of public health
|February 16, 2025
概括
挪威的医院指导方针不涵盖无证移民,造成了基本医疗保健的障碍. 工作人员面临的挑战是为这些弱势患者进行注册和支付流程.
科学领域:
- 公共卫生 公共卫生
- 医疗保健政策 医疗保健政策
- 卫生社会学 卫生社会学
背景情况:
- 无证移民获得医疗保健是一个全球性挑战.
- 挪威的医疗保健法律和法规存在特殊的复杂性.
- 现有的医院管理系统可能无法容纳无证人员.
研究的目的:
- 调查挪威医院如何管理无证移民的财政保障.
- 确定医疗保健提供者和无证患者所面临的挑战.
- 分析医院实践与现行法律法规的协调程度.
主要方法:
- 定性,探索性的研究设计.
- 对14条关于患者登记和发票的医院指南的分析.
- 与医院工作人员和无证移民进行了14次半结构化采访.
主要成果:
- 医院的指导方针不足以满足无证移民的需求.
- 由于患者缺乏居住许可,挪威身份证号码和银行账户,工作人员遇到了困难.
- 观察到员工角色和患者支付能力评估方面的差异.
- 准则的积极患者参与和文档的假设构成了障碍.
结论:
- 假定有文件的病人是常规的,导致无文件的个人被边缘化.
- 这种边缘化可能违反了获得必要医疗保健的权利.
- 医院应加强员工培训,以确保无证移民获得医疗保健.
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