非法移民在抵达西班牙后获得医疗保健的障碍:系统审查
Javier Fagundo-Rivera1, María Soledad García-Lozano2, Francisco Javier Portero-Prados1,3
1Centro Universitario de Enfermería Cruz Roja, University of Seville, Seville, Spain.
European journal of public health
|April 9, 2025
概括
非法移民面临着进入西班牙公共卫生系统的重大障碍,包括沟通和行政问题. 应对这些挑战对于公平的医疗保健和公共卫生准备工作至关重要.
科学领域:
- 公共卫生 公共卫生
- 移民研究 移民研究
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 获得医疗保健对于公共卫生准备和社会凝聚力至关重要.
- 非法移民在获得医疗保健系统方面经常面临独特的挑战.
- 了解这些障碍对于改善以患者为中心的护理至关重要.
研究的目的:
- 系统地审查有关移民进入西班牙医疗保健系统所面临的障碍的现有文献.
- 识别特定的沟通,行政和法律障碍.
- 探索移民和医疗保健专业人员的观点.
主要方法:
- 按照PRISMA方法进行系统审查.
- 分析来自主要科学数据库 (PubMed,Scopus,CINAHL,LILACS,科学网,Enfispo) 的文章.
- 包括定性,定量和混合方法研究.
主要成果:
- 从4773篇已识别的文章中选择了15项研究.
- 关键的障碍包括沟通困难,行政障碍和法律方面的错误信息.
- 五分之一的移民报告说,他们遇到了至少一个障碍.
- 障碍受到组织,文化,社会经济和教育因素的影响.
结论:
- 在西班牙,非法移民获得公平的医疗保健受到严重阻碍.
- 语言障碍,错误信息和行政障碍是主要问题,COVID-19大流行使情况恶化.
- 建议政策干预侧重于沟通,简化程序以及与非政府组织和文化调解者的合作.
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