移民在南非埃姆富勒尼市获得初级保健的经验
Reitumetse Thulo1, Christian Lokotola1, Robert Mash1
1Stellenbosch University, Cape Town, South Africa.
Journal of primary care & community health
|July 28, 2025
概括
由于法律地位,成本和语言,移民面临着在南非获得初级保健的重大障碍. 解决这些问题对于所有人口平等获得医疗保健至关重要.
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
- 移民研究 移民研究
背景情况:
- 全民医疗覆盖的目标是公平获得医疗保健,但移民经常面临差距.
- 国家安全和主权问题可能与全球卫生公平承诺相冲突.
- 移民经常遇到难以获得基本初级保健服务的挑战.
研究的目的:
- 调查移民获得公共部门初级保健的经验.
- 专注于南非高州的Emfuleni分区.
- 移民获得医疗保健的定性探索.
主要方法:
- 描述性探索性定性研究.
- 与有目的地选择的移民进行的半结构面试.
- 使用框架方法 (Atlas-ti) 的专题分析.
主要成果:
- 采访了15名移民,揭示了四个主要主题.
- 确定了障碍:法律地位,财务限制,语言,错误信息.
- 经验包括不同的护理质量 (好,拒绝,延迟) 和心理社会影响 (耻辱,歧视,心理健康问题).
结论:
- 移民遇到实质性的障碍进入政府诊所在高,南非.
- 卫生系统必须实施政策变化,改善协议,并提供翻译服务.
- 员工培训和清晰的社区信息对于移民获得医疗保健至关重要.
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