识别无证移民妇女使用医疗保健服务的挑战和促进因素:定性研究的范围审查
Manal Etemadi1, Saeed Shahabi2, Maryam Hedayati3
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
没有证件的移民妇女面临诸如驱逐恐惧和歧视等医疗服务障碍. 社区支持和包容性政策可以改善他们获得基本卫生服务的机会.
科学领域:
- 公共卫生
- 社会学
- 医疗服务研究
背景情况:
- 没有证件的移民妇女在获得医疗保健方面遇到重大障碍.
- 这些障碍会对他们的健康状况产生负面影响.
- 现有关于这一主题的定性研究需要进行方法评估.
研究的目的:
- 确定无证移民妇女使用医疗保健的关键挑战和促进因素.
- 评估相关定性研究的方法质量.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Embase,ProQuest) 进行全面的文献搜索,直到2024年4月.
- 使用关键评估技能计划 (CASP) 质量检查清单进行方法性质量评估.
- 综合包括研究结果的专题分析.
主要成果:
- 其中包括35项研究,揭示了共同的障碍:恐惧被驱逐出境,语言困难,财务限制和提供者歧视.
- 这些促进者包括社交网络,社区支持,低成本诊所,外展和保密政策.
- 大多数研究表明方法质量高 (CASP得分为8-10).
结论:
- 个人和机构障碍严重阻碍无证移民妇女获得医疗服务.
- 社区服务和包容性政策对于改善医疗保健的准入至关重要.
- 迫切需要政策改革和文化敏感的医疗保健.
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