庇护寻求者和难民获得非医院护理的障碍和促进者:混合方法系统审查
Laura Fitzharris1, Rikke Siersbaek2, Michael Moran2
1School of Medicine, Trinity College Dublin, Dublin, Ireland. fitzharl@tcd.ie.
Journal of immigrant and minority health
|October 8, 2025
概括
寻求庇护者和难民进入非医院护理的障碍包括语言,系统导航和文化不敏感. 难民中心和社会支持可以帮助克服这些挑战.
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:
- 寻求庇护者和难民面临着重要的医疗保健接入挑战.
- 专注于紧急护理,忽视了非医院服务.
- 对这群人群的非医院护理障碍的研究不足.
研究的目的:
- 系统地审查庇护寻求者和难民获得非医院护理的障碍和促进者.
- 综合从定性,定量和混合方法研究中得出的发现.
- 为改善移民人口的医疗保健服务提供提供信息.
主要方法:
- 使用Joanna Briggs研究所方法的混合方法系统审查.
- 在2023年1月的Medline,PubMed,EMBASE,PsycINFO和Cochrane图书馆进行了搜索.
- 包括25项基于欧洲的研究 (19种定性方法,4种定量方法,2种混合方法).
主要成果:
- 主要障碍:语言困难,医疗保健系统导航挑战,缺乏跨文化敏感性.
- 主要促进者:利用难民中心,社会支持网络.
- 结果分为主题:卫生系统结构,多样性/歧视,移民前经历,语言/沟通.
结论:
- 寻求庇护者和难民获得医疗保健受到语言,文化敏感性和系统结构的影响.
- 定性数据表明需要改善医疗保健系统.
- 仅有有限的定量数据支持对系统变更的广泛建议.
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