在突尼斯撒哈拉以南的移民和难民中获得医疗保健:一个解释性的定性研究
Taha Maatoug1,2,3, Anissa Ouahchi1,2,3, Farah Seedat4
1Research Laboratory Quality of Care and Management of Maternal Health Services (LR12ES03), Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
BMC medicine
|October 8, 2025
概括
突尼斯的移民面临着严重的医疗保健接入障碍,包括法律,语言和财务问题. 改善接入需要文化敏感的政策和更好的非政府组织提供者合作.
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:
- 突尼斯是撒哈拉以南地区移民的主要过境和目的地国家.
- 关于突尼斯移民人口获得医疗保健的研究有限.
- 这项研究调查了移民在突尼斯的医疗保健经验.
研究的目的:
- 探索突尼斯移民获得医疗保健的障碍和促进因素.
- 了解移民对突尼斯医疗保健系统的看法.
- 确定政策和实践改进的领域.
主要方法:
- 在突尼斯四个城市地区进行的定性研究 (2023年5月至12月).
- 与移民,社区领导人和非政府组织工作人员进行半结构化访谈和焦点小组讨论.
- 使用NVivo 14进行主题分析,以Levesque的概念框架为指导.
主要成果:
- 结构性障碍包括法律地位,语言和成本;社会障碍包括耻辱和不信任.
- 非正式网络提供信息,但导致护理分散;私人护理是负担不起的.
- 非政府组织的支持对于转介至关重要,特别是对于无证移民;沟通缺口仍然存在.
结论:
- 突尼斯的移民获得医疗保健是复杂的,受到结构性和个人障碍的影响.
- 建议包括文化敏感的政策,多语言资源和扩大医疗保险.
- 加强非政府组织,医疗保健提供者和决策者之间的合作对于公平获取至关重要.
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