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寻求庇护者和难民在瑞士获得口腔保健服务:一项定性研究
Lujain Alchalabi1,2, Nicole Probst-Hensch1,2, Nicola Ursula Zitzmann2,3
1Swiss Tropical and Public Health Institute, Kreuzstrasse 2, Allschwil, 4123, Switzerland.
International journal for equity in health
|December 16, 2025
概括
在瑞士的寻求庇护者和难民面临着牙科护理的重大障碍,往往只能接受紧急治疗. 需要进行系统性改革,以改善这一弱势群体获得全面和预防性口腔健康服务的机会.
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
- 卫生社会学 卫生社会学
背景情况:
- 在瑞士,寻求庇护者和难民在获得口腔卫生保健方面遇到重大障碍.
- 护理往往仅限于紧急程序,如拔牙,覆盖率不确定.
- 访问取决于法律地位,州的居住地和逗留时间.
研究的目的:
- 调查瑞士寻求庇护者和难民面临的口腔保健障碍.
- 了解系统性问题如何影响他们获得和参与牙科服务的能力.
- 确定改善口腔保健服务的需求,为这一群体提供口腔保健服务.
主要方法:
- 与讲阿拉伯语的寻求庇护者和难民进行了16次半结构面试.
- 在瑞士两个州 (巴塞尔市和巴塞尔州) 进行了3次临床观察.
主要成果:
- 财政限制,许可限制,沟通困难和自主权减少导致牙科护理延迟或避免,加剧口腔健康问题.
- 现有的模型部分解释了接入挑战,但没有完全涵盖影响需求识别,寻求护理和健康决策的系统性障碍.
- 如果未能解决结构性问题,可能会破坏改善牙科护理准入的努力.
结论:
- 系统性改革对于改善覆盖,沟通和预防性口腔健康战略至关重要.
- 对寻求庇护者和难民来说,促进公平的,保存牙的治疗选择至关重要.
- 解决更深层次的结构性问题是必要的,以有效地改善口腔保健服务的获取.
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