太平洋澳大利亚劳动力 澳大利亚劳动力流动性 澳大利亚劳动者:健康和健康系统导航的实践经验
Geraldine Vaughan1,2, Catherine O'Mullan1,2, Robyn Preston1,2
1Central Queensland University, Rockhampton, Australia.
概括
太平洋澳大利亚劳动力流动性 (PALM) 计划的工人面临着重大未满足的健康需求. 解决这些问题需要改进访问,理解和系统导航,特别是对于血液传播的病毒,如乙型肝炎.
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 卫生 移民 卫生
背景情况:
- 太平洋澳大利亚劳动力流动 (PALM) 计划的工人对澳大利亚的农业和肉工厂至关重要.
- 许多PALM参与者来自血液传播病毒 (BBV) 负担较高的地区,包括乙型肝炎病毒 (HBV).
- 对PALM参与者在澳大利亚的健康体验和医疗互动的理解有限.
研究的目的:
- 探索PALM参与者在澳大利亚的医疗互动中所经历的经验.
- 确定PALM参与者在解决健康问题时所面临的挑战,特别是HBV和其他BBV.
- 检查澳大利亚医疗保健系统中PALM参与者的健康公平影响.
主要方法:
- 对来自四个太平洋岛国的农业PALM参与者进行了18次半结构面试.
- 采用专题分析来检查采访数据.
- 利用公平的镜头来解释关于医疗保健经验的发现.
主要成果:
- 确定了影响PALM参与者的健康和医疗保健系统导航因素的复杂相互作用.
- 揭示了超越HBV和其他BBV的挑战,包括访问问题,意识和理解.
- 突出了在获得医疗保健服务方面"与系统作斗争"的困难.
结论:
- PALM参与者经历了大量未满足的医疗保健需求,这对公共卫生和经济造成了严重后果.
- 需要增加政治意愿,优先考虑PALM参与者的公平医疗保健.
- 研究发现需要改变政策和干预措施,以促进健康公平并改善PALM参与者的结果,特别是关于BBVs.
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