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对于贝利兹无证人口平等获得医疗保健的看法和障碍:定性研究

Rebecca Yang¹, Gino Orellana², Curtis Wentz³

¹Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX, USA. Rebecca.yang@bcm.edu.

International journal for equity in health

|February 12, 2026

概括

贝利兹的无证移民面临着重大的医疗保健障碍,包括长时间等待和药物短缺,加之是恐惧和边缘化. 政策变化是必要的,以改善所有居民的访问.

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:

伯利兹是中美洲移民的主要过境和目的地.
在伯利兹,无证人员获得医疗保健的机会仍未得到充分研究.
最近的政策变化旨在改善所有居民的医疗保健可访问性,无论其法律地位如何.

研究的目的:

与伯利兹国民相比,对没有证件的个人进行质量探索医疗保健获取模式.
确定在资源不足的地区利用医疗保健的障碍和促进因素.

主要方法:

60个半结构化的定性访谈与无证个人,伯利兹国民,卫生管理人员,提供者和社区卫生工作者 (CHW) 进行.
用有目的的雪球和受访者驱动的采样方法招募了参与者.
采访被录音,转录,翻译和分析,使用Dedoose软件进行定性内容分析.

主要成果:

常见的障碍包括漫长的等待时间,人员和药物短缺,交通问题和语言困难.
没有证件的个人面临额外的挑战,如贫困,错误信息,边缘化,恐惧被驱逐出境,并偏爱非政府组织的照顾.
这些障碍物在贝利兹南部的农村村庄和城镇中被观察到.

结论:

了解无证人口获得医疗保健的机会对于改善伯利兹的健康结果和医疗保健成本至关重要.
调查结果可以为战略性资源分配和将无证人口纳入国家医疗保健改进计划提供信息.
解决系统性障碍对于所有居民平等获得医疗保健至关重要.

关键词:

全球卫生健康全球卫生健康卫生公平性健康公平性获得医疗保健的机会.移民健康移民的健康

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