为了制定可行的建议,改善移民获得精神卫生保健的机会:德国慕尼黑的一项定性研究
Sophia Baierl1,2, Zeliha Öcek3,4, Caroline Jung-Sievers3,4
1Chair for Public Health and Health Services Research, Institute of Medical Information Processing, Biometry and Epidemiology (IBE), Faculty of Medicine, LMU Munich, Munich, Germany. sophia.baierl@ibe.med.uni-muenchen.de.
由于系统性问题和脆弱性,移民面临着获得心理健康护理的重大障碍. 解决这些问题需要多层次的干预措施 (微,中,宏),以改善平等获得心理健康服务.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究研究 心理健康服务研究
- 卫生社会学 卫生社会学
背景情况:
- 移民与心理健康压力因素和获得护理的障碍有关.
- 德国慕尼黑的移民在获得心理健康护理方面遇到了挑战.
- 这项研究解决了需要采取行动的建议,以改善移民获得心理健康护理的需求.
研究的目的:
- 探索慕尼黑移民获得心理健康护理的决定因素.
- 识别影响医疗保健寻求行为障碍和促进者的障碍.
- 制定基于证据的建议,以加强心理健康护理的获取.
主要方法:
- 定性研究分析了与24名移民和7名卫生专业人员的采访.
- 对SonarGlobal项目数据 (2021) 和新访谈 (2023) 的二次分析.
- 使用共享编码结构的代内容分析和Levesque等. "的框架,适应了建议.
主要成果:
- 访问的关键维度包括问题感知,寻求能力,服务可接受性,可用性/负担能力和适当性.
- 语言障碍显著影响到精神卫生保健服务的各个方面.
- 产生了17个建议,针对歧视 (宏观),护理协调和培训 (meso) 和健康促进 (微观).
结论:
- 移民获得心理健康护理的途径受到脆弱性和系统性障碍的交叉阻碍.
- 有效的干预措施必须针对医疗保健系统的微,中和宏观层面.
- 该研究为制定战略提供了基础,以确保移民获得公平的心理健康护理.
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