寻求庇护者获得心理健康护理的障碍和促进者:使用levesque框架进行叙事审查
Mohamad Wehbe1, Dahlia Shadid2, Farid Talih1
1Psychiatry Department, American University of Beirut Medical Center, Beirut, Lebanon.
概括
由于复杂的系统和沟通障碍,寻求庇护者无法获得心理健康护理. 改善医疗接入需要减少行政障碍,提高文化响应性护理模式.
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
- 心理健康政策 心理健康政策
背景情况:
- 寻求庇护者在高收入国家获得心理健康服务时面临着独特的挑战.
- 了解这些障碍对于开发有效的支持系统至关重要.
研究的目的:
- 审查和综合有关寻求庇护者获得心理健康护理的文献.
- 通过以患者为中心的访问框架,在现有医疗保健系统中识别一致的障碍.
主要方法:
- 来自高收入东道国的同行评审文献的叙事综述.
- 对研究的定性分析与Levesque以患者为中心的访问框架维度 (可接近性,可用性,可负担性,可接受性,适当性) 进行映射.
主要成果:
- 分散的服务,门和复杂的招生流程阻碍了护理入门.
- 译员的有限可用性和时间有限的约会阻碍了有效的沟通和治疗关系.
- 法律不确定性和金融不稳定性影响了对心理健康服务的持续参与.
结论:
- 仅仅是精神卫生服务的存在并不能确保寻求庇护者获得有意义的机会.
- 政策干预应侧重于简化行政流程,改善转诊途径,加强口译服务,促进创伤信息化,文化响应性护理.
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