Healthcare Access and Barriers for Unauthorized Immigrants in El Paso County, Texas
Healthcare Access and Barriers for Unauthorized Immigrants in El Paso County, Texas
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DOI：
10.1097/01.fch.0000342813.42025.a3
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发表时间：
2009-01-01
影响因子：
2.3
通讯作者：
Talavera, Victor
中科院分区：
文献类型：
--
作者：
Heyman, Josiah McC;Nunez, Guillermina Gina;Talavera, Victor
这篇文章提供了大量关于居住在美墨边境地区的非法移民获得医疗保健的机会和障碍的定性材料。重点是积极的求医行为序列以及在这些行为中遇到的障碍。障碍包括直接法律授权、对当局的恐惧、移民执法部门对行动的障碍、未经授权的法律地位与工作场所和家庭关系的相互作用，以及医疗保健和更广泛的社会环境中的等级社会互动。与此同时，重要的复原力因素包括以社区为导向的医疗服务和使未经授权的人能够连接到这种服务的学习/信任建立过程。一个重要的发现是，障碍不是离散的因素，而是以网络的形式出现，使挑战的解决比单独的障碍更困难。结果包括护理序列不完整，特别是复杂诊断、长期治疗和慢性疾病监测方面的故障。
This article presents a large body of qualitative material on healthcare access and barriers for unauthorized immigrants living in the US-Mexico borderlands. The focus is on active sequences of health-seeking behavior and barriers encountered in them. Barriers include direct legal mandates, fear of authorities, obstacles to movement by immigration law enforcement, interaction of unauthorized legal status with work-place and household relations, and hierarchical social interactions in healthcare and wider social settings. At the same time, important resilience factors include community-oriented healthcare services and the learning/confidence-building process that enable the unauthorized to connect to such services. An important finding is that barriers are not discrete factors but rather occur as webs that make solution of challenges more difficult than individual barriers alone. Outcomes include incomplete sequences of care, especially breakdowns in complex diagnoses, long-term treatment, and monitoring of chronic conditions.