Experiences of refugees and asylum seekers in general practice: A qualitative study
Experiences of refugees and asylum seekers in general practice: A qualitative study
复制标题
DOI：
10.1186/1471-2296-8-48
复制
发表时间：
2007-08-21
影响因子：
2.9
通讯作者：
Wallace, Paul
中科院分区：
文献类型：
--
作者：
Bhatia, Ravi;Wallace, Paul
背景：关于英国难民的健康状况一直有很多争论。然而，大多数现有文献没有考虑到难民本身的意见。这项研究旨在确定寻求庇护者和难民对他们在初级保健中的总体经历的看法，并对他们的护理提出改进建议。方法：对最近10年进入英国的成年寻求庇护者和难民进行定性研究。这项研究是在伦敦的巴尼特难民步行服务项目中进行的。结果：对于失败的寻求庇护者和那些没有难民机构或家庭支持的人来说，获得全科医生可能更困难。难民社区中的一些人可能对专业口译员的使用和保密问题表示关切。大多数参与者表示，他们更喜欢提供建议而不是处方的全科医生。英国难民身份的耻辱可能导致一些难民改变了他们的求助行为。结论：通过更好的教育和对全科医生如何提供难民的支持，那些缺乏支持的人获得帮助的问题可能会得到改善。初级保健信托基金还可以向新抵达的难民提供关于如何获得服务的信息。全球定位系统应该意识到，在某些情况下，可能并不总是需要专业的口译员，相反，就谁应该担任口译员达成共识可能是明智的。由于准入和沟通的改善而带来的更好的医患体验可能有助于减少与难民身份有关的耻辱，并导致更适当的寻求帮助行为。鉴于我们调查的规模很小，需要进行更大规模的研究来确认和量化这些结果。
Background: There has been much debate regarding the refugee health situation in the UK. However most of the existing literature fails to take account of the opinions of refugees themselves. This study was established to determine the views of asylum seekers and refugees on their overall experiences in primary care and to suggest improvements to their care.Methods: Qualitative study of adult asylum seekers and refugees who had entered the UK in the last 10 years. The study was set in Barnet Refugee Walk in Service, London. II Semi structured interviews were conducted and analysed using framework analysis.Results: Access to GPs may be more difficult for failed asylum seekers and those without support from refugee agencies or family. There may be concerns amongst some in the refugee community regarding the access to and confidentiality of professional interpreters. Most participants stated their preference for GPs who offered advice rather than prescriptions. The stigma associated with refugee status in the UK may have led to some refugees altering their help seeking behaviour.Conclusion: The problem of poor access for those with inadequate support may be improved by better education and support for GPs in how to provide for refugees. Primary Care Trusts could also supply information to newly arrived refugees on how to access services. GPs should be aware that, in some situations, professional interpreters may not always be desired and that instead, it may be advisable to reach a consensus as to who should be used as an interpreter. A better doctor-patient experience resulting from improvements in access and communication may help to reduce the stigma associated with refugee status and lead to more appropriate help seeking behaviour. Given the small nature of our investigation, larger studies need to be conducted to confirm and to quantify these results.