Challenges of health services related to the population displaced by violence in Mexico
Challenges of health services related to the population displaced by violence in Mexico
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DOI：
10.11606/s1518-8787.2018052017094
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Cortés-Gil, Jesús David
中科院分区：
文献类型：
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作者：
Duarte-Gómez, María Beatriz;Cuadra-Hernández, Silvia Magali;Cortés-Gil, Jesús David
目的：分析对因暴力而流离失所的人口的护理对卫生系统的影响以及由此带来的挑战。方法：这是对PubMed，SciELO，WHO/PAHO和Bireme中的国家和国际文献的叙述性回顾。入选标准为发表日期（从2000年开始）、与受试者的关系和语言（西班牙语或英语）。共检索到292篇文献，其中91篇符合纳入标准。主要的挑战是跨部门、参与性和综合性的方法（重点是精神健康、性健康和生殖健康），确保获得保健服务，需要建立一个可靠的登记和信息系统，以了解因暴力而流离失所的人口及其特点，以及解决不同群体的生物心理社会问题，特别是妇女、残疾人或传染病患者、青少年、儿童、少数民族、老年人以及女同性恋、男同性恋、双性恋、变性人和中间性人。缺乏接受和看待暴力造成的境内流离失所问题及其作为人道主义和公共卫生问题的重要性的政治意愿，是墨西哥境内因暴力而流离失所的人口得到充分和及时照顾的障碍。
OBJECTIVE: To analyze the impacts of the care to the population displaced by violence on the health system and the challenges that this entails.METHODS: This is a narrative review of the national and international literature in PubMed, SciELO, WHO/PAHO, and Bireme. Inclusion criteria were date of publication (from 2000), relation with the subject, and language (Spanish or English). We found 292 documents, of which 91 met the inclusion criteria.RESULTS: The main challenges are the intersectoral, participatory, and integral approach (with emphasis on mental health and sexual and reproductive health), ensured accessibility to health services, the need for a reliable registration and information system of the population displaced by violence and its characteristics, and the addressing of the biopsychosocial problems of the different groups, especially women, persons with disabilities or infectious diseases, adolescents, children, ethnic minorities, older adults and the lesbian, gay, bisexual, transsexual, and intersexual population.CONCLUSIONS: The lack of political will to accept and see the internal displacement by violence and its importance as a humanitarian and public health problem is an obstacle to the adequate and timely care of the population displaced by violence in Mexico.