Exploring the Providers Perspective of Health and Social Service Availability for Immigrants and Refugees in a Southern Urban Community
Exploring the Providers Perspective of Health and Social Service Availability for Immigrants and Refugees in a Southern Urban Community
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DOI：
10.1007/s10903-014-0048-1
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发表时间：
2015-08-01
影响因子：
1.9
通讯作者：
Hines-Martin, Vicki
中科院分区：
文献类型：
--
作者：
Edward, Jean;Hines-Martin, Vicki
随着外国出生的人口继续增长，并越来越多地扩展到美国内陆城市，他们遇到的资源和设施不足，以支持他们独特的健康和社会需求。本研究的目的是描述供应商的角度来看，在一个南部大都市的移民和难民的健康和社会服务的外国出生的人口迅速增加。10个卫生和社会服务提供者参加了一项民族志研究，采用调查，深入访谈，参与者观察和文件审查方法。提供者认为，移民和难民的最大需求是获得紧急保健服务和慢性病管理。服务的障碍和促进因素与可获得性、可用性、可负担性和可接受性因素有关。调查结果表明，尽管建立了人口特定的服务组织，移民和难民继续经历与社会文化，经济和政治背景因素相关的未满足的健康和社会需求。
As the foreign-born population continues to grow and increasingly expand into inland U.S. cities, they experience insufficient resources and facilities to support their unique health and social needs. The purpose of this study was to describe provider perspectives on health and social services for immigrants and refugees in a southern metropolitan city with a rapidly increasing foreign-born population. Ten health and social service providers participated in an ethnographic study using surveys, in-depth interviews, participant observation, and document review methods. Providers identified the greatest need for immigrants and refugees was access to urgent health services and management of chronic illnesses. Barriers and facilitators to service were related to accessibility, availability, affordability, and acceptability factors. Findings indicate that despite the establishment of population specific service organizations, immigrants and refugees continue to experience unmet health and social needs associated with sociocultural, economic, and political contextual factors.