Health care experiences of U.S. Retirees living in Mexico and Panama: a qualitative study
Health care experiences of U.S. Retirees living in Mexico and Panama: a qualitative study
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居住在墨西哥和巴拿马的美国退休人员的医疗保健经历：一项定性研究
DOI：
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发表时间：
2013
影响因子：
2.8
通讯作者：
S. Zimmerman
中科院分区：
文献类型：
--
作者：
P. Sloane;Lauren W. Cohen;Bryce E Haac;S. Zimmerman
背景在欧洲和北美，从北方国家到南方国家的退休移民正在增加，退休人员的经历将影响未来的移民和医疗服务利用。因此，我们试图描述目前居住在墨西哥和巴拿马的退休美国公民的医疗保健经历和看法。方法46 名退休美国公民（每个国家 23 名）在每个国家两个拥有大型退休美国公民社区的地区住院治疗 (61%) 或患有慢性疾病 (78%)。我们进行了详细的半结构化访谈，以探讨医疗保健的经历、态度和费用。采用定量和定性方法对访谈进行分析。结果受访者平均年龄 68-70 岁，受过良好教育，身体依赖程度较低，收入中等。他们称赞医生服务比美国更加个性化，家庭护理便宜且广泛使用，对门诊和牙科护理表达了积极的看法，对医院服务给出了不同的评价，并对紧急服务表示了担忧。人们表达了对健康保险的许多担忧，包括医疗保险的缺乏和医疗保险的减少。支付问题和缺乏当地医疗服务提供者的数据使得决定在哪里获得服务具有挑战性。结论居住在国外的退休人员报告在医疗保健选择、保险可用性和护理质量方面面临困境。随着这一人口群体的增长，针对现有医疗保健挑战的政策和商业解决方案的压力将会增加。
BackgroundRetirement migration from northern countries to southern countries is increasing in both Europe and North America, and retiree experiences will impact future migration and health services utilization. We therefore sought to describe the healthcare experiences and perceptions of retired U.S. citizens currently living in Mexico and Panama.Methods46 retired U.S. citizens (23 per country) who had been hospitalized (61%) or had a chronic health condition (78%) in two regions per country with large communities of retired U.S. citizens were identified. Detailed semi-structured interviews were conducted to explore experiences with, attitudes toward, and costs of healthcare. Interviews were analyzed using quantitative and qualitative methods.ResultsRespondents averaged 68–70 years old, were well educated, had few physical dependencies, and had moderate incomes. They praised physician services as more personalized than in the U.S. and home care as inexpensive and widely available, expressed favorable opinions regarding outpatient and dental care, gave mixed ratings on hospital services, and expressed concerns about emergency services. Numerous concerns about health insurance were expressed, including the unavailability of Medicare and reductions in Tricare. Payment concerns and lack of data on local health providers made deciding where to obtain services challenging.ConclusionsRetirees living abroad report dilemmas regarding healthcare choices, insurance availability, and quality of care. As this population segment grows, pressure will increase for policy and business solutions to existing medical care challenges.
影响因子：
9.7
作者：
Xu, Ke;Evans, David B.;Evans, Timothy
通讯作者：
Evans, Timothy