Strategies by Mexican migrants in the USA to seek health care

Strategies by Mexican migrants in the USA to seek health care
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DOI:
10.1590/s0036-36342009000500008
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发表时间:
2009-10-01
期刊:
Salud Pública de México
影响因子:
--
通讯作者:
Bonilla-Fernández, Pastor
Bonilla-Fernández, Pastor
中科院分区:
其他
文献类型:
--
作者:
Nigenda, Gustavo;Ruiz-Larios, José Arturo;Bonilla-Fernández, Pastor

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客观的。确定墨西哥移民在美国和墨西哥获取医疗服务所采用的策略。材料和方法。根据移民动态选择墨西哥五个州的民族志研究。对卫生服务使用者和提供者进行了一系列焦点小组和深入访谈。结果。根据疾病的严重程度确定并使用了六种策略:a)自我药疗,b)与亲属电话咨询,c)利用私人服务,d)前往边境城镇,e)返回出生地,f)在返回原籍地期间获得医疗护理。讨论。墨西哥移民及其家人使用的医疗保健选择是根据与移民过程相关的事件确定的。实施保护边境两侧移民健康的公共政策至关重要。
Objective. To identify the strategies used by Mexican migrants to access health services in the U.S. and Mexico. Materials and Methods. Ethnographic study in five Mexican states, selected by their migration dynamics. A series of focus groups and in-depth interviews were conducted with health services users and providers. Results. Six strategies were identified and are used according to the severity of the disease: a) self-medication, b) telephone consultation with relatives, c) utilization of private services, d) travel to border towns, e) return to place of birth, f) getting medical care during their visits to places of origin. Discussion. The health care options used by Mexican migrants and their families are defined according to events related to the migration process. The implementation of public policies to protect the health of migrants on both sides of the border is critical.