Good practice in health care for migrants: views and experiences of care professionals in 16 European countries.
Good practice in health care for migrants: views and experiences of care professionals in 16 European countries.
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DOI：
10.1186/1471-2458-11-187
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发表时间：
2011-03-25
影响因子：
4.5
通讯作者：
Bogic M
中科院分区：
文献类型：
--
作者：
Priebe S;Sandhu S;Dias S;Gaddini A;Greacen T;Ioannidis E;Kluge U;Krasnik A;Lamkaddem M;Lorant V;Riera RP;Sarvary A;Soares JJ;Stankunas M;Strassmayr C;Wahlbeck K;Welbel M;Bogic M
欧洲各地的医疗服务机构每天都为移民患者提供医疗服务。然而，很少有系统的研究探索不同欧洲国家卫生保健专业人员的观点和经验。这项研究的目的是评估专业人员在提供这种护理时在其服务中遇到的困难，以及他们认为哪些是克服这些问题或限制其对护理质量的负面影响的良好做法。对在16个国家移民人口比例高的地区工作的卫生保健专业人员进行了开放式问题和案例小插曲的结构化访谈。在每个国家，采访了9个初级保健机构、3个急症室和3个社区精神卫生服务机构的专业人员(总样本=240人)，询问他们在向移民病人，即第一代移民人口提供护理方面的看法和经验。使用主题内容分析对答案进行了分析。确定了8类问题和7个良好做法的组成部分，代表了面谈中的所有发言。这八个问题是：语言障碍、为没有医疗保险的移民安排护理的困难、社会剥夺和创伤经历、不熟悉医疗保健系统、文化差异、对疾病和治疗的不同理解、工作人员和病人的消极态度以及无法获得病史。克服这些问题或限制其影响的良好做法的组成部分是：具有足够时间和资源的组织灵活性、良好的口译服务、与家庭和社会服务合作、工作人员的文化意识、针对移徙者的教育方案和宣传材料、与工作人员的积极和稳定的关系，以及关于不同移徙群体护理权利的明确指导方针。这三类服务的问题和良好护理部分相似。不同服务部门的卫生保健专业人员在向移民提供护理时遇到类似的困难。对于什么是好的做法，他们也有相对一致的看法。这些组成部分已经成为常规做法的程度各有不同。实施良好做法需要充足的资源和组织灵活性、积极的态度、对工作人员的培训和提供信息。
Health services across Europe provide health care for migrant patients every day. However, little systematic research has explored the views and experiences of health care professionals in different European countries. The aim of this study was to assess the difficulties professionals experience in their service when providing such care and what they consider constitutes good practice to overcome these problems or limit their negative impact on the quality of care. Structured interviews with open questions and case vignettes were conducted with health care professionals working in areas with high proportion of migrant populations in 16 countries. In each country, professionals in nine primary care practices, three accident and emergency hospital departments, and three community mental health services (total sample = 240) were interviewed about their views and experiences in providing care for migrant patients, i.e. from first generation immigrant populations. Answers were analysed using thematic content analysis. Eight types of problems and seven components of good practice were identified representing all statements in the interviews. The eight problems were: language barriers, difficulties in arranging care for migrants without health care coverage, social deprivation and traumatic experiences, lack of familiarity with the health care system, cultural differences, different understandings of illness and treatment, negative attitudes among staff and patients, and lack of access to medical history. The components of good practice to overcome these problems or limit their impact were: organisational flexibility with sufficient time and resources, good interpreting services, working with families and social services, cultural awareness of staff, educational programmes and information material for migrants, positive and stable relationships with staff, and clear guidelines on the care entitlements of different migrant groups. Problems and good care components were similar across the three types of services. Health care professionals in different services experience similar difficulties when providing care to migrants. They also have relatively consistent views on what constitutes good practice. The degree to which these components already are part of routine practice varies. Implementing good practice requires sufficient resources and organisational flexibility, positive attitudes, training for staff and the provision of information.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
5.4
作者：
Hernandez-Quevedo, Cristina;Jimenez-Rubio, Dolores
通讯作者：
Jimenez-Rubio, Dolores
影响因子：
2.8
作者：
Hargreaves S;Friedland JS;Gothard P;Saxena S;Millington H;Eliahoo J;Le Feuvre P;Holmes A
通讯作者：
Holmes A
影响因子：
2.9
作者：
Bhatia, Ravi;Wallace, Paul
通讯作者：
Wallace, Paul
DOI：
10.1023/b:joih.0000014639.49245.cc
发表时间：
2004-01-01
期刊：
Journal of immigrant health
影响因子：
--
作者：
Leduc, Nicole;Proulx, Michelle
通讯作者：
Proulx, Michelle