Exploring The Migration Profiles of Primary Healthcare Users in South Africa.

Exploring The Migration Profiles of Primary Healthcare Users in South Africa.
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探索南非主要医疗保健使用者的迁移概况。

DOI:
10.1007/s10903-016-0535-7
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发表时间:
2018-03
影响因子:
1.9
通讯作者:
Hanefeld J
Hanefeld J
中科院分区:
医学4区
文献类型:
--
作者:
Vearey J;de Gruchy T;Kamndaya M;Walls HL;Chetty-Makkan CM;Hanefeld J

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南非的公共卫生系统很少涉及移民问题。我们的探索性研究调查了初级医疗保健(PHC)用户的迁移概况和经验。涉及非概率抽样的横断面调查进行了229名PHC用户在六个有目的地选择的PHC诊所在三个区的SA。调查收集了社会人口信息、移徙历史和初级保健经历。卡方检验和Fischer精确检验用于比较分类变量,而Mann-Whitney U检验用于比较组间的连续变量。大多数初级保健使用者是移民(22%来自南非境内; 45%来自跨境),他们通常是出于寻求医疗保健以外的原因而流动。在特定诊所获得服务的时间长度被证明是描述使用PHC经验的关键。了解人口流动是加强南澳大利亚州初级保健的核心,需要更好地了解流动动态,不仅是国籍,而且是内部流动和停留时间。
South Africa’s public healthcare system responses seldom engage with migration. Our exploratory study investigates migration profiles and experiences of primary healthcare (PHC) users. A cross-sectional survey involving non-probability sampling was conducted with 229 PHC users at six purposively selected PHC clinics in three districts of SA. The survey captured socio-demographic information, migration histories, and PHC experiences. Chi square and Fischer’s exact tests were used to compare categorical variables, whilst Mann–Whitney U tests compared continuous variables between groups. Most PHC users were migrants (22% internal South African; 45% cross-border) who generally move for reasons other than healthcare seeking. Length of time accessing services at a specific clinic was shown to be key in describing experiences of PHC use. Understanding population movement is central to PHC strengthening in SA and requires improved understanding of mobility dynamics in regard to not just nationality, but also internal mobility and length of stay.
DOI: 10.1016/j.socscimed.2014.05.016
发表时间: 2015-01-01
影响因子: 5.4
作者:
Hanefeld, J.;Lunt, N.;Horsfall, D.
通讯作者: Horsfall, D.
DOI: 10.1007/s10903-012-9758-4
发表时间: 2014-02
影响因子: 1.9
作者:
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通讯作者: Luchters, Stanley
DOI: 10.1016/j.socscimed.2014.06.025
发表时间: 2015-01-01
影响因子: 5.4
作者:
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通讯作者: Chikanda, Abel
DOI: 10.1111/imre.12076
发表时间: 2014-03-01
影响因子: 3.8
作者:
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通讯作者: Vearey, Jo
DOI: 10.7196/samj.8569
发表时间: 2014-10-01
期刊: SAMJ: South African Medical Journal
影响因子: --
作者:
Vearey, J
通讯作者: Vearey, J