Dementia in People with a Turkish Migration Background: Experiences and Utilization of Healthcare Services.
Dementia in People with a Turkish Migration Background: Experiences and Utilization of Healthcare Services.
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DOI：
10.3233/jad-200184
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Thyrian JR
中科院分区：
文献类型：
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作者：
Monsees J;Schmachtenberg T;Hoffmann W;Kind A;Gilmore-Bykovskyi A;Kim AJ;Thyrian JR
随着有移民背景的老年人比例的增加，老年痴呆症患者的比例也可能增加。痴呆症在这一群体中诊断不足，很大一部分患有痴呆症的PwM和家庭照顾者没有得到适当的支持。老年移民人口的医疗保健利用率较低。因此，需要更好地了解PwM和家庭护理人员如何看待他们的情况以及他们如何体验医疗服务，以提高医疗保健系统的利用率。分析患有痴呆症的PwM的家庭照顾者如何经历他们的情况，为什么医疗保健服务的使用频率较低，以及可以做些什么来扭转这种情况。八个半结构化的采访进行了土耳其移民背景的人照顾PwM痴呆症。定性内容分析用于数据分析。日常护理由一名家庭成员在其他人的支持下进行。大多数参与者使用了医疗保健服务。与会者指出，需要更好地获得相关信息，并将土耳其文化纳入医疗保健服务。PwM在照顾痴呆症患者方面面临着与没有移民背景的人类似的挑战。人们愿意使用服务，而融入土耳其文化的服务将有助于减少犹豫，使受影响者感到更舒适，从而提高利用率和满意度。这项研究的局限性是，参与者已经与医疗服务有联系，这可能无法反映土耳其社区中不参与医疗保健的人的求助行为。
As the proportion of older people with migration background (PwM) increases, the proportion of older PwM with dementia might also increase. Dementia is underdiagnosed in this group and a large proportion of PwM with dementia and family caregivers are not properly supported. Healthcare utilization is lower among older migrant populations. Thus, a better understanding of how PwM and family caregivers perceive their situation and how they experience healthcare services is needed to improve utilization of the healthcare system. Analyze how family caregivers of PwM with dementia experience their situation, why healthcare services are utilized less often, and what can be done to reverse this. Eight semi-structured interviews were conducted with people with Turkish migration background caring for PwM with dementia. Qualitative content analysis was used for data analysis. Daily care was performed by one family member with the support of others. Healthcare services were used by most participants. Participants identified a need for better access to relevant information and incorporation of Turkish culture into healthcare services. PwM face similar challenges in taking care of persons with dementia as those without migration background. There is a willingness to use services, and services embracing Turkish culture would help to reduce hesitance and make affected people feel more comfortable, thereby increasing utilization and satisfaction. A limitation of this study is that participants were already connected to health services, which may not reflect the help-seeking behavior of those in the Turkish community who are not involved in healthcare.