Patterns of health services utilization by recent immigrants.

Patterns of health services utilization by recent immigrants.
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DOI:
10.1023/b:joih.0000014639.49245.cc
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发表时间:
2004-01-01
期刊:
Journal of immigrant health
影响因子:
--
通讯作者:
Proulx, Michelle
Proulx, Michelle
中科院分区:
其他
文献类型:
--
作者:
Leduc, Nicole;Proulx, Michelle

文献摘要

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这项研究是为了分析年轻的,最近移民,家庭利用卫生服务的方式如何随着时间的推移而演变。20个家庭参与了这项研究。他们都包括至少一名学龄前儿童,移民不到8年,自抵达以来一直使用初级卫生保健服务。一个三阶段的利用模式进行了观察,包括与一个或多个保健服务,选择具体的服务,从现有的,并巩固的选择。家庭在每个阶段都依赖各种信息来源。家庭评估、选择和采用卫生服务的主要属性是地理和时间可及性、服务的人际和技术质量以及卫生专业人员和工作人员所说的语言。家庭的社会文化背景和移民前的经历影响了对卫生服务属性的认识。结果表明,利用初级卫生保健服务逐步变化,随着时间的推移,从临时使用步入式服务,通过定期的护理来源。
This study was undertaken to analyze how the way young, recently immigrated, families utilize health services evolves over time. Twenty families participated in the study. They all included at least one child of preschool age, had immigrated less than 8 years previously, and had used primary healthcare services since their arrival. A triphasic pattern of utilization was observed, consisting of contact with one or more health services, selection of specific services from those available, and consolidation of choices. Families relied upon a variety of information sources in each of these phases. The primary attributes upon which the families based their evaluation, selection, and adoption of health services were geographical and temporal accessibility, interpersonal and technical quality of services, and language spoken by health professionals and staff. Perception of health services' attributes is influenced by the families' sociocultural referents and preemigration experience. Results indicate that utilization of primary healthcare services progressively changes over time, evolving from the ad hoc use of walk-in services to the adoption of regular sources of care.