Access and utilization of healthcare services in Massachusetts, United States: a qualitative study of the perspectives and experiences of Brazilian-born immigrant women.
Access and utilization of healthcare services in Massachusetts, United States: a qualitative study of the perspectives and experiences of Brazilian-born immigrant women.
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DOI：
10.1186/s12913-016-1723-9
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发表时间：
2016-09-02
影响因子：
2.8
通讯作者：
Arruda CA
中科院分区：
文献类型：
--
作者：
Lindsay AC;de Oliveira MG;Wallington SF;Greaney ML;Machado MM;Freitag Pagliuca LM;Arruda CA
了解移民与美国医疗保健系统的互动可能会满足他们的医疗保健需求并提高他们在美国的生活质量。虽然已经确定了在美国获得和利用医疗保健的挑战，但几乎没有关于巴西出生的移民经历的具体信息。巴西人是美国快速增长的移民群体。本研究的目的是探讨巴西移民妇女的观点和经验，在美国的医疗保健服务，以获得深入了解的因素，适合干预措施，可能会导致在获得和利用服务的差距。2015年4月至5月，对居住在美国马萨诸塞州的巴西出生的移民妇女进行了有目的的抽样调查。35名女性参与了这项研究。虽然参与者对美国医疗保健系统表示总体满意，但他们注意到护理的几个障碍，包括提供护理的社会文化差异和沟通障碍，包括口译服务质量不一致。这项研究提供了巴西移民妇女在美国获得和利用医疗保健服务的经验和面临的挑战的新信息，并指出了改善服务和移民人口的整体健康的机会。解决社会文化差异和沟通障碍，包括医院口译服务质量不一致，可能会提高巴西出生的移民与医疗保健系统的经验。
Understanding immigrants’ interactions with the United States (US) healthcare system will likely make it possible to meet their healthcare needs and improve their quality of life in the US. Although challenges to accessing and utilizing healthcare in the US have been identified, there is little information specific to Brazilian-born immigrants’ experiences. Brazilians comprise a fast-growing immigrant population group in the US. The purpose of this study was to explore Brazilian immigrant women’s perspectives and experiences with healthcare services in the US to gain insights into factors amenable to interventions that may contribute to disparities in access to and utilization of services. Five focus groups were conducted from April to May in 2015 using a purposeful sampling of Brazilian-born immigrant women living in Massachusetts, US. Thirty-five women participated in this study. Although participants expressed their overall satisfaction with the US healthcare system, they noted several barriers to care, including sociocultural differences in delivery of care and communication barriers, including inconsistent quality of interpreting services. This study provides new information on the experiences and challenges faced by Brazilian immigrant women in accessing and utilizing healthcare services in the US and points out opportunities for improving services and the overall health of this immigrant population. Addressing noted sociocultural differences and communication barriers including inconsistent quality of hospital’s interpreting services might enhance Brazilian-born immigrants’ experiences with the healthcare system.
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