Access to and utilisation of GP services among Burmese migrants in London: a cross-sectional descriptive study
Access to and utilisation of GP services among Burmese migrants in London: a cross-sectional descriptive study
复制标题
DOI：
10.1186/1472-6963-10-285
复制
发表时间：
2010-10-12
影响因子：
2.8
通讯作者：
Odermatt, Peter
中科院分区：
文献类型：
--
作者：
Aung, Nyein Chan;Rechel, Bernd;Odermatt, Peter
背景：据估计，目前有1万名缅甸移民居住在伦敦。没有对她们获得保健服务的情况进行研究。此外，大部分关于联合王国移民的研究都是从提供服务的角度进行的，存在选择偏差的风险。我们的横断面研究探讨了缅甸移民居住在伦敦的访问和利用全科医学（GP）服务的方法：我们采用了混合方法的方法：定量调查，使用自填问卷的补充定性深入访谈开发的问卷和三角调查的结果。共收到137份问卷（回复率为57%），并进行了11次深入访谈。该研究的主要结果变量包括全科医生注册，注册障碍，全科医生咨询，咨询障碍，以及对医疗保健权利的了解。定量数据进行了分析，使用描述性统计，相关性检验和多变量分析，使用逻辑回归。定性的信息进行了分析，使用内容analysis.Results：受访者是年轻的，大致相同的性别（51.5%的女性），受过良好的教育，并有一个公平的知识水平在英国的卫生服务。虽然全科医生登记率相对较高（80%，136人中有109人），但在最后一次发病期间，全科医生服务的利用率为56.8%（95人中有54人），这一比例很低。统计分析表明，年龄小于35岁、缺乏海外经验、移民身份不稳定、停留时间较短以及自行服药是阻碍缅甸移民获得初级卫生保健服务的主要障碍。这些研究结果得到了证实，在深入的interviews.Conclusions：我们的研究发现，有正式获得初级卫生保健是不够的，以确保全科医生注册和医疗保健利用。一些受访者在注册全科医生时遇到困难。许多已经登记的人宁愿放弃全科医生服务，而选择自我治疗，部分原因是等待时间长和语言障碍。为确保移徙者享有他们所需和有权享有的保健服务，需要采取更加积极主动的步骤，包括使保健服务符合文化要求的步骤。
Background: An estimated 10,000 Burmese migrants are currently living in London. No studies have been conducted on their access to health services. Furthermore, most studies on migrants in the United Kingdom (UK) have been conducted at the point of service provision, carrying the risk of selection bias. Our cross-sectional study explored access to and utilisation of General Practice (GP) services by Burmese migrants residing in London.Methods: We used a mixed-method approach: a quantitative survey using self-administered questionnaires was complemented by qualitative in-depth interviews for developing the questionnaire and triangulating the findings of the survey. Overall, 137 questionnaires were received (a response rate of 57%) and 11 in-depth interviews conducted. The main outcome variables of the study included GP registration, barriers towards registration, GP consultations, barriers towards consultations, and knowledge on entitlements to health care. Quantitative data were analysed using descriptive statistics, association tests, and a multivariate analysis using logistic regression. The qualitative information was analysed using content analysis.Results: The respondents were young, of roughly equal gender (51.5% female), well educated, and had a fair level of knowledge on health services in the UK. Although the GP registration rate was relatively high (80%, 109 out of 136), GP service utilisation during the last episode of illness, at 56.8% (54 out of 95), was low. The statistical analysis showed that age being younger than 35 years, lacking prior overseas experience, having an unstable immigration status, having a shorter duration of stay, and resorting to self-medication were the main barriers hindering Burmese migrants from accessing primary health care services. These findings were corroborated by the in-depth interviews.Conclusions: Our study found that having formal access to primary health care was not sufficient to ensure GP registration and health care utilisation. Some respondents faced difficulties in registering with GP practices. Many of those who have registered prefer to forego GP services in favour of self-medication, partly due to long waiting times and language barriers. To ensure that migrants enjoy the health services they need and to which they are entitled, more proactive steps are required, including those that make health services culturally responsive.