Transnational lives and use of prescribed and traditional medicines

跨国生活以及处方药和传统药物的使用

• 批准号: 2874492
• 金额: --
• 依托单位: University of Warwick
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2874492
• 关键词: Transnational; lives; use; prescribed; traditional

The past few decades have seen a large growth in international migration due to economic migrants, refugees and asylum seekers. This demographic transition presents significant problems to healthcare systems around the world, as they have painstakingly struggled to understand the health practices, healthcare-seeking habits, and treatment preferences of transnational migrant communities. Solutions to these key issues are critical to addressing the health inequities that many migrant communities may experience in their new countries of destination. Globally, a growing body of literature now exists describing the health disparities that face migrant communities, particularly marginalized groups. Due to a lack of access to basic medical treatment, marginalized migrant populations have greater levels of poor health outcomes, including physical and mental health challenges. These populations are confronted by a range of hurdles in accessing healthcare, including language barriers and cultural differences that limit their ability to receive healthcare services. For example, language problems while communicating with healthcare providers, can result in misunderstandings and misdiagnoses. Cultural differences may impede access to healthcare, since some cultural beliefs may conflict with Western medical procedures and medicines. They may also result in receipt of inappropriate or substandard care from providers who lack cultural competency. Furthermore, legislative constraints, such as limited access to healthcare due to migration status, can prevent some migrants (e.g., asylum seekers, refugees) from receiving appropriate care. Such resultant health disparities have broader societal ramifications, including decreased productivity, increased morbidity and mortality rates and greater healthcare expenses. Addressing these concerns and improving healthcare access for marginalized transnational migrant communities is therefore critical. Another issue that warrants exploration is the existence and/or extent of transnational medical pluralism among migrant populations, and how access to formal health services (i.e., NHS) and other structural challenges (e.g., intersectional identities, racism, discrimination) potentially push migrants to resort to traditional medicines to cope with, and satisfy their health needs. Research (e.g., Krause, 2008) notes the existence of medical pluralism among migrants, and continued influence of transnational social networks of support for migrants in regards to coping with physical and mental wellbeing challenges. The use of various forms of healing, therefore, needs to be investigated holistically, taking into consideration cultural influences, nature and strength of support structures and networks between home country and the UK, and structural constraints.Understanding difficulties that migrants experience while seeking healthcare is essential in the UK, which has one of the largest migrant populations in the world. This study seeks to examine migrants' health needs, their experiences with the healthcare system, the organization and delivery of healthcare services, and the impact of structural environments in the NHS on the utilization of health care services by migrant populations. The study proposes to use a phenomenological approach to obtain in-depth perspectives of the experiences of transnational migrant communities and their experiences seeking healthcare in the UK. Use of these data collection strategies will allow participants to freely discuss their experiences and thoughts. This approach will enable the understanding of migrants' ideas and attitudes toward healthcare access and use, their illness experiences, and interactions with pharmaceuticals, healthcare systems and their use of traditional medicines.

在过去的几十年里，由于经济移民、难民和寻求庇护者，国际移民人数大幅增长。这种人口结构的转变给世界各地的医疗保健系统带来了重大问题，因为它们一直在努力了解跨国移民社区的健康做法、寻求医疗保健的习惯和治疗偏好。这些关键问题的解决对于解决许多移徙社区在其新的目的地国可能遇到的健康不平等问题至关重要。在全球范围内，现在有越来越多的文献描述移民社区，特别是边缘化群体面临的健康差距。由于缺乏获得基本医疗的机会，边缘化移徙人口的健康状况较差，包括身体和精神健康方面的挑战。这些人口在获得医疗保健方面面临一系列障碍，包括语言障碍和文化差异，这些障碍限制了他们获得医疗服务的能力。例如，在与医疗保健提供者沟通时出现语言问题，可能会导致误解和误诊。文化差异可能会阻碍人们获得医疗保健，因为一些文化信仰可能与西方的医疗程序和药物相冲突。它们还可能导致接受缺乏文化能力的提供者提供的不适当或不合格的护理。此外，法律限制，例如由于移民身份而限制获得医疗保健的机会，可能会阻止一些移民(例如寻求庇护者、难民)得到适当的护理。这种由此产生的健康差距具有更广泛的社会影响，包括生产力下降、发病率和死亡率增加以及医疗费用增加。因此，解决这些关切并改善被边缘化的跨国移民社区获得医疗保健的机会至关重要。另一个值得探讨的问题是，跨国医疗多元化在移徙人口中的存在和/或程度，以及获得正规保健服务(即国民保健制度)和其他结构性挑战(例如，跨部门身份、种族主义、歧视)如何潜在地促使移徙者求助于传统药物来应对和满足其保健需求。研究(例如，克劳斯，2008年)指出，移民中存在医疗多元化，在应对身心健康挑战方面，跨国社会支持移民网络的影响持续存在。因此，需要对各种形式的治疗的使用进行全面调查，考虑到文化影响、母国和英国之间支持结构和网络的性质和强度，以及结构性限制。在拥有世界上最大移民人口之一的英国，了解移民在寻求医疗保健时遇到的困难是至关重要的。这项研究旨在调查流动人口的健康需求、他们在医疗保健系统中的经历、医疗服务的组织和提供，以及NHS的结构环境对移民人口利用医疗服务的影响。这项研究建议使用现象学的方法来深入了解跨国移民社区的经历以及他们在英国寻求医疗保健的经历。使用这些数据收集策略将允许参与者自由讨论他们的经验和想法。这一方法将使人们能够了解移民对获得和使用医疗保健的想法和态度、他们的疾病经历以及与药品、医疗保健系统和他们使用传统药物的互动。