Cross-border strategies for access to healthcare in violent conflict - A scoping review.

Cross-border strategies for access to healthcare in violent conflict - A scoping review.
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在暴力冲突中获得医疗保健的跨境策略 - 范围审查。

DOI:
10.1016/j.jmh.2022.100093
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发表时间:
2022
影响因子:
4.6
通讯作者:
Patel P
Patel P
中科院分区:
其他
文献类型:
--
作者:
Baatz RK;Ekzayez A;Meagher K;Bowsher G;Patel P

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在暴力冲突时期,医疗保健系统的地理重新配置越来越多地在学术文献中得到认可。这包括冲突引起的跨界医疗旅行。然而,人们对这里所说的跨界人口寻求保健的行为的概念仍然知之甚少。这一范围界定审查确定了关于跨界人口的学术文献,以绘制目前处理跨界人口的方法,并提出研究议程。该研究采用了Joanna Briggs研究所范围界定审查方法。我们纳入了1980年至2019年期间冲突的文章。共有53篇文章符合纳入标准。从这些文章中,我们区分了四种类型的跨境医疗研究:直接分析,隐式分析,临床研究和识别。然后,对属于前三类的45篇文章进行了检索,以确定与跨境人群医疗保健特别相关的主题,并与过境时间和可用医疗保健类型等子主题相关联。这些主题分为三个主要领域:获得护理;护理质量;护理管理。然后,我们的分析描述了现有的知识,记录的做法,特别是在冲突环境中的跨境医疗的挑战。需要更好地了解跨境医疗保健系统,以便为当地做法提供信息,并制定相关的区域和国际政策。虽然审查的文献提供了一些关于跨境医疗保健的各种做法的亮点,但在这一主题的现有知识方面存在许多差距。为了解决这些差距,我们的研究提出了一个研究框架,概述了主要的研究和业务差距仍然存在的路标调查的关键主题和研究问题。这有利于在武装冲突的背景下,跨境治疗地理的良好导向的未来工作,并进一步了解迄今为止在很大程度上被忽视的国际医疗保健系统的领域。
The geographical reconfiguration of healthcare systems in times of violent conflict is increasingly being recognised in academic literature. This includes conflict-induced, cross-border travel for medical treatment. Yet the conceptual approach to this healthcare-seeking behaviour, by a population here referred to as cross-border population, remains poorly understood. This scoping review identifies academic literature on cross-border populations to map the current approach to cross-border populations and to propose a research agenda. The study used a scoping review following the Joanna Briggs Institute Scoping Review methodology. We included articles on conflicts between 1980 and 2019. A total of 53 articles met the inclusion criteria. From these articles, we distinguished four types of studies on cross-border healthcare: Direct analysis, implicit analysis, clinical research, and identification. The 45 articles belonging to the first three categories were then searched for themes specifically relevant to healthcare for cross-border populations and linked with sub-themes such as border crossing time and the types of healthcare available. These themes were structured into three main areas: access to care; quality of care; and governance of care. Our analysis then describes the available knowledge, documented practices, and challenges of cross-border healthcare specifically in conflict settings. A better understanding of cross-border healthcare systems is required to inform local practices and develop related regional and international policies. While the reviewed literature provides some highlights on various practices of cross-border healthcare, there are many gaps in available knowledge of this topic. To address these gaps, our study proposes a research framework outlining key themes and research questions to be investigated by signposting where major research and operational gaps remain. This facilitates well-directed future work on cross-border therapeutic geographies in the context of armed conflict and furthers understanding of a hitherto largely ignored area of the international healthcare system.
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