Omeri Akram, Lennings Christopher, Raymond Lynnette
University of Western Sydney.
J Transcult Nurs. 2006 Jan;17(1):30-9. doi: 10.1177/1043659605281973.
Descriptions of the refugee experience, together with an analysis of access, use, and appropriateness of mental and physical health services as perceived by members of the Afghan immigrant or refugee community living in New South Wales (NSW), Australia, are reported in this article. Using focus groups and semistructured interviews in a variety of settings, the study included 13 key informants and 25 general informants, together with health care agencies providing services to the Afghans and organizations providing resources. Analysis of interviews with Afghan people revealed a number of themes. These include emotional responses to trauma, migration, and resettlement experiences; culture-specific health maintenance strategies; barriers impeding access to and appropriateness of Australian health care services; and informant-suggested strategies to enhance accessibility and the appropriateness of health care and community services. These findings are significant and have relevance for improving the quality of culture-specific health care for the Afghan community in NSW Australia.
本文报道了对难民经历的描述，以及对居住在澳大利亚新南威尔士州（NSW）的阿富汗移民或难民社区成员所感知的心理和身体健康服务的获取、使用及适用性的分析。该研究在多种环境中运用焦点小组和半结构化访谈，包括13名关键信息提供者和25名一般信息提供者，以及为阿富汗人提供服务的医疗保健机构和提供资源的组织。对与阿富汗人的访谈分析揭示了若干主题。这些主题包括对创伤、移民和重新安置经历的情绪反应；特定文化的健康维护策略；阻碍获取澳大利亚医疗保健服务及适用性的障碍；以及信息提供者提出的提高医疗保健和社区服务可及性及适用性的策略。这些发现意义重大，对于改善澳大利亚新南威尔士州阿富汗社区特定文化医疗保健的质量具有相关性。
