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[美国墨西哥移民寻求医疗保健的策略]

[Strategies by Mexican migrants in the USA to seek health care].

作者信息

Nigenda Gustavo, Ruiz-Larios José Arturo, Bejarano-Arias Rosa María, Alcalde-Rabanal Jacqueline Elizabeth, Bonilla-Fernández Pastor

机构信息

Centro de Investigaciones en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

出版信息

Salud Publica Mex. 2009 Sep-Oct;51(5):407-16. doi: 10.1590/s0036-36342009000500008.

Abstract

OBJECTIVE

To identify the strategies used by Mexican migrants to access health services in the U.S. and Mexico.

MATERIALS AND METHODS

Ethnographic study in five Mexican states, selected by their migration dynamics. A series of focus groups and in-depth interviews were conducted with health services users and providers.

RESULTS

Six strategies were identified and are used according to the severity of the disease: a) self-medication, b) telephone consultation with relatives, c) utilization of private services, d) travel to border towns, e) return to place of birth, f) getting medical care during their visits to places of origin.

DISCUSSION

The health care options used by Mexican migrants and their families are defined according to events related to the migration process. The implementation of public policies to protect the health of migrants on both sides of the border is critical.

摘要

目的

确定墨西哥移民在美国和墨西哥获取医疗服务所采用的策略。

材料与方法

根据移民动态在墨西哥五个州开展人种学研究。对医疗服务使用者和提供者进行了一系列焦点小组讨论和深入访谈。

结果

确定了六种策略,并根据疾病严重程度使用:a)自我药疗,b)与亲属电话咨询,c)利用私人服务,d)前往边境城镇,e)返回出生地,f)在回原籍地探亲期间获得医疗护理。

讨论

墨西哥移民及其家庭使用的医疗保健选择是根据与移民过程相关的事件来确定的。实施公共政策以保护边境两侧移民的健康至关重要。

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