荷兰无证移民女性的医疗保健利用情况和获取医疗保健方面的问题。
Health care utilisation and problems in accessing health care of female undocumented immigrants in the Netherlands.
机构信息
Department Primary Care and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
出版信息
Int J Public Health. 2010 Oct;55(5):421-8. doi: 10.1007/s00038-010-0151-6. Epub 2010 May 26.
OBJECTIVE
To obtain information about the actual use of health care facilities by undocumented women and to identify obstacles they experience in accessing health care facilities.
METHODS
A mixed methods study, with structured questionnaires and semi-structured interviews, was chosen to obtain a complete understanding. One-hundred undocumented women were recruited. Diversity was sought according to age, origin and reason for being undocumented.
RESULTS
Undocumented female immigrants have unmet health care needs (56%) and low health care utilisation. Sixty-nine per cent of the women reported obstacles in accessing health care facilities. These included many personal obstacles such as shame, fear and/or lack of information. Poor language proficiency (OR 0.28;. CI 0.09-0.90) reduces utilisation of primary health care services.
CONCLUSION
Health care utilisation of undocumented women is low. Undocumented women refrain from seeking health care because of personal obstacles. These women need to be identified and informed about their rights, the health care system and the duty of professional confidentiality of doctors. Finally, institutional obstacles to access care should be removed since they strengthen reluctance to seek help.
目的
了解无证妇女实际使用医疗设施的情况，并确定她们在获得医疗设施方面遇到的障碍。
方法
选择混合方法研究，采用结构化问卷和半结构化访谈，以全面了解情况。招募了 100 名无证妇女。根据年龄、原籍国和无证原因，寻求多样性。
结果
无证女性移民存在未满足的医疗保健需求（56%）和低医疗保健利用率。69%的妇女报告在获得医疗保健设施方面存在障碍。这些障碍包括许多个人障碍，如羞耻、恐惧和/或缺乏信息。语言能力差（OR 0.28；0.09-0.90）降低了初级保健服务的利用率。
结论
无证妇女的医疗保健利用率较低。无证妇女因个人障碍而避免寻求医疗保健。这些妇女需要被识别，并了解他们的权利、医疗保健系统和医生的专业保密义务。最后，应该消除获得护理的制度障碍，因为这些障碍会加强他们不愿寻求帮助。
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