School of Irish, Celtic Studies, Irish Folklore and Linguistics, UCD, Belfield, Dublin 4, Ireland.
Health Place. 2011 Sep;17(5):1144-9. doi: 10.1016/j.healthplace.2011.05.002. Epub 2011 May 10.
Drawing on detailed interviews with 60 recent migrants to Ireland, we discuss the extent and nature of patient mobility. The paper is framed by the typology of patient mobility outlined by Glinos et al. (2010), which highlights patient motivation and funding. We pay particular attention to four key areas: availability of health care for migrants living in Ireland; affordability of care as a push factor for patient mobility; how migrants' perceptions of care affect their decision about where to avail of care; and the impact of familiarity on patient mobility. We provide empirical support for this typology. However, our research also highlights the fact that two factors - availability and familiarity - require further elaboration. Our research demonstrates the need for greater levels of awareness of culture specificity on the part of both migrants and healthcare providers. It also highlights the need to investigate the social and spatial activities of migrants seeking health care, both within and beyond national boundaries.
本文通过对 60 名最近移居爱尔兰的移民的详细访谈,讨论了患者流动性的程度和性质。本文的框架是由 Glinos 等人(2010 年)提出的患者流动性分类法,该分类法强调了患者的动机和资金。我们特别关注四个关键领域:居住在爱尔兰的移民可获得的医疗保健;作为患者流动性推动因素的医疗保健的可负担性;移民对医疗保健的看法如何影响他们决定在哪里获得医疗保健;以及熟悉程度对患者流动性的影响。我们为该分类法提供了实证支持。然而,我们的研究还强调了两个因素——可及性和熟悉程度——需要进一步阐述。我们的研究表明,移民和医疗服务提供者都需要提高对文化特异性的认识。它还强调了需要调查在国内外寻求医疗保健的移民的社会和空间活动。