Liu Cha-Hsuan, Ingleby David, Meeuwesen Ludwien
Faculty of Social and Behavioural Sciences, Utrecht University, 3508 TC Utrecht, The Netherlands.
Int J Family Med. 2011;2011:635853. doi: 10.1155/2011/635853. Epub 2011 Jul 7.
This study examines utilisation of the Dutch health care system by Chinese people in the Netherlands as well as their attitudes to the system, paying special attention to mental health. Information was gathered by semistructured interviews (n = 102). The main issues investigated are access, help-seeking behaviour, and quality of care. Results showed that most respondents used Dutch health care as their primary method of managing health problems. Inadequate knowledge about the system and lack of Dutch language proficiency impede access to care, in particular registration with a General Practitioner (GP). Users complained that the care given differed from what they expected. Results also showed that the major problems are to be found in the group coming from the Chinese-speaking region. Western concepts of mental health appear to be widely accepted by Chinese in the Netherlands. However, almost half of our respondents believed that traditional Chinese medicine or other methods can also help with mental health problems. The provision of relevant information in Chinese appears to be important for improving access. Better interpretation and translation services, especially for first-generation migrants from the Chinese-speaking region, are also required.
本研究调查了荷兰的华人对荷兰医疗保健系统的利用情况以及他们对该系统的态度，特别关注心理健康。通过半结构化访谈（n = 102）收集信息。调查的主要问题包括就医机会、求助行为和医疗质量。结果显示，大多数受访者将荷兰医疗保健作为管理健康问题的主要方式。对该系统的了解不足以及荷兰语能力欠缺阻碍了他们获得医疗服务，尤其是向全科医生（GP）注册。使用者抱怨所提供的护理与他们的预期不同。结果还表明，主要问题出在来自华语地区的群体中。西方的心理健康观念在荷兰的华人中似乎被广泛接受。然而，几乎一半的受访者认为传统中医或其他方法也有助于解决心理健康问题。提供中文相关信息对于改善就医机会似乎很重要。还需要更好的口译和笔译服务，特别是为来自华语地区的第一代移民提供服务。
