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移民与生育:德国、加拿大和英国三国初步研究中关于背景、卫生政策以及经历和结果的研究证据的见解

Migration and maternity: insights of context, health policy, and research evidence on experiences and outcomes from a three country preliminary study across Germany, Canada, and the United kingdom.

作者信息

Higginbottom Gina, Reime Birgit, Bharj Kuldip, Chowbey Punita, Ertan Kubilay, Foster-Boucher Caroline, Friedrich Jule, Gerrish Kate, Kentenich Heribert, Mumtaz Zubia, O'Brien Beverley, Salway Sarah

机构信息

a Faculty of Nursing, University of Alberta , Edmonton , Alberta , Canada.

出版信息

Health Care Women Int. 2013;34(11):936-65. doi: 10.1080/07399332.2013.769999. Epub 2013 Apr 30.

Abstract

A group from Germany, Canada, and the United Kingdom undertook country-specific scoping reviews and stakeholder consultations before joining to holistically compare migration and maternity in all three countries. We examined four interlinking dimensions to understand how international migrant/minority maternal health might be improved upon using transnational research: (a) wider sociopolitical context, (b) health policy arena, (c) constellation, outcomes, and experiences of maternity services, and (d) existing research contexts. There was clear evidence that the constellation and delivery of services may undermine good experiences and outcomes. Interventions to improve access and quality of care remain small scale, short term, and lacking in rigorous evaluation.

摘要

来自德国、加拿大和英国的一个团队在联合起来全面比较这三个国家的移民与孕产情况之前,开展了针对各国的范围界定审查和利益相关者咨询。我们研究了四个相互关联的维度,以了解如何利用跨国研究改善国际移民/少数族裔孕产妇的健康状况:(a) 更广泛的社会政治背景,(b) 卫生政策领域,(c) 孕产服务的格局、结果和体验,以及 (d) 现有研究背景。有明确证据表明,服务的格局和提供方式可能会破坏良好的体验和结果。改善医疗服务可及性和质量的干预措施规模仍然较小、持续时间较短,且缺乏严格评估。

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