Academic Medical Centre, University of Amsterdam, Dept. of Social Medicine, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.
Public Health. 2013 Jul;127(7):668-73. doi: 10.1016/j.puhe.2013.04.004. Epub 2013 Jul 4.
Asylum seekers have been recognized as having unique and complex health needs which require attention upon arrival in the host country. Not much is known about what issues to address in first contacts with asylum seekers. The purpose of this study is to give insight in the specific issues that healthcare providers need to address in the first contacts with newly arrived asylum seekers.
A qualitative study using different types of data in 2007 and 2008.
Questionnaires (n = 89) were used as input for seven group interviews with Dutch care providers (n = 46) working with asylum seekers in the Netherlands, were qualitatively analysed, using a framework method.
Healthcare providers identified four issues they aimed to address in first contacts with asylum seekers: (1) assessing the current health condition; (2) health risk assessment; (3) providing information about the healthcare system of the host country; and (4) health education.
The first contacts between healthcare providers and asylum seekers serve different goals, especially assessing health problems and risks, and providing health information. These issues may, however, be addressed differently by different healthcare providers, across different host countries, dependent on the way healthcare and medical insurance for asylum seekers are organized.
寻求庇护者的健康需求独特且复杂，这一问题在他们抵达收容国后应得到重视。目前，人们对在与寻求庇护者的首次接触中应解决哪些问题知之甚少。本研究旨在深入了解医疗服务提供者在与新抵达的寻求庇护者首次接触时需要解决的具体问题。
这是一项于 2007 年至 2008 年期间采用不同类型数据开展的定性研究。
使用荷兰医疗服务提供者（在荷兰为寻求庇护者提供服务的 46 人）填写的 89 份问卷作为输入，对其进行了定性分析，使用框架方法。
医疗服务提供者确定了他们在与寻求庇护者的首次接触中旨在解决的四个问题：（1）评估当前健康状况；（2）健康风险评估；（3）提供收容国医疗保健系统的信息；（4）健康教育。
医疗服务提供者与寻求庇护者之间的首次接触有不同的目的，特别是评估健康问题和风险，并提供健康信息。然而，在不同的收容国，不同的医疗服务提供者可能会以不同的方式处理这些问题，这取决于为寻求庇护者组织医疗保健和医疗保险的方式。
