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探索医疗服务利用不足问题:新移民女性健康诊所的过程评估

Exploring Health Service Underutilization: A Process Evaluation of the Newcomer Women's Health Clinic.

作者信息

Chan Madeline, Johnston Caitlin, Bever Andrea

机构信息

BC Women's Hospital and Health Centre, Ambulatory Programs, F2-4500 Oak Street, B223A, Vancouver, BC, V6H 3N1, Canada.

出版信息

J Immigr Minor Health. 2018 Aug;20(4):920-925. doi: 10.1007/s10903-017-0616-2.

DOI:10.1007/s10903-017-0616-2
PMID:28660392
Abstract

The BC Women's Hospital and Health Centre's Newcomer Women's Health Clinic (NWHC) opened in 2014 to fill a gap in services for newcomer women to Canada residing in Metro Vancouver. After 1 year the NWHC was operating at only 50% capacity. An evaluation was conducted to better understand the underutilization of clinic services. Evaluation data was collected via patient intake forms, patient feedback surveys, and one-to-one interviews with both newcomer women and service providers who work with newcomer women. Results highlight the heterogeneity in newcomer women's experiences including different perceptions of health, health needs, and health-seeking behaviours. Despite the population's diversity, some common experiences exist, including difficulties navigating and accessing a new health system and lack of awareness of the NWHC. Findings provide insight for improving the delivery of NWHC services, and contribute to a rich and ongoing dialogue concerning the diversity of experiences of newcomer women in Canada.

摘要

卑诗省妇女医院及健康中心的新移民妇女健康诊所(NWHC)于2014年开业,以填补居住在大温哥华地区的加拿大新移民妇女服务的空白。一年后,NWHC的运营能力仅为50%。进行了一项评估,以更好地了解诊所服务利用不足的情况。评估数据通过患者入院表格、患者反馈调查以及与新移民妇女和与新移民妇女合作的服务提供者进行的一对一访谈收集。结果突出了新移民妇女经历的异质性,包括对健康、健康需求和寻求健康行为的不同看法。尽管人群具有多样性,但仍存在一些共同经历,包括在新的医疗系统中导航和获取服务困难以及对NWHC缺乏了解。研究结果为改善NWHC服务的提供提供了见解,并有助于就加拿大新移民妇女经历的多样性进行丰富且持续的对话。

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What is the scope of improving immigrant and ethnic minority healthcare using community navigators: A systematic scoping review.使用社区导航员改善移民和少数族裔医疗保健的范围是什么:一项系统性综述。
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