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重新安置难民实现健康权过程中的跨部门方法与综合服务:一项范围审查方案

Intersectoral approaches and integrated services in achieving the right to health for refugees upon resettlement: a scoping review protocol.

作者信息

Javadi Dena, Langlois Etienne V, Ho Shirley, Friberg Peter, Tomson Göran

机构信息

Alliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland.

Swedish Institute for Global Health Transformation (SIGHT), Royal Swedish Academy of Sciences, Geneva, Switzerland.

出版信息

BMJ Open. 2017 Aug 30;7(8):e016638. doi: 10.1136/bmjopen-2017-016638.

Abstract

INTRODUCTION

Global insecurity and climate change are exacerbating the need for improved management of refugee resettlement services. International standards hold states responsible for the protection of the right of non-citizens to an adequate standard of physical and mental health while recognising the importance of social determinants of health. However, programmes to protect refugees' right to health often lack coordination and monitoring. This paper describes the protocol for a scoping review to explore barriers and facilitators to the integration of health services for refugees; the content, process and actors involved in protecting refugee health; and the extent to which intersectoral approaches are leveraged to protect refugees' right to health on resettlement, especially for vulnerable groups such as women and children.

METHODS AND ANALYSIS

Peer-reviewed (through four databases including MEDLINE, Web of Science, Global Health and PsycINFO) and grey literature were searched to identify programmes and interventions designed to promote refugee health in receiving countries. Two reviewers will screen articles and abstract data. Two frameworks for integration and intersectoral action will be applied to understand how and why certain approaches work while others do not and to identify the actors involved in achieving success at different levels of integration as defined by these frameworks.

ETHICS AND DISSEMINATION

Findings from the scoping review will be shared in relevant conferences and meetings. A brief will be created with lessons learnt from successful programmes to inform decision making in design of refugee programmes and services. Ethical approval is not required as human subjects are not involved.

TRIAL REGISTRATION NUMBER

Registered on Open Science Framework at https://osf.io/gt9ck/.

摘要

引言

全球不安全因素和气候变化加剧了改善难民重新安置服务管理的需求。国际标准要求各国负责保护非公民享有适足身心健康标准的权利,同时认识到健康的社会决定因素的重要性。然而,保护难民健康权的方案往往缺乏协调和监测。本文描述了一项范围审查的方案,以探讨为难民整合卫生服务的障碍和促进因素;保护难民健康所涉及的内容、过程和行为主体;以及在重新安置过程中,特别是针对妇女和儿童等弱势群体,利用部门间方法保护难民健康权的程度。

方法与分析

通过四个数据库(包括MEDLINE、科学网、全球健康和PsycINFO)进行同行评审,并搜索灰色文献,以确定旨在促进接收国难民健康的方案和干预措施。两名评审员将筛选文章和摘要数据。将应用两个整合和部门间行动框架,以了解某些方法为何有效而其他方法无效,并确定在这些框架所定义的不同整合层面上取得成功所涉及的行为主体。

伦理与传播

范围审查的结果将在相关会议上分享。将编写一份简报,总结成功方案的经验教训,为设计难民方案和服务提供决策参考。由于不涉及人类受试者,因此无需伦理批准。

试验注册号

在开放科学框架(https://osf.io/gt9ck/)上注册。

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Migration and health in an increasingly diverse Europe.日益多元化的欧洲中的移民与健康。
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