Carrasco-Sanz A, Leiva-Gea I, Martin-Alvarez L, Del Torso S, van Esso D, Hadjipanayis A, Kadir A, Ruiz-Canela J, Perez-Gonzalez O, Grossman Z
Primary Care Health Centre "Potosi", Madrid Health Service, Madrid, Spain.
Regional University Hospital, Andalusian Health Service, Malaga, Spain.
Child Care Health Dev. 2018 Mar;44(2):183-187. doi: 10.1111/cch.12538. Epub 2017 Nov 21.
Primary care paediatricians' perception of migrant children's health in Europe has not been explored before. Our aim was to examine European paediatricians' knowledge on migrant children's health problems, needs, inequalities, and barriers to access health care.
European primary care paediatricians were invited by the European Academy of Paediatrics Research in Ambulatory Setting Network country coordinators to complete a web-based survey concerning health care of migrant children. A descriptive analysis of all variables was performed.
The survey was completed by 492 paediatricians. Sixty-three per cent of the respondents reported that the general health of migrant children is worse than that of nonmigrants, chronic diseases cited by 66% of the respondents as the most frequent health problem. Sixty-six per cent of the paediatricians reported that migrant children have different health needs compared to nonmigrant children, proper oral health care mentioned by 86% of the respondents. Cultural/linguistic factors have been reported as the most frequent barrier (90%).to access health care. However, only 37% of providers have access to professional interpreters and cultural mediators. Fifty-two per cent and 32% do not know whether one or more of the family members are undocumented and whether they are refugees/asylum seekers, respectively. Updated guidelines for care of migrant children are available for only 35% of respondents, and 80% of them have not received specific training on migrant children's care.
European primary care paediatricians recognize migrant children as a population at risk with more frequent and specific health problems and needs, but they are often unaware of their legal state. Lack of interpreters augments the existing language barriers to access proper care and should be solved. Widespread lack of guidelines and specific providers' training should be addressed to optimize health care delivery to migrant children.
此前尚未探讨过欧洲初级保健儿科医生对移民儿童健康状况的看法。我们的目的是调查欧洲儿科医生对移民儿童健康问题、需求、不平等状况以及获得医疗保健的障碍的了解情况。
欧洲儿科研究在门诊环境网络国家协调员邀请欧洲初级保健儿科医生完成一项关于移民儿童医疗保健的网络调查。对所有变量进行了描述性分析。
492名儿科医生完成了调查。63%的受访者表示，移民儿童的总体健康状况比非移民儿童差，66%的受访者将慢性病列为最常见的健康问题。66%的儿科医生报告称，与非移民儿童相比，移民儿童有不同的健康需求，86%的受访者提到了适当的口腔保健。文化/语言因素被报告为获得医疗保健最常见的障碍（90%）。然而，只有37%的医疗服务提供者能够获得专业口译员和文化调解人。分别有52%和32%的人不知道家庭成员中是否有一人或多人没有合法身份，以及他们是否为难民/寻求庇护者。只有35%的受访者可以获得最新的移民儿童护理指南，其中80%的人没有接受过关于移民儿童护理的专门培训。
欧洲初级保健儿科医生认识到移民儿童是一个面临更多常见和特殊健康问题及需求的高危人群，但他们往往不了解其法律身份。口译员的缺乏加剧了获得适当护理的现有语言障碍，应予以解决。应解决普遍缺乏指南和专门的医疗服务提供者培训的问题，以优化为移民儿童提供的医疗保健服务。
