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澳大利亚墨尔本患病的斯里兰卡泰米尔难民的求医经历

Health seeking narratives of unwell Sri Lankan Tamil refugees in Melbourne Australia.

作者信息

Samuel Sophia, Advocat Jenny, Russell Grant

机构信息

Monash University, School of Primary and Allied Health Care, Southern Academic Primary Care Research Unit, Building 1, 270 Ferntree Gully Road, Notting Hill, Vic. 3168, Australia.

Monash University, School of Primary and Allied Health Care, Department of General Practice, Building 1, 270 Ferntree Gully Road, Notting Hill, Vic 3168, Australia.

出版信息

Aust J Prim Health. 2018 Mar;24(1):90-97. doi: 10.1071/PY17033.

Abstract

Sri Lankan Tamil refugees are among the largest group of refugees to resettle in Australia in the last decade. The aim of this study is to characterise the narratives of health-seeking among unwell Sri Lankan Tamil refugees in Melbourne, Victoria, Australia. Drawing on a qualitative, phenomenological perspective, we conducted in-depth interviews in Tamil and English with 12 participants who identified as being unwell for 6 months or more. Findings revealed three narratives of health-seeking: the search for the 'good life' that was lost or never experienced, seeking help from familiar channels in an unfamiliar context, and the desire for financial and occupational independence. These three narratives are undergirded by the metanarrative of a hope-filled recovery. These narratives of Tamil refugees' lived experience provide new insights into clinical care and health service delivery.

摘要

斯里兰卡泰米尔难民是过去十年中在澳大利亚重新定居的最大难民群体之一。本研究的目的是描述澳大利亚维多利亚州墨尔本身体不适的斯里兰卡泰米尔难民寻求医疗服务的经历。基于定性的现象学视角,我们用泰米尔语和英语对12名自述身体不适6个月或更长时间的参与者进行了深入访谈。研究结果揭示了三种寻求医疗服务的经历:寻找失去的或从未体验过的“美好生活”,在陌生环境中向熟悉的渠道寻求帮助,以及对经济和职业独立的渴望。这三种经历都以充满希望康复的元叙事为基础。这些泰米尔难民的生活经历叙事为临床护理和医疗服务提供了新的见解。

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