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法国北非老年移民的医疗服务可及性:社会文化因素的影响(MARC 调查)

Access to Care in France for Elderly Immigrants from North Africa: Influence of Socio-cultural Factors (the MATC Survey).

作者信息

Duguet A M, Masmoudi T, Duchier J, Rwabihama J P, Maatoug S

出版信息

Eur J Health Law. 2016 Dec;23(5):470-80. doi: 10.1163/15718093-12341431.

DOI:10.1163/15718093-12341431
PMID:29210247
Abstract

France is faced with an ageing migrant population, and in the institutions for elderly, migrants represent only 4% and very few come from the Maghreb. Is it the result of a kind of discrimination or of other factors such as culture and traditions? In France migrants have access to aid and prevention of dependency plans. The reluctance to enter into institutions is maintained by the fear of cultural abuse and/or language barriers, and difficulties in financial and administrative matters. From the interviews of the MATC survey, we have pointed out the importance of culture and the tradition of filial piety. Nevertheless, solidarity in the family is decreasing but remains the basis of the care support to the elderly. The will to keep them in the family may limit both the diagnosis and the access to specific care. This attitude contributes to a kind of self-discrimination.

摘要

法国面临着移民人口老龄化的问题,在养老院中,移民仅占4%,且很少有人来自马格里布地区。这是一种歧视的结果,还是文化和传统等其他因素导致的呢?在法国,移民可以获得援助和预防失能计划。由于担心文化虐待和/或语言障碍,以及在财务和行政事务方面的困难,他们不愿进入养老院。通过对MARC调查的访谈,我们指出了文化和孝道传统的重要性。尽管如此,家庭中的团结正在减少,但仍然是照顾老年人的支持基础。将老年人留在家庭中的意愿可能会限制诊断和获得特定护理的机会。这种态度导致了一种自我歧视。

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