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一个具有挑战性的难题:医疗保健提供者对在墨西哥科苏梅尔岛照顾生病和受伤游客的看法。

A challenging entanglement: health care providers' perspectives on caring for ill and injured tourists on Cozumel Island, Mexico.

作者信息

Hoffman Leon, Crooks Valorie A, Snyder Jeremy

机构信息

a Department of Geography , Simon Fraser University , Burnaby , Canada.

b Faculty of Health Sciences , Simon Fraser University , Burnaby , Canada.

出版信息

Int J Qual Stud Health Well-being. 2018 Dec;13(1):1479583. doi: 10.1080/17482631.2018.1479583.

DOI:10.1080/17482631.2018.1479583
PMID:29869593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5990945/
Abstract

PURPOSE

Despite established knowledge that tourists often fall ill or are injured abroad, little is known about their treatment. The intent of this study was to explore health care professionals' treatment provision experiences on Cozumel Island, Mexico.

METHODS

13 semi-structured interviews were undertaken with professionals across a number of health care vocations on Cozumel Island. Interviews were transcribed and thematically analysed to determine common challenges faced in the provision of treatment for transnational tourists.

RESULTS

Three thematic challenges emerged from the data: human and physical resource deficiencies, medical (mis)perceptions held by patients and complexities surrounding remuneration of care. Health care providers employ unique strategies to mitigate these challenges.

CONCLUSION

Although many of these challenges exist within other touristic and peripheral spaces, we suggest that the challenges experienced by Cozumel Island's health care professionals, and their mitigation strategies, exist as part of a complex entanglement between the island's health care sector and its dominant tourism landscape. We call on tangential tourism services to take a larger role in ensuring the ease of access to, and provision of quality health care services for tourists on Cozumel Island.

摘要

目的

尽管人们已知游客在国外经常生病或受伤,但对他们的治疗情况却知之甚少。本研究旨在探讨墨西哥科苏梅尔岛医护人员的治疗提供经验。

方法

对科苏梅尔岛多个医疗职业的专业人员进行了13次半结构化访谈。访谈内容进行了转录并进行了主题分析,以确定为跨国游客提供治疗时面临的常见挑战。

结果

数据中出现了三个主题挑战:人力和物力资源不足、患者持有的医疗(错误)观念以及护理报酬的复杂性。医疗服务提供者采用独特的策略来应对这些挑战。

结论

尽管许多这些挑战也存在于其他旅游和边缘地区,但我们认为,科苏梅尔岛医护人员所面临的挑战及其缓解策略,是该岛医疗保健部门与其占主导地位的旅游景观之间复杂纠葛的一部分。我们呼吁相关旅游服务发挥更大作用,以确保科苏梅尔岛的游客能够方便地获得并享受到优质的医疗保健服务。

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