McKay Sandra
Department of Pediatrics, Division of Neonatology, University of Texas Health Science Center at Houston, TX.
Curr Probl Pediatr Adolesc Health Care. 2019 Feb;49(2):45-49. doi: 10.1016/j.cppeds.2019.01.004. Epub 2019 Feb 15.
This review was conducted to evaluate the current literature surrounding immigrant children with special health care needs. The focus of the review was to determine what evaluations have been done to educate primary care providers on general characteristics of this high-risk population and barriers that may impact care of the child. A review of the literature was conducted looking at PUBMED/MEDLINE and Cochrane databases. The search terms were defined to capture articles with key words relating to both immigrants and children with special health care needs. Critical review of the articles was performed in order to assess the type of article and implications to the population being studied. The literature review revealed 26 total articles from PUBMED/MEDLINE database. Of those, 4 were excluded as they were not available in English. An additional 5 were excluded as they did not pertain to immigrant children with special health care needs. The remaining 17 articles were classified as to article type, with predominance being structured patient interviews or surveys (41%). There were no systematic reviews identified in the Cochrane database regarding immigrant children with special health care needs. The families of immigrant child with special health care needs often face barriers with access to care and engagement in the health care system and within social systems. Providers should be aware of these barriers, and further studies should be conducted to determine the best approach to improve access to care in immigrant children with special health care needs.
本综述旨在评估围绕有特殊医疗需求的移民儿童的当前文献。综述的重点是确定已开展了哪些评估,以教育初级保健提供者了解这一高危人群的一般特征以及可能影响儿童护理的障碍。通过检索PUBMED/MEDLINE和Cochrane数据库进行文献综述。检索词的定义是为了捕捉与移民和有特殊医疗需求的儿童相关的关键词的文章。对文章进行批判性审查,以评估文章类型及其对所研究人群的影响。文献综述从PUBMED/MEDLINE数据库中共检索到26篇文章。其中,4篇因无英文版本而被排除。另外5篇因与有特殊医疗需求的移民儿童无关而被排除。其余17篇文章按文章类型分类,主要为结构化患者访谈或调查(41%)。在Cochrane数据库中未发现关于有特殊医疗需求的移民儿童的系统评价。有特殊医疗需求的移民儿童家庭在获得医疗服务以及参与医疗保健系统和社会系统方面往往面临障碍。提供者应意识到这些障碍,并且应开展进一步研究以确定改善有特殊医疗需求的移民儿童获得医疗服务的最佳方法。