Parajuli Jamuna, Horey Dell
Public Health, La Trobe University, Health Sciences Building 1, Bundoora, Vic. 3086, Australia; and Corresponding author.
Public Health, La Trobe University, College of Science, Health & Engineering, Office PW 228, Bundoora, Vic. 3086, Australia.
Aust J Prim Health. 2019 Jun;25:205-213. doi: 10.1071/PY18120.
This systematic narrative review of qualitative studies examined health service barriers and facilitators in Australia for refugees after resettlement. Twelve qualitative studies published between 2006 and 2017 involving more than 500 participants were included in the review. Approximately half of all participants were healthcare professionals. A meta-synthesis approach was used to compare and combine findings from across studies. Few facilitators were identified. Barriers to accessing health services were commonly attributed to refugees, but several barriers were associated with healthcare professionals and health services. Barriers attributed to healthcare professionals included gaps in knowledge and skills; poor cultural competency; poor communication skills; and time constraints. Understanding such barriers is the first step in developing strategies to overcome them. The skills and knowledge of healthcare professionals are important to facilitating access to healthcare among this vulnerable population.
这项对定性研究的系统性叙述性综述考察了澳大利亚难民重新安置后的医疗服务障碍和促进因素。该综述纳入了2006年至2017年间发表的12项定性研究，涉及500多名参与者。所有参与者中约一半是医疗保健专业人员。采用元综合方法来比较和整合各项研究的结果。确定的促进因素很少。获得医疗服务的障碍通常归因于难民，但也有一些障碍与医疗保健专业人员和医疗服务相关。归因于医疗保健专业人员的障碍包括知识和技能方面的差距；文化能力差；沟通技巧差；以及时间限制。了解这些障碍是制定克服障碍策略的第一步。医疗保健专业人员的技能和知识对于促进这一弱势群体获得医疗保健至关重要。
