Maillefer Françoise, Bovet Émilie, Jaton Laure, Bodenmann Patrick, Ninane Françoise
Rech Soins Infirm. 2019 Jun;137(2):26-40. doi: 10.3917/rsi.137.0026.
Introduction : In the context of an upsurge in the number of asylum seekers arriving in Switzerland in 2015, caregivers encountered new issues.Background : We lack local studies that simultaneously analyze asylum seekers' experiences of the healthcare system and the perceptions of health professionals in contact with asylum seekers.Objectives : To assess the health problems of this population in order to gain a better understanding of their specific needs and to implement best practice interventions in order to improve access to care and efficiency of care.Methods : A qualitative study with twenty interviews, either one-to-one or in groups, with Eritrean and Afghan ASs, and three focus groups with registered nurses, interpreters, and emergency department professionals.Results : The main results concern access to healthcare in the country of origin, expectations about the living conditions in Switzerland, the effects of migration on health, cultural beliefs on physical health and psychiatry, visits to the emergency department, reasons for missed appointments, and peer support.Discussion : Information, trust, and time are the main issues identified to optimize access to care.Conclusion : Our results allow for a better understanding of specific needs and health interventions for Afghan and Eritrean ASs. Recommendations for practice were issued.
在2015年抵达瑞士的寻求庇护者数量激增的背景下，护理人员遇到了新问题。
我们缺乏同时分析寻求庇护者在医疗系统中的经历以及与寻求庇护者接触的卫生专业人员看法的本地研究。
评估这一人群的健康问题，以便更好地了解他们的特殊需求，并实施最佳实践干预措施，以改善医疗服务的可及性和医疗效率。
进行了一项定性研究，对厄立特里亚和阿富汗寻求庇护者进行了20次一对一或小组访谈，并与注册护士、口译员和急诊科专业人员进行了3次焦点小组讨论。
主要结果涉及在原籍国获得医疗服务的情况、对瑞士生活条件的期望、移民对健康的影响、文化信仰对身体健康和精神病学的影响、前往急诊科就诊、错过预约的原因以及同伴支持。
信息、信任和时间是优化医疗服务可及性时确定的主要问题。
我们的研究结果有助于更好地了解阿富汗和厄立特里亚寻求庇护者的特殊需求和健康干预措施。并发布了实践建议。
