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探索在弗吉尼亚州夏洛茨维尔重新安置的利比里亚难民的慢性病认知、管理和护理障碍。

An Exploration of Chronic Disease Perception, Management, and Barriers to Care in Liberian Refugees Resettled in Charlottesville, Virginia.

机构信息

University of Florida, College of Medicine, Department of Surgery, Gainesville, FL, USA.

University of Virginia, School of Medicine, Department of Family Medicine, Charlottesville, VA, USA.

出版信息

J Natl Med Assoc. 2020 Dec;112(6):654-667. doi: 10.1016/j.jnma.2020.06.013. Epub 2020 Jul 18.

Abstract

Charlottesville is a resettlement site for Liberian refugees. Many receive care at the International Family Medicine Clinic (IFMC). IFMC physicians note reduced adherence to chronic disease medications among refugee patients. This study aims to understand the Liberian refugee populations' model of chronic disease. In 2014, twelve one-on-one interviews were conducted. Topics included concept of disease, health care access, disease burden, acculturation, and socioeconomic factors. Transcripts were analyzed according to the explanatory model of disease and Krueger's framework analysis. This study can assist providers in tailoring their practices to meet the needs of refugee patients and inform future public health interventions.

摘要

夏洛茨维尔是利比里亚难民的一个重新安置点。许多人在国际家庭医学诊所(IFMC)接受治疗。IFMC 医生注意到难民患者对慢性病药物的依从性降低。本研究旨在了解利比里亚难民群体的慢性病模式。2014 年,进行了 12 次一对一访谈。主题包括疾病概念、医疗保健获取、疾病负担、文化适应和社会经济因素。根据疾病的解释模型和 Krueger 的框架分析对转录本进行了分析。本研究可以帮助提供者调整他们的实践以满足难民患者的需求,并为未来的公共卫生干预提供信息。

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