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无人陪伴的未成年难民的医疗保健需求:一项定性研究的研究方案,解释跨地域和性别的医疗服务获取与利用情况

Healthcare needs among unaccompanied minor refugees: a study protocol of a qualitative study explaining access and utilisation across place and gender.

作者信息

Ulrich Hanna-Sophie, Kohler Emma, Fach Eva-Maria, Spallek Jacob, Richter Matthias, Mlinarić Martin

机构信息

Institute of Medical Sociology, Martin-Luther-Universitat Halle-Wittenberg, Halle, Germany

Institute of Medical Sociology, Martin-Luther-Universitat Halle-Wittenberg, Halle, Germany.

出版信息

BMJ Open. 2020 Sep 14;10(9):e038882. doi: 10.1136/bmjopen-2020-038882.

Abstract

INTRODUCTION

Several studies have identified that unaccompanied minor refugees (UMRs) are allegedly 'vulnerable' and belong to a high-risk group in terms of psychological distress and post-traumatic stress disorder due to their preflight, periflight and postflight experiences. Psychosocial care (PSC) is of high importance for UMRs, but little is known about barriers to access and utilisation of PSC across place and gender. The aims of this gender-sensitive qualitative study will be to build on the existing body of literature and to provide qualitative evidence on the contexts and mechanisms of PSC for male and female UMRs in Germany by comparing two German regions.

METHODS AND ANALYSIS

Following the study preparing realist review, a qualitative study will be undertaken in Berlin and Central German cities. Approximately 24 experts from the field of PSC and 12 lay UMRs will participate in face-to-face, semistructured interviews. Data will be transcribed and analysed based on the grounded theory research paradigm.

ETHICS AND DISSEMINATION

Only participants who have been informed in both German and their native tongue and who have signed a declaration of consent will be included in the study. The study will comply rigorously with German data protection standards. Approval from the Ethical Review Committee at Martin Luther University Halle-Wittenberg, Germany has been obtained and granted. The results of the study will be presented at several conferences and will be published in high-quality, peer-reviewed international journals. The results will display a differentiated picture of the PSC of UMRs in Germany. Such knowledge is a precondition for a 'science of change' that translates explanations into practical recommendations on how to improve healthcare policies.

TRIAL REGISTRATION NUMBER

DRKS00018080.

摘要

引言

多项研究表明,无人陪伴的未成年难民(UMRs)据称“易受伤害”,鉴于其飞行前、飞行中和飞行后的经历,在心理困扰和创伤后应激障碍方面属于高危群体。心理社会护理(PSC)对无人陪伴的未成年难民至关重要,但对于不同地区和性别的无人陪伴未成年难民在获取和利用心理社会护理方面的障碍,我们了解甚少。这项具有性别敏感性的定性研究的目的是在现有文献基础上,通过比较德国的两个地区,为德国男性和女性无人陪伴未成年难民心理社会护理的背景和机制提供定性证据。

方法与分析

在完成准备现实主义综述的研究后,将在柏林和德国中部城市开展一项定性研究。约24名心理社会护理领域的专家和12名普通无人陪伴未成年难民将参与面对面的半结构化访谈。数据将根据扎根理论研究范式进行转录和分析。

伦理与传播

只有那些已用德语及其母语得到通知并签署同意声明的参与者才会被纳入研究。该研究将严格遵守德国的数据保护标准。已获得德国哈雷 - 维滕贝格马丁·路德大学伦理审查委员会的批准。研究结果将在多个会议上展示,并将发表在高质量、同行评审的国际期刊上。研究结果将呈现德国无人陪伴未成年难民心理社会护理的不同情况。这些知识是“变革科学”的前提条件,该科学将解释转化为关于如何改进医疗政策的实际建议。

试验注册号

DRKS00018080。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92d0/7490932/fcebed1a45f0/bmjopen-2020-038882f01.jpg

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