Department of Medicine, Imperial College, London SW7 2AZ, UK.
Faculty of Public Health, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK.
Int J Environ Res Public Health. 2020 Sep 23;17(19):6972. doi: 10.3390/ijerph17196972.
As of January 2020, 115,600 refugees remain in Greece; most are Afghani, Iraqi or Syrian nationals. This qualitative research study explores the views of key stakeholders providing healthcare for refugees in Greece between 2015 and 2018. The focus was on identifying key barriers and facilitators to healthcare access for refugees in Greece. 16 interviewees from humanitarian and international organisations operating in Greece were identified through purposive and snowball sampling. Semi-structured interviews were conducted between March and April 2018. Data were analysed using the Framework Method. Key themes affecting healthcare access included the influence of socio-cultural factors (healthcare expectations, language, gender) and the ability of the Greek health system to respond to existing and evolving demands; these included Greece's ongoing economic crisis, human resource shortages, weak primary healthcare system, legal barriers and logistics. The evolution of the humanitarian response from emergency to sustained changes to EU funding, coordination and comprehensiveness of services affected healthcare access for refugees. The most noted barriers cited by humanitarian stakeholders to healthcare access for refugees in Greece were socio-cultural and language differences between refugees and healthcare providers and poor coordination among stakeholders. Policies and interventions which address these could improve healthcare access for refugees in Greece with coordination led by the EU.
截至 2020 年 1 月，仍有 115600 名难民滞留在希腊；其中大多数是阿富汗人、伊拉克人或叙利亚人。本定性研究探讨了 2015 年至 2018 年期间为希腊难民提供医疗服务的主要利益相关者的观点。重点是确定难民在希腊获得医疗服务的主要障碍和促进因素。通过有目的和滚雪球抽样，确定了在希腊开展业务的人道主义和国际组织中的 16 名受访者。2018 年 3 月至 4 月期间进行了半结构化访谈。使用框架方法对数据进行了分析。影响医疗服务可及性的主要因素包括社会文化因素的影响（医疗保健期望、语言、性别）和希腊卫生系统应对现有和不断变化的需求的能力；其中包括希腊持续的经济危机、人力资源短缺、薄弱的初级卫生保健系统、法律障碍和后勤问题。人道主义应对措施从紧急情况向欧盟资金、协调和服务全面性的持续变化的演变，影响了难民获得医疗服务的机会。人道主义利益相关者认为，希腊难民获得医疗服务的最大障碍是难民和医疗服务提供者之间的社会文化和语言差异，以及利益相关者之间协调不善。通过欧盟主导的协调，可以实施解决这些问题的政策和干预措施，改善希腊难民的医疗服务可及性。
