School of Medicine, Boston Medical Center, Boston University, 72 E Concord Street, Boston, MA, 02118, USA.
School of Social Work, Center for Innovation in Social Work and Health, Boston University, Boston, MA, USA.
J Immigr Minor Health. 2022 Feb;24(1):178-187. doi: 10.1007/s10903-021-01177-9. Epub 2021 Mar 12.
The Trump Administration instituted a series of restrictive policies including the expansion of the public charge ruling, which created barriers to healthcare access for immigrant communities. This study examined immigrants' knowledge, attitudes, and health-seeking practices as a result of the public charge proposal. Thirty semi-structured interviews were conducted in English or Spanish with foreign-born adults at an urban safety-net hospital in Boston from May 2019 to August 2019. Thematic content analysis identified barriers and facilitators of healthcare access and usage. Approximately half of participants were aware of the public charge proposal. Six participants expressed concern about its implications, but only two discontinued benefits. Barriers to care included fear of deportation, interaction with law enforcement, and competing socioeconomic needs. Facilitators of care included supportive communities, immigrant-friendly environment, and personal beliefs. Hospitals can develop community-centered services for immigrant patients that offset the barriers to healthcare access resulting from adverse federal immigration policies.
特朗普政府实施了一系列限制政策，包括扩大公共负担裁定，这为移民社区获得医疗保健设置了障碍。本研究调查了移民因公共负担提案而产生的知识、态度和寻求医疗服务的做法。2019 年 5 月至 8 月，在波士顿的一家城市公共医疗服务医院，用英语或西班牙语对 30 名外国出生的成年人进行了半结构化访谈。主题内容分析确定了获得和使用医疗保健的障碍和促进因素。大约一半的参与者了解公共负担提案。6 名参与者对其影响表示担忧，但只有 2 名参与者停止享受福利。护理障碍包括担心被驱逐出境、与执法部门的互动以及竞争的社会经济需求。护理的促进因素包括支持性社区、移民友好环境和个人信仰。医院可以为移民患者制定以社区为中心的服务，以抵消不利的联邦移民政策对获得医疗保健的障碍。
