Universidade Estadual do Oeste do Paraná. Foz do Iguaçu, Paraná, Brazil.
Universidade Federal de Mato Grosso do Sul. Três Lagoas, Mato Grosso do Sul, Brazil.
Rev Bras Enferm. 2021 Apr 9;74(1):e20200752. doi: 10.1590/0034-7167-2020-0752. eCollection 2021.
to describe the journey of foreigners with chronic kidney diseases searching for treatment in the Brazilian Unified Health System in a border area.
this is a qualitative research conducted with thirteen foreign participants. Data were collected by interviews and analyzed based on the theoretical-methodological framework of the therapeutic itinerary.
empirical evidence showed seven thematic categories, indicating poor illness perception; poor family support throughout treatment; social aspects such as work, income, and housing as sources of distress; search for alternative treatments; interrupted search for healthcare abroad due to financial problems; journey to healthcare-seeking in Brazil eased by family members and social networks.
the asymmetries within the Paraguayan and Brazilian health systems spur the search for cross-border integration actions. Identifying another country's assistance aspects may help in planning more welcoming policies in border regions.
描述在边境地区患有慢性肾脏疾病的外国人在巴西统一卫生系统中寻求治疗的历程。
这是一项在边境地区进行的定性研究，共有 13 名外国参与者。通过访谈收集数据，并基于治疗历程的理论方法框架进行分析。
经验证据表明存在七个主题类别，表明患者对疾病的认识较差；在治疗过程中家庭支持不足；工作、收入和住房等社会方面是困扰的来源；寻求替代治疗方法；因经济问题中断了在国外寻求医疗服务的历程；在家庭成员和社交网络的帮助下，前往巴西寻求医疗服务的历程变得更加顺畅。
巴拉圭和巴西卫生系统之间的不对称性促使人们寻求跨境一体化行动。确定其他国家的援助方面可能有助于规划边境地区更具包容性的政策。
