为难民提供初级卫生保健的障碍与促进因素：一项从医疗服务提供者视角开展的定性研究（阿富汗）
Barriers and facilitators of providing primary health care to Afghan refugees: A qualitative study from the perspective of health care providers.
作者信息
Azizi Nemat, Delgoshaei Bahram, Aryankhesal Aidin
机构信息
Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.
Department of Health Sciences Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Med J Islam Repub Iran. 2021 Jan 4;35:1. doi: 10.47176/mjiri.35.1. eCollection 2021.
One of the important aspects in the field of refugee health is the availability of primary health care, and the quality improvement of health care requires identifying barriers and facilitators. The present study aimed to identify obstacles and facilitators of providing primary health care to Afghan refugees from the perspective of health care providers. In this qualitative study, a semi-structured interview was conducted based on purposeful sampling with the involvement of 21 managers and experts in primary health care centers. Data were analyzed using the content analysis method and MaxQDA. Data analysis led to the production of 4 main themes: (1) challenges while providing primary health care, with 10 subthemes; (2) challenges after providing care, with 4 subthemes; (3) opportunities, with 3 subthemes; and (4) solutions, with 6 subthemes. According to the results of this study, identifying the challenges and providing opportunities and solutions to existing problems seem to be effective steps in the quality improvement of providing primary health care to refugees.
难民健康领域的一个重要方面是初级卫生保健的可及性，而医疗保健质量的提升需要识别障碍和促进因素。本研究旨在从医疗保健提供者的角度识别为难民提供初级卫生保健的障碍和促进因素。在这项定性研究中，基于目的抽样法进行了半结构化访谈，有21名初级卫生保健中心的管理人员和专家参与。使用内容分析法和MaxQDA软件对数据进行分析。数据分析得出了4个主要主题：（1）提供初级卫生保健时的挑战，包含10个子主题；（2）提供保健后的挑战，包含4个子主题；（3）机会，包含3个子主题；（4）解决方案，包含6个子主题。根据本研究结果，识别挑战并为现有问题提供机会和解决方案似乎是提高为难民提供初级卫生保健质量的有效步骤。
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