König Andrea, Nabieva Jamila, Manssouri Amin, Antia Khatia, Dambach Peter, Deckert Andreas, Horstick Olaf, Kohler Stefan, Winkler Volker
Heidelberg Institute of Global Health, Heidelberg University, 69120 Heidelberg, Germany.
Emergency Medicine Resident, Hôpitaux Universitaires de Genève, 1205 Geneva, Switzerland.
Trop Med Infect Dis. 2022 Aug 3;7(8):166. doi: 10.3390/tropicalmed7080166.
(1) Background: Thailand is a major migrant receiving country and pioneer of migrant health policy in the ASEAN region. However, on the ground, coverage of migrants is faced with multiple barriers. (2) Objectives: We aim to scope and analyse the types of available evidence on migrant health coverage in Thailand and identify knowledge gaps. Specifically, we characterise the literature along year of publication, migrant subpopulation, health domain, scope of coverage, methods, study design, objectives and results. (3) Methods: We searched PubMed, Web of Science, Google Scholar, Cochrane Database, Worldwide Science and the Asian Citation Index for peer-reviewed and grey literature in October 2021 for studies analysing original data on health coverage of migrants in Thailand. To conceptualise health coverage, we used the three dimensions availability, accessibility and acceptability. (4) Results: 101 articles were included in the final analysis. Sixty-three were published after 2016, 39 focused on migrant workers and 18 on migrants in general. Forty-two concentrated on health in broader terms, followed by reproductive and maternal health ( = 31). Thirty-eight assessed coverage of specific services and 36 health coverage in general. Migrants themselves and key informants were the main data sources in 80 and 43 of the articles, respectively. Forty publications were qualitative, while 38 applied quantitative methods (22% descriptive; 7% analytical). Among the health coverage components, 79 articles included aspects of accessibility, followed by acceptability ( = 59) and availability ( = 30). (5) Conclusions: While there is a high number and broad range of studies on migrant health coverage in Thailand, we found that research on migrant subgroups, such as victims of trafficking and migrant children, as well as on the health domains, non-communicable diseases and occupational and mental health is neglected.
(1) 背景:泰国是主要的移民接收国,也是东盟地区移民健康政策的先驱。然而,在实际中,移民的医疗覆盖面临多重障碍。(2) 目标:我们旨在梳理和分析泰国移民医疗覆盖方面现有证据的类型,并找出知识空白。具体而言,我们根据发表年份、移民亚群体、健康领域、覆盖范围、方法、研究设计、目标和结果对文献进行描述。(3) 方法:2021年10月,我们在PubMed、科学网、谷歌学术、考克兰数据库、世界科学和亚洲引文索引中搜索了经同行评审的文献和灰色文献,以查找分析泰国移民医疗覆盖原始数据的研究。为了对医疗覆盖进行概念化,我们采用了可及性、可获得性和可接受性这三个维度。(4) 结果:最终分析纳入了101篇文章。其中63篇在2016年后发表,39篇聚焦移民工人,18篇关注一般移民。42篇关注更广泛意义上的健康,其次是生殖和孕产妇健康(n = 31)。38篇评估了特定服务的覆盖情况,36篇评估了总体医疗覆盖情况。移民自身和关键信息提供者分别是80篇和43篇文章的主要数据来源。40篇为定性研究,38篇采用定量方法(22%为描述性;7%为分析性)。在医疗覆盖的组成部分中,79篇文章涉及可及性方面,其次是可接受性(n = 59)和可获得性(n = 30)。(5) 结论:虽然关于泰国移民医疗覆盖的研究数量众多、范围广泛,但我们发现,对移民亚群体(如被贩运受害者和移民儿童)以及健康领域(如非传染性疾病、职业和心理健康)的研究被忽视了。