Dumitrache Liliana, Nae Mariana, Mareci Alina, Tudoricu Anca, Cioclu Alexandra, Velicu Alexandra
Faculty of Geography, University of Bucharest, 010041 Bucharest, Romania.
Healthcare (Basel). 2022 Oct 29;10(11):2162. doi: 10.3390/healthcare10112162.
Traditionally a country of emigration, Romania recently experienced an increased migration influx, although it is more a country of transit than a destination for refugees and irregular migrants. Refugees often face difficulties when trying to meet their needs and access essential services. This study aims to explore the experiences and barriers of asylum seekers and people with refugee backgrounds in accessing healthcare services in Romania. It is an exploratory study with a qualitative research design, which uses an inductive and deductive approach, with thematic analysis being applied in order to grasp the difficulties and barriers that asylum seekers and people with refugee backgrounds experience in accessing essential social services. The research was based on seven in-depth interviews with representatives of significant national or international non-governmental organisations assisting refugees and asylum seekers in Romania and 129 semi-structured interviews with different categories of people with refugee backgrounds from Southwest Asia, Eastern Africa and Ukraine. One of the most salient themes we identified relates to accessing the healthcare system. Participants talked about what information they needed to access medical services, where they looked for this information, and what barriers they faced in the process. Cultural, linguistic, structural, and financial barriers were perceived as the most significant. Improved public awareness, a better understanding of asylum issues, and stronger community support are essential to addressing inequalities experienced by this vulnerable population.
罗马尼亚传统上是一个移民输出国，但最近经历了移民涌入量的增加，尽管与其说它是难民和非法移民的目的地，不如说是一个过境国。难民在努力满足自身需求和获得基本服务时往往面临困难。本研究旨在探讨寻求庇护者和有难民背景的人在罗马尼亚获得医疗服务的经历和障碍。这是一项采用定性研究设计的探索性研究，运用归纳和演绎方法，并应用主题分析来把握寻求庇护者和有难民背景的人在获得基本社会服务时所经历的困难和障碍。该研究基于对罗马尼亚境内协助难民和寻求庇护者的重要国家或国际非政府组织代表进行的七次深度访谈，以及对来自西南亚、东非和乌克兰的不同类别的有难民背景的人进行的129次半结构化访谈。我们确定的最突出主题之一与进入医疗系统有关。参与者谈到了他们获取医疗服务所需的信息、从何处寻找这些信息以及在此过程中面临的障碍。文化、语言、结构和经济障碍被认为是最主要的。提高公众意识、更好地理解庇护问题以及更强有力的社区支持对于解决这一弱势群体所经历的不平等现象至关重要。
