Centre for Care Research, Western Norway, Western Norway University of Applied Services, P.O.Box 7030, N-5020 Bergen, Norway; VID Specialized University, Ulriksdal 10, N-5009, Bergen, Norway.
Integrative Health Research, Department of Health Sciences, Faculty of Medicine, Lund University, Margaretavägen 1 B, S- 222 41, Lund, Sweden.
Prim Health Care Res Dev. 2023 Feb 3;24:e10. doi: 10.1017/S1463423623000014.
The aim is to identify important factors for immigrants' health and well-being and for their use (or non-use) of primary health care (PHC) and other non-specialised services, and for possible ways that PHC can support healthy ageing of immigrants.
Older persons are an increasing share of the immigrant population in the global north, frequently in contact with various forms of health services, (PHC services most of all. Consequently, PHC services are in a particularly unique position to support healthy ageing of immigrants.
The position paper builds on five international, multi-professional and cross-disciplinary small group discussions as well as an international workshop early summer. During the discussions and the workshop, topics were arrived at as to factors related to the health situation of older immigrants, their needs, and health-seeking behaviour, and to how PHC professionals could support healthy ageing in immigrants. Those main topics in turn guided search for relevant research literature and informed the selection of the main research questions of this paper.
Several factors, in addition to culture and cultural differences, are important to for PHC professionals and decision-makers to take into consideration in encounters with older immigrants. The socio-economic position of the older immigrant and close relatives, inter-generational relationships within the immigrant communities, country-specific factors in the host country like health care expenditure, and communication skills in health professionals are all examples of factors playing an important role regarding the health and health-seeking behaviour of older immigrants.
确定影响移民健康和福祉的重要因素，以及他们对初级卫生保健（PHC）和其他非专业服务的利用（或未利用）情况，探讨 PHC 支持移民健康老龄化的可能途径。
在全球北方，老年移民在移民人口中所占比例不断增加，他们经常接触各种形式的卫生服务（尤其是 PHC 服务）。因此，PHC 服务在支持移民健康老龄化方面具有独特的地位。
本立场文件基于五次国际、多专业和跨学科小组讨论以及初夏的一次国际研讨会。在讨论和研讨会上，确定了与老年移民健康状况、他们的需求和寻医行为相关的因素，以及 PHC 专业人员如何支持移民健康老龄化的问题。这些主要议题反过来又指导了对相关研究文献的搜索，并为本文的主要研究问题提供了信息。
除了文化和文化差异外，还有其他一些因素对 PHC 专业人员和决策者在与老年移民接触时需要加以考虑。老年移民及其近亲的社会经济地位、移民社区内的代际关系、东道国的特定因素（如医疗保健支出）以及卫生专业人员的沟通技巧，都是影响老年移民健康和寻医行为的重要因素。
