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[2018年智利圣地亚哥北部地区公共急救服务中成年移民人群会诊情况的特征分析]

[Characterization of the consultations of the adult migrant population in a public emergency service in the northern area of Santiago Chile in 2018].

作者信息

Correa-Betancour Marcela, Pérez-González Cristian

机构信息

MC: Enf. M.Ed. Melbourne University. Grupo de Trabajo Migración y Salud. Facultad de Medicina, Departamento de Enfermería. Universidad de Chile. Santiago, Chile.

CP: Enf. M. Sc. Enfermería. Pontificia Universidad Católica de Chile. Facultad de Medicina, Departamento de Enfermería. Universidad de Chile. Santiago, Chile.

出版信息

Rev Salud Publica (Bogota). 2020 Nov 1;22(6):658-665. doi: 10.15446/rsap.V22n6.84769.

Abstract

BACKGROUND

International migration is increasing steadily worldwide. In Chile 4.4% of its population are migrants. Worldwide, emergency rooms are chosen by migrants to solve health problems.

OBJECTIVE

Characterize the adult migrant population treated in a public emergency service of the Santiago metropolitan region during 2018.

METHOD

Through simple descriptive statistics, the center's database is analyzed, keeping in mind ethical aspects.

RESULTS

13.72% of the total consultations were migrants. Of these 95.3% resided in localities assigned to the hospital; they are granted between the ages of 20 and 44 and came mainly from: Peru, Haiti, Venezuela, Colombia and Bolivia. 10.67% does not hold health coverage. Most consultations (62.33%) have a mild prognosis. The diagnoses of Chileans and foreigners within the age group of 20 to 44 years old coincide in a different order, however, migrants most frequently present respiratory, digestive and infectious / parasitic diseases.

DISCUSSION

Migrant consultations reflect mild to moderate health conditions typical of healthy people, being able to talk about the "healthy migrant effect". As the diagnoses between Chileans and foreigners coincide in the age group and socioeconomic level, it can be said that they have a similar health condition. Due to most of the migrant consultations were categorized with less severity, have a mild prognosis, lower hospitalization rates and their main destination is domicile, there is evidence that they use the emergency service as the first option facing health problems.

摘要

背景

国际移民在全球范围内稳步增加。在智利,其人口的4.4%为移民。在全球范围内,急诊室是移民解决健康问题的选择。

目的

描述2018年在圣地亚哥大都会区的一家公共急诊服务机构接受治疗的成年移民人口特征。

方法

通过简单的描述性统计分析该中心的数据库,同时考虑伦理方面。

结果

总就诊人数的13.72%为移民。其中95.3%居住在医院所在地区;他们的年龄在20至44岁之间,主要来自:秘鲁、海地、委内瑞拉、哥伦比亚和玻利维亚。10.67%没有医保。大多数就诊(62.33%)预后为轻度。20至44岁年龄组的智利人和外国人的诊断顺序不同,但移民最常出现呼吸、消化和感染/寄生虫疾病。

讨论

移民就诊反映出健康人群典型的轻度至中度健康状况,可以说是“健康移民效应”。由于智利人和外国人在年龄组和社会经济水平方面的诊断一致,可以说他们的健康状况相似。由于大多数移民就诊的严重程度较低,预后为轻度,住院率较低,且他们的主要目的地是住所,有证据表明他们将急诊服务作为面对健康问题的首选。

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