Universidad del Desarrollo, Facultad de Medicina Clínica Alemana, Instituto de Ciencias e Innovación en Medicina, Santiago, RM, Chile.
Universidad de Tarapacá, Facultad de Ciencias Sociales, Iquique, Tarapacá, Chile.
Rev Esc Enferm USP. 2023 Aug 14;57(spe):e20220443. doi: 10.1590/1980-220X-REEUSP-2022-0443en. eCollection 2023.
To explore the experience and perception of international migrants in Chile regarding access to health services during the pandemic.
Collective case study following the qualitative paradigm. Forty semi-structured interviews were carried out with 30 migrants from different countries in Latin America and the Caribbean and 10 key actors from the health or social sector in November and December 2020. The interviews were analyzed thematically.
Perceived facilitators for general access to health services are related to formal work, support networks, and good treatment, while barriers are linked to immigration status, information gaps, discrimination, lack of cross-cultural skills, and personal limits of the system. In the context of access to COVID-19 diagnosis and treatment, the main barriers identified are: cultural approach to the disease, communication gaps, experiences of discrimination, costs, and lack of support networks.
Access to health services is related to social vulnerability and violation of international migrants rights.
探讨智利的国际移民在大流行期间获得卫生服务的体验和看法。
采用定性范式的集体案例研究。2020 年 11 月至 12 月，对来自拉丁美洲和加勒比地区不同国家的 30 名移民和卫生或社会部门的 10 名关键行为者进行了 40 次半结构化访谈。对访谈进行了主题分析。
普遍获得卫生服务的促进因素与正规工作、支持网络和良好的治疗有关，而障碍则与移民身份、信息差距、歧视、缺乏跨文化技能和系统的个人限制有关。在获得 COVID-19 诊断和治疗方面，确定的主要障碍包括：对疾病的文化方法、沟通差距、歧视经历、费用和缺乏支持网络。
获得卫生服务与社会脆弱性和侵犯国际移民权利有关。
