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移民群体中的跨国医疗实践:一项概念分析

Transnational Healthcare Practices Among Migrants: A Concept Analysis.

作者信息

Metersky Kateryna, Guruge Sepali, Wang Lu, Al-Hamad Areej, Yasin Yasin M, Catallo Cristina, Yang Lixia, Salma Jordana, Zhuang Zhixi C, Chahine Monica, Kirkwood Melissa, Al-Anani Ayah

机构信息

Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Canada.

Department of Geography and Environmental Studies, Toronto Metropolitan University, Toronto, Canada.

出版信息

J Adv Nurs. 2025 Jul;81(7):3647-3673. doi: 10.1111/jan.16693. Epub 2024 Dec 25.

Abstract

AIMS

To present a conceptual definition of transnational healthcare in the context of migrant older adults.

DESIGN

This article follows the Walker and Avant concept analysis framework to conduct an in-depth analysis of transnational healthcare.

METHODS

Databases were searched for scholarly articles using keywords associated with transnational healthcare. The DistillerSR software was employed to screen articles for inclusion in the concept analysis. Titles and abstracts of 390 articles were screened with 50 identified for full-text screening. Thirty-seven articles were included to inform the concept analysis.

DATA SOURCES

Social Science Citation Index (Clarivate), PsycInfo and CINAHL databases. Search dates: March-May 2024.

RESULTS

Defining attributes of the concept include cultural comfort and alignment, perceived quality and trust, integration barriers and experiences of discrimination, use of digital platforms and informal networks, challenges navigating host country health systems. Cases, antecedents, consequences, empirical referents and cultural considerations were used to shape a conceptual definition of transnational healthcare.

CONCLUSION

Transnational healthcare is defined as a practice involving those living outside of their country of origin seeking healthcare from that country of origin through physical or other means.

IMPLICATIONS FOR PROFESSIONAL PRACTICE

This conceptual definition highlights the importance of understanding healthcare access, quality and continuity of care across national borders.

IMPACT

This study addresses gaps in available literature regarding transnational healthcare and its impacts on treatment outcomes, healthcare satisfaction and continuity of care in migrant communities.

REPORTING METHOD

This article adheres to the PRISMA (2020) reporting guidelines for systematic reviews.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

目的

在老年移民背景下给出跨国医疗保健的概念性定义。

设计

本文遵循沃克和阿凡特的概念分析框架对跨国医疗保健进行深入分析。

方法

使用与跨国医疗保健相关的关键词在数据库中检索学术文章。采用DistillerSR软件筛选纳入概念分析的文章。对390篇文章的标题和摘要进行筛选,确定50篇进行全文筛选。纳入37篇文章为概念分析提供信息。

数据来源

社会科学引文索引(科睿唯安)、心理学文摘数据库和护理学与健康领域数据库。检索日期:2024年3月至5月。

结果

该概念的定义属性包括文化舒适度与契合度、感知质量与信任、整合障碍与歧视经历、数字平台和非正式网络的使用、在东道国医疗系统中面临的挑战。通过案例、 antecedents、后果、实证参照物和文化考量来形成跨国医疗保健的概念性定义。

结论

跨国医疗保健被定义为一种实践,即那些居住在原籍国以外的人通过实体或其他方式从原籍国寻求医疗保健。

对专业实践的启示

这一概念性定义凸显了理解跨国医疗保健可及性、质量和护理连续性的重要性。

影响

本研究填补了现有文献中关于跨国医疗保健及其对移民社区治疗结果、医疗保健满意度和护理连续性影响方面的空白。

报告方法

本文遵循系统评价的PRISMA(2020)报告指南。

患者或公众贡献

无患者或公众贡献。

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