海湾合作委员会国家患有与工作相关疾病和受伤的国际移民获得医疗保健的机遇与挑战：一项系统文献综述方案
Opportunities and challenges in access to healthcare for international migrants with work-related diseases and injuries in Gulf Cooperation Council countries: A systematic literature review protocol.
作者信息
Yu Weijun, Dawer Aleena, Floyd Jeanetta, Saad Nicole, Wu Jiaqin, Robsky Katherine O, Johnson Oliver, Hutsul Yulia, Ratnarajah Dylan, Shaw Bryan, Etienne-Mesubi Martine, Bazira Deus
机构信息
Center for Global Health Practice and Impact, Georgetown University, Washington, DC, United States of America.
Global Health Institute, Georgetown University, Washington, DC, United States of America.
出版信息
PLoS One. 2025 Jun 25;20(6):e0321681. doi: 10.1371/journal.pone.0321681. eCollection 2025.
INTRODUCTION
International labor migrants form a significant part of the global workforce, particularly in the Gulf Cooperation Council (GCC) countries, which host around 11% of the world's migrant workforce. This high concentration presents unique challenges in healthcare access and delivery. This systematic review aims to evaluate whether international labor migrants in GCC countries have effective access to healthcare for work-related diseases and injuries and to propose evidence-based recommendations for policy and healthcare interventions.
METHODS
We will include studies from 2013 to 2023 published in peer-reviewed journals in English or Arabic (with English abstracts) available on PubMed, Embase and CINAHL. Search strategies are developed using MeSH terms and key terms related to our study population (international labor immigrants), context (the GCC countries), and exposure (migrant status; work-related diseases and injuries). The screening process involves two stages: initial review of titles/abstracts and full-text review. Studies meeting eligibility criteria and focusing on our primary outcome (access to healthcare) will be included. Data extraction will cover study characteristics, population demographics, described exposures, outcomes measured, and key findings. Given the expected heterogeneity, narrative synthesis will be primarily used, with meta-analysis as an option.
DISCUSSION
By considering both migrant workers and expatriate professionals, we provide a culturally tailored perspective. Methodological rigor is ensured through the gold standard screening process, where at least two reviewers independently screen the literature at each stage, with a senior reviewer resolving discrepancies. We will identify barriers, facilitators, and inform targeted interventions for policymakers. Our findings will support evidence-based strategies to improve healthcare access for international labor migrants in the GCC countries.
SYSTEMATIC REVIEW REGISTRATION
This systematic review protocol was registered on the international registry PROSPERO (CRD42024532851) on April 21, 2024.
引言
国际劳工移民构成了全球劳动力的重要组成部分，尤其是在海湾合作委员会（GCC）国家，这些国家接纳了全球约11%的移民劳动力。如此高的集中度给医疗保健的获取和提供带来了独特挑战。本系统评价旨在评估海湾合作委员会国家的国际劳工移民是否能有效获得针对与工作相关疾病和伤害的医疗保健，并为政策和医疗干预提出基于证据的建议。
方法
我们将纳入2013年至2023年发表在PubMed、Embase和CINAHL上的英文或阿拉伯文（有英文摘要）同行评审期刊上的研究。使用医学主题词（MeSH）术语以及与我们的研究人群（国际劳工移民）、背景（海湾合作委员会国家）和暴露因素（移民身份；与工作相关的疾病和伤害）相关的关键词制定检索策略。筛选过程包括两个阶段：标题/摘要的初步审查和全文审查。符合纳入标准并关注我们主要结局（获得医疗保健）的研究将被纳入。数据提取将涵盖研究特征、人群人口统计学、描述的暴露因素、测量的结局以及主要发现。鉴于预期的异质性，将主要采用叙述性综合分析，视情况进行荟萃分析。
讨论
通过同时考虑移民工人和外籍专业人员，我们提供了一个文化上量身定制的视角。通过金标准筛选过程确保方法的严谨性，即至少两名评审员在每个阶段独立筛选文献，由一名高级评审员解决分歧。我们将识别障碍、促进因素，并为政策制定者提供有针对性的干预措施信息。我们的研究结果将支持基于证据的策略，以改善海湾合作委员会国家国际劳工移民的医疗保健获取情况。
系统评价注册
本系统评价方案于2024年4月21日在国际注册库PROSPERO（CRD42024532851）上注册。
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