Access to health services for international migrants during the COVID-19 pandemic: a qualitative study.

IF 1.2 4区医学 Q3 NURSING Revista da Escola de Enfermagem da U S P Pub Date : 2023-08-14 eCollection Date: 2023-01-01 DOI:10.1590/1980-220X-REEUSP-2022-0443en

Alice Blukacz, Báltica Cabieses, Alexandra Obach, Alejandra Carreño, Carolina Stefoni, Claudia Pérez

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Abstract

Objective: To explore the experience and perception of international migrants in Chile regarding access to health services during the pandemic.

Method: 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.

Results: 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.

Conclusion: Access to health services is related to social vulnerability and violation of international migrants rights.

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新冠肺炎大流行期间国际移民获得卫生服务的情况：一项定性研究。

目的：探讨在智利的国际移民在疫情期间获得医疗服务的经验和看法。方法：采用定性范式进行集体案例研究。2020年11月和12月，对来自拉丁美洲和加勒比不同国家的30名移民以及卫生或社会部门的10名关键参与者进行了40次半结构化访谈。访谈按主题进行了分析。结果：公认的普遍获得医疗服务的促进者与正式工作、支持网络和良好待遇有关，而障碍与移民身份、信息差距、歧视、缺乏跨文化技能和系统的个人限制有关。在获得新冠肺炎诊断和治疗的背景下，确定的主要障碍是：疾病的文化方法、沟通差距、歧视经历、成本和缺乏支持网络。结论：获得保健服务与社会脆弱性和侵犯国际移民权利有关。

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来源期刊

Revista da Escola de Enfermagem da U S P 医学-护理

CiteScore

1.70

自引率

11.10%

发文量

254

审稿时长

3-8 weeks

期刊介绍： The University of São Paulo Nursing School Journal (Revista da Escola de Enfermagem da USP, REEUSP) is a bimonthly periodical revised by fellow nurses, which has the objective of publishing empirical or theoretical articles that represent a significant advance for the professional practice or for the fundaments of Nursing Mission: to stimulate knowledge production and dissemination in Nursing and related areas, focusing on international interlocution to advance Nursing science. Areas of Interest: Nursing and Health Its abbreviated title is Rev Esc Enferm USP, which should be used in bibliographies, footnotes and bibliographical references and strips.