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Experiences With Health Care Services in Switzerland Among Immigrant Women With Chronic Illnesses

机译:瑞士患有慢性疾病的移民妇女的医疗保健服务经验

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Introduction: Descriptive data indicate a high burden of chronic illness among immigrant women in Switzerland. Little is known about how immigrant women with chronic illnesses experience healthcare services. This paper presents a methodological approach theoretically informed by Sen's capability approach and Levesque's framework of access to healthcare to study patient-reported experiences (PREs) of Swiss healthcare services among immigrant women with chronic conditions.Methods: We conducted 48 semi-structured qualitative interviews in Bern and Geneva with Turkish (n = 12), Portuguese (n = 12), German (n = 12), and Swiss (n = 12) women. Participants were heterogenous in age, length of stay, SES, and educational attainment, illness types and history. We also conducted semi-structured interviews with healthcare and social service providers (n = 12). Interviewed women participated in two focus group discussions (n = 15). Interviews were transcribed verbatim and analyzed using Atlas.ti software, based on Gale et al.'s framework approach. Findings informed three stakeholder dialogues in which women as well as healthcare providers and policymakers from various territorial levels participated.Results: Our methodological approach succeeded in integrating women's perspectives—from initial data collection in interviews to identify issues, focus group discussions to increase rigor, and stakeholder dialogues to develop tailored recommendations based on PREs.Discussion: This is one of the first studies in Switzerland that used PREs to research healthcare services and healthcare needs among immigrant women with chronic illnesses. This paper provides new insights on how to better understand existing challenges and potentially improve access to and quality of care.
机译:简介:描述性数据表明慢性疾病的移民妇女在瑞士之间的高负担。鲜为人知的是,移民妇女患有慢性疾病如何体验医疗服务。本文提出了一种方式方法理论上森的能力的方法,并获得莱韦斯克的框架,医疗保健的瑞士医疗服务移民女性慢性conditions.Methods中研究患者报告的经验(公屋)通知:我们进行48半结构化定性访谈伯尔尼和日内瓦土耳其(N = 12),葡萄牙(12例),德国(12例),和瑞士的(N = 12)的女性。与会者异质年龄,住院,SES,受教育程度,疾病类型和历史的长度。我们还进行了以医疗保健和社会服务提供者(N = 12),半结构化面试。接受采访的女性参加了两次专题小组讨论(N = 15)。访谈转录逐字记录和分析使用ATLAS.ti的软件,基于大风等的框架方法。调查结果通报中,妇女以及医疗保健机构以及各地区各级决策者participated.Results利益相关方3个对话:我们的方式方法成功地把妇女的观点 - 从最初的数据收集在采访中发现问题,焦点小组讨论,以增加严谨,利益相关者的对话,开发基于PREs.Discussion量身定制的建议:这是瑞士第一个研究,二手公屋,移民妇女患有慢性疾病研究中的医疗服务和医疗保健的需求之一。本文提供了有关如何更好地了解现有的挑战和潜在提高医疗获得和质量的新的见解。

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