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Improving primary healthcare access for asylum seekers and refugees: a qualitative study from a swiss family physician perspective
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4694727
Author(s) Oehri, J.; Chernet, A.; Merten, S.; Sydow, V.; Paris, D. H.
Author(s) at UniBasel Oehri, Johanna
Chernet, Afona
Merten, Sonja
Sydow, Véronique
Paris, Daniel Henry
Year 2023
Title Improving primary healthcare access for asylum seekers and refugees: a qualitative study from a swiss family physician perspective
Journal J Prim Care Community Health
Volume 14
Pages / Article-Number 21501319231181878
Keywords Humans; *Refugees/psychology; Physicians, Family; Switzerland; Health Services Accessibility; Primary Health Care; asylum seekers; healthcare access; physicians; refugees
Mesh terms Humans; Refugees, psychology; Physicians, Family; Switzerland; Health Services Accessibility; Primary Health Care
Abstract Since 2015 the need for evidence-based guidance in primary health care management of refugees, asylum seekers, and immigrants has dramatically increased. The aims of this study were to identify the challenges met by primary care physicians in Switzerland, by performing semi-structured interviews and to identify possible approaches and interventions. Between January 2019 and January 2020, 20 GPs in 3 Swiss cantons were interviewed. The interviews were transcribed, coded with MAXQDA 18, and analyzed using the framework methodology. Following relevant findings were highlighted; (i) problems relating to health insurance companies among (health-insured) asylum seekers and refugees were negligible; (ii) there is a high acceptance for vaccination by refugees, asylum seekers, and immigrants; (iii) limitations in time for consultations and adequate reimbursement for practitioners pose a serious challenge; (iv) the majority of consultations are complaint-oriented, preventive consultations are rare; and (v) the language barrier is a major challenge for psychosocial consultations, whereas this appears less relevant for somatic complaints. The following issues were identified as high priority needs by the study participants; (i) increased networking between GPs, that is, establishing bridging services with asylum centers, (ii) improved training opportunities for GPs in Migration Medicine with regular updates of current guidelines, and (iii) a standardisation of health documentation facilitating exchange of medical data, that is, digital/paper-based "health booklet" or "health pass."
ISSN/ISBN 2150-1327 (Electronic)2150-1319 (Linking)
URL https://doi.org/10.1177/21501319231181878
edoc-URL https://edoc.unibas.ch/95317/
Full Text on edoc Available
Digital Object Identifier DOI 10.1177/21501319231181878
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/37394820
ISI-Number WOS:001018162000001
Document type (ISI) Journal Article
 
   

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26/02/2024