1. Migration Challenges and Their Impact on the Primary Healthcare System—A Qualitative Research.
- Author
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Partyka, Olga, Pajewska, Monika, Czerw, Aleksandra, Sygit, Katarzyna, Lyubinets, Oleh, Banaś, Tomasz, Małecki, Krzysztof, Grochans, Elżbieta, Grochans, Szymon, Cybulska, Anna, Schneider-Matyka, Daria, Cipora, Elżbieta, Kaczmarski, Mateusz, Sośnicki, Krzysztof, Dykowska, Grażyna, Sienkiewicz, Zofia, Strzępek, Łukasz, Bandurska, Ewa, Ciećko, Weronika, and Drobnik, Jarosław
- Subjects
EMIGRATION & immigration & psychology ,MEDICAL care use ,IMMUNIZATION ,MEDICAL interpreters ,MEDICAL protocols ,HEALTH information services ,QUALITATIVE research ,HEALTH facility administration ,RESPIRATORY infections ,OCCUPATIONAL diseases ,HEALTH attitudes ,HELPLINES ,RESEARCH funding ,PRIMARY health care ,INTERVIEWING ,VACCINATION ,INFLUENZA vaccines ,MEDICAL care ,PRIMARY nursing ,DESCRIPTIVE statistics ,HELP-seeking behavior ,COVID-19 vaccines ,NURSE practitioners ,HEALTH services administrators ,ATTITUDE (Psychology) ,MIGRANT labor ,MEDICAL appointments ,STATISTICS ,ACCESS to primary care ,DRUGS ,QUALITY assurance ,PSYCHOSOCIAL factors ,COVID-19 ,BACKACHE ,COMMUNICATION barriers ,MEDICAL referrals ,PREVENTIVE health services ,PATIENTS' attitudes ,MEDICINE information services - Abstract
In 2020 it is estimated that 281 million people were international migrants. Migrants constitute a potentially vulnerable population in terms of facing discrimination, poor living and housing conditions, and insufficient access to healthcare services. Due to the armed conflict in Ukraine in 2022, almost 10 million people crossed the Polish border within a year of the outbreak of the conflict. The objective of this paper is to present the use of primary healthcare services by people migrating from Ukraine to Poland and identify the barriers in access to healthcare by this group of persons. This study used a qualitative research technique in the form of an expert interview using individual in-depth interviews (IDI). The study group consisted of professionally active primary healthcare providers (doctors, nurses, and facility managers) in Poland. Research was carried out in the areas regarding the availability of healthcare, the potential threats and challenges, and possible system solutions. The results showed that the most common cause for doctor's appointments among migrants are respiratory infections, including COVID-19. Many cases were related to back pain, mainly resulting from the physical work of the patients. Additionally, some barriers to access and the provision of healthcare services for patients from Ukraine were identified. The majority (75%) of respondents indicated language as a significant barrier when providing services. Based on the study results, we recommend creating a dedicated website and telephone hotline for this group of persons as well as the use of traditional media to distribute information about access to healthcare services. It is also essential to focus on assistance for older people, since they may experience more difficulties with language and navigating the healthcare system. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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