Desafíos en la atención sanitaria de migrantes internacionales en Chile
Date
2017
Type:
Artículo
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9
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Journal Title
Journal ISSN
Volume Title
Publisher
Instituto Nacional de Salud de Peru
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Abstract
Objectives. To investigate the perceptions of primary health workers (PHW) about the challenges of health care for
migrants. Materials and methods. A qualitative multicase study was conducted in eight communes of Chile, using the
snowball technique, where 101 PHW and local authorities were recruited. Semi-structured interviews and focal groups
were conducted, achieving information saturation. Results. The findings were grouped into two major thematic axes: 1.
Technical and administrative difficulties, and 2. Perception of cultural barriers. According to the PHW, although regulations
have been established and health care strategies have been generated for the migrant population, these are mostly not
stable or known to all PHW. They are also not easy to implement in the various realities investigated. The absence
of records on the number of migrants accessing the health system makes it difficult to design specific interventions.
Additionally, health care has complications, and the PHW do not necessarily have tools that allow them to provide a care
that is culturally sensitive to the needs of the migrant community. Conclusions. The findings put into question the new
challenges in health that Chile is facing in the face of the growing migrant population. The needs perceived by PHW are:
stability and clarity in the regulations in force in relation to access and provision of services, training in regulations and
the concrete way in which they should operate, and sensitization in cultural competence.
Description
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Citation
Rev. Per. Med. Exper. S. Publ. 2017 Vol 34
Keywords
Human Migration, Primary Health Care, Chile, Health Personnel