학술논문
Access to Healthcare Among US Adult Refugees: A Systematic Qualitative Review.
Document Type
Article
Author
Source
Subject
*EVALUATION of medical care
*DIVERSITY & inclusion policies
*MEDICAL quality control
*HEALTH services accessibility
*SOCIAL support
*SOCIAL determinants of health
*SYSTEMATIC reviews
*MEDICAL care costs
*QUALITATIVE research
*HEALTH literacy
*REFUGEES
*DESCRIPTIVE statistics
*HEALTH equity
*DEMOGRAPHIC characteristics
*CULTURAL prejudices
*DATA analysis software
*INSURANCE
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Language
ISSN
1557-1912
Abstract
Refugees encounter numerous healthcare access barriers in host countries, leading to lower utilization rates and poorer health outcomes. In the US, social inequities and fragmented health systems may exacerbate these disparities. Understanding these factors is necessary to ensure equitable care of refugee populations. A systematic literature review of qualitative studies on US adult refugee healthcare access from January 2000 to June 2021 was performed in accordance with PRISMA. Studies were analyzed deductively and then inductively to incorporate previous findings in other resettlement countries and emergence of US-specific themes. 64 articles representing 16+ countries of origin emerged from the final analysis, yielding nine interrelated themes related to health literacy, cost of services, cultural beliefs, and social supports, among others. The main challenges to refugees' healthcare access emerge from the interactions of care fragmentation with adverse social determinants. Given diverse barriers, integrated care models are recommended in treating refugee populations. [ABSTRACT FROM AUTHOR]