Overcoming barriers to health-care access: A qualitative study among African migrants in Guangzhou, China.
Glob Public Health
; 11(9): 1135-47, 2016 10.
Article
em En
| MEDLINE
| ID: mdl-26400191
ABSTRACT
Guangzhou is China's third most populous city, and the region's burgeoning manufacturing economy has attracted many young African businessmen and entrepreneurs to the city. The aims of this study were to examine strategies that African migrants in Guangzhou have adopted in response to health-care barriers, and explore their perceptions of how to address their needs. Twenty-five semi-structured interviews and two focus groups were conducted among African migrants residing in Guangzhou, China. Facing multiple barriers to care, African migrants have adopted a number of suboptimal and unsustainable approaches to access health care. These included using their Chinese friends or partners as interpreters, self-medicating, using personal connections to medical doctors, and travelling to home countries or countries that offer English-speaking doctors for health care. Health-care providers and health organisations in Guangzhou have not yet acquired sufficient cultural competence to address the needs of African migrants residing in the city. Introducing linguistically and culturally competent health-care services in communities concentrated with African migrants may better serve the population. With the growing international migration to China, it is essential to develop sustainable approaches to improving health-care access for international migrants, particularly those who are marginalised.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Migrantes
/
Barreiras de Comunicação
/
Confidencialidade
/
Turismo Médico
/
Assistência à Saúde Culturalmente Competente
/
Acessibilidade aos Serviços de Saúde
/
Programas Nacionais de Saúde
Tipo de estudo:
Qualitative_research
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
/
Implementation_research
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Africa
/
Asia
Idioma:
En
Revista:
Glob Public Health
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Estados Unidos