Desafíos en la atención sanitaria de migrantes internacionales en Chile

Translated title of the contribution: Challenges in the health care of international migrants in Chile

Margarita Bernales, Báltica Cabieses, Ana María McIntyre, Macarena Chepo

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

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.

Translated title of the contributionChallenges in the health care of international migrants in Chile
Original languageSpanish
Pages (from-to)167-175
Number of pages9
JournalRevista Peruana de Medicina Experimental y Salud Publica
Volume34
Issue number2
DOIs
Publication statusPublished - 1 Apr 2017
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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