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首页> 外文期刊>BMC Health Services Research >Tactics employed by healthcare providers in Denmark to determine the vaccination needs of asylum-seeking children: a qualitative study
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Tactics employed by healthcare providers in Denmark to determine the vaccination needs of asylum-seeking children: a qualitative study

机译：丹麦医疗保健提供者雇用的策略确定寻求儿童的疫苗接种需求：一个定性研究

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Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children. To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis. The analysis revealed that healthcare providers adopt a number of tactics to ascertain children's immunization needs. They ask into the children's vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate. This is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records.
机译：许多寻求丹麦的寻求庇护者来自战争蹂躏的国家，在那里冲突和保健基础设施不足扰乱疫苗计划，并导致很少有孩子及其家庭在庇护所抵达的疫苗上提出疫苗的文件。有必要探索医疗保健提供者如何在没有疫苗文件的情况下确定新来难民儿童的疫苗接种需求。为了探讨医疗保健专业人员雇用的策略，他们在丹麦筛选寻求庇护儿童，我们在2015年12月和2016年1月之间进行了半结构化访谈，其中六个医疗保健专业人员，包括三名医生和三名公共卫生护士。访谈被数字记录，转录并进行主题网络分析。分析显示，医疗保健提供者采用了一些策略来确定儿童免疫需求。他们通过使用合格的口译员向孩子们的疫苗接种历史;咨询世界范围内免疫计划列表;借鉴国家疫苗接种计划的默契识;考虑父母的背景;谨慎行事并重新签名。这是第一次展示医疗保健提供者雇用的策略的研究之一，以确定寻求西方接受国家寻求庇护儿童的免疫需求。调查结果表明，关于如何确定寻求儿童的疫苗接种需求的国家一级的明确指导，以及确保移民群体可靠免疫文件的国际努力，例如通过虚拟免疫记录。

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