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Experiences With Health Care Services in Switzerland Among Immigrant Women With Chronic Illnesses

机译：瑞士在患有慢性疾病的移民妇女中的医疗保健服务经验

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Introduction: Descriptive data indicate a high burden of chronic illness among immigrant women in Switzerland. Little is known about how immigrant women with chronic illnesses experience healthcare services. This paper presents a methodological approach theoretically informed by Sen's capability approach and Levesque's framework of access to healthcare to study patient-reported experiences (PREs) of Swiss healthcare services among immigrant women with chronic conditions. Methods: We conducted 48 semi-structured qualitative interviews in Bern and Geneva with Turkish ( n = 12), Portuguese ( n = 12), German ( n = 12), and Swiss ( n = 12) women. Participants were heterogenous in age, length of stay, SES, and educational attainment, illness types and history. We also conducted semi-structured interviews with healthcare and social service providers ( n = 12). Interviewed women participated in two focus group discussions ( n = 15). Interviews were transcribed verbatim and analyzed using Atlas.ti software, based on Gale et al.'s framework approach. Findings informed three stakeholder dialogues in which women as well as healthcare providers and policymakers from various territorial levels participated. Results: Our methodological approach succeeded in integrating women's perspectives—from initial data collection in interviews to identify issues, focus group discussions to increase rigor, and stakeholder dialogues to develop tailored recommendations based on PREs. Discussion: This is one of the first studies in Switzerland that used PREs to research healthcare services and healthcare needs among immigrant women with chronic illnesses. This paper provides new insights on how to better understand existing challenges and potentially improve access to and quality of care.
机译：简介：描述性数据表明瑞士移民妇女的慢性疾病的高负担。关于慢性疾病经验医疗保健服务的妇女方式知之甚少。本文介绍了由森的能力方法和Levesque获得医疗保健框架的方法论方法，以研究慢性条件的移民妇女中瑞士医疗保健服务的患者报告的经验（Pres）。方法：在伯尔尼（N = 12），葡萄牙语（n = 12），德语（n = 12），瑞士（n = 12）女性，我们在伯尔尼和日内瓦进行了48名半结构性的定性访谈。参与者在年龄，入住时间，SES和教育程度和教育程度，疾病类型和历史中的异常感。我们还与医疗保健和社会服务提供商进行了半结构化访谈（n = 12）。采访的妇女参加了两个焦点小组讨论（n = 15）。面试被逐字转录并使用Atlas.ti软件进行分析，基于Gale等人。的框架方法。调查结果了解三个利益相关者对话，其中妇女以及来自各种领土层面的医疗保健提供者和政策制定者。结果：我们的方法论方法成功地将妇女的观点纳入 - 从采访中的初始数据收集来确定问题，焦点小组讨论，以增加严格的严谨性，并基于PRAS制定量身定制的建议。讨论：这是瑞士第一次研究中的研究，以便在患有慢性疾病中的移民妇女中研究医疗保健服务和医疗保健需求。本文对如何更好地了解现有挑战并潜在地改善和护理质量，提供了新的见解。

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