Files
Abstract
Introduction : face à un afflux exceptionnel de requérants d’asile en Suisse en 2015, les soignants ont dû faire face à de nouvelles problématiques.
Contexte : il manque des travaux locaux ayant investigué parallèlement le vécu des requérants d’asile en lien avec le système de santé et les perceptions des professionnels de santé en contact avec les requérants d’asile. Objectifs : avoir une meilleure compréhension des besoins spécifiques des RA puis mettre en place des actions concrètes afin d’améliorer l’accès aux soins et augmenter l’efficience de la prise en charge.
Méthode : étude qualitative comprenant des entretiens individuels et de groupe avec des requérants d’asile et trois focus group avec des soignants et des interprètes.
Résultats : les résultats concernent l’accès aux soins dans le pays d’origine, les représentations sur les conditions de vie en Suisse, les effets du parcours migratoire sur la santé, les représentations vis-à-vis de la psychiatrie et de la bonne santé, la fréquentation des urgences, les motifs des rendez-vous manqués, l’aide par les pairs.
Discussion : l’information, la confiance, suffisamment de temps, sont les éléments-clé identifiés pour créer un lien qui optimise l’accès aux soins.
Conclusion : la recherche a permis une meilleure compréhension des besoins spécifiques. Des recommandations pour la pratique ont été émises.
Introduction: In the context of an upsurge in the number of asylum seekers arriving in Switzerland in 2015, caregivers encountered new issues. Background: We lack local studies that simultaneously analyze asylum seekers’ experiences of the healthcare system and the perceptions of health professionals in contact with asylum seekers. Objectives: To assess the health problems of this population in order to gain a better understanding of their specific needs and to implement best practice interventions in order to improve access to care and efficiency of care. Methods: A qualitative study with twenty interviews, either one-to-one or in groups, with Eritrean and Afghan ASs, and three focus groups with registered nurses, interpreters, and emergency department professionals. Results: The main results concern access to healthcare in the country of origin, expectations about the living conditions in Switzerland, the effects of migration on health, cultural beliefs on physical health and psychiatry, visits to the emergency department, reasons for missed appointments, and peer support. Discussion: Information, trust, and time are the main issues identified to optimize access to care. Conclusion: Our results allow for a better understanding of specific needs and health interventions for Afghan and Eritrean ASs. Recommendations for practice were issued.
Introduction: In the context of an upsurge in the number of asylum seekers arriving in Switzerland in 2015, caregivers encountered new issues. Background: We lack local studies that simultaneously analyze asylum seekers’ experiences of the healthcare system and the perceptions of health professionals in contact with asylum seekers. Objectives: To assess the health problems of this population in order to gain a better understanding of their specific needs and to implement best practice interventions in order to improve access to care and efficiency of care. Methods: A qualitative study with twenty interviews, either one-to-one or in groups, with Eritrean and Afghan ASs, and three focus groups with registered nurses, interpreters, and emergency department professionals. Results: The main results concern access to healthcare in the country of origin, expectations about the living conditions in Switzerland, the effects of migration on health, cultural beliefs on physical health and psychiatry, visits to the emergency department, reasons for missed appointments, and peer support. Discussion: Information, trust, and time are the main issues identified to optimize access to care. Conclusion: Our results allow for a better understanding of specific needs and health interventions for Afghan and Eritrean ASs. Recommendations for practice were issued.