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Advisor(s)
Abstract(s)
As comunidades imigrantes assumem cada vez mais importância no
nosso país, e, por isso, a área da saúde também deve acompanhar este
fenómeno emergente. Este estudo foca-se na comunidade chinesa, parte da
qual que se sabe que se encontra em posição não legalizada.
O objectivo primário deste trabalho foi avaliar o grau do acesso aos
cuidados de saúde por parte da comunidade chinesa residente em Portugal.
Secundariamente, procurou-se saber as razões da ausência de cuidados de
saúde nesta população – opções ou desconfianças em relação a determinado
tipo de medicina, barreiras linguísticas, ilegalidade, ausência de sistema de
saúde, entre outras –, e ainda, o grau de satisfação em relação à medicina que
optaram.
Este estudo foi realizado em Portugal continental, na sua grande
maioria, na área metropolitana de Lisboa, e desenvolvido através de
entrevistas realizadas com base num questionário, que englobava questões de
dois tipos – quer sobre a possibilidade real do acesso aos cuidados de saúde
na sociedade onde vivem presentemente, quer sobre as atitudes e as
convicções face à(s) medicina(s) ocidental e/ou chinesa. Foi entrevistado um
total de 33 indivíduos, simultaneamente de etnia e naturalidade chinesas,
desde o início do mês de Fevereiro de 2010, prolongando-se até meados de
Abril de 2010.
Os resultados revelaram, globalmente, uma baixa taxa de utilização dos
serviços de saúde pelos entrevistados – de uma maneira geral, a sua utilização
restringiu-se apenas em situação de urgência. Por outro lado, em muitas situações que consideram de menor gravidade, recorrem à farmácia, automedicando-
se. Os respondentes mostraram uma elevada taxa de utilização da
Medicina Ocidental (79%), uma taxa de utilização mais moderada de ambas as
medicinas em simultâneo (21%), e uma taxa nula de utilização apenas da
Medicina Tradicional Chinesa.
Portugal está a tornar-se cada vez mais multicultural.
Consequentemente, o sistema de saúde deve adaptar-se a esta diversidade
cultural para poder proporcionar serviços de saúde de alta qualidade, criando
soluções para os inúmeros problemas com que se deparam os imigrantes não
legalizados. Neste sentido, este estudo salienta a necessidade dos serviços de
saúde inlcuírem intérpretes que quebrem as barreiras linguísticas entre
médicos e pacientes chineses.
Immigrant communities are becoming increasingly important in our country, and therefore, the health sector must also accompany this emerging phenomenon. This study focuses on the Chinese community, part of which that is known to be in an illegal position. The primary objective of this study was to evaluate the rate of access to healthcare by the Chinese community living in Portugal. Secondarily, we sought to know the reasons for the lack of healthcare in this population – choices or mistrusts regarding a specific type of medicine, language barriers, illegality, absence of health system, among other –, as well as patient satisfaction regarding the type of medicine they chose. This study was conducted in mainland Portugal, mostly in the metropolitan area of Lisbon, and developed through interviews using a questionnaire, which encompassed two types of issues – either about the real possibility of access to healthcare in the society they live at the present, as well as about the attitudes and beliefs towards West and/or Chinese medicine. A total of 33 individuals were interviewed, all from Chinese ethnicity and born in the People’s Republic of China, since the beginning of February 2010 and lasted until mid-April 2010. Results showed an overall low rate of utilization of health services by respondents – in general, its use was restricted only in emergency situation. On the other hand, in many situations they consider to be less severe, they will go to the pharmacy, and self-medicate themselves. Respondents showed a high rate of utilization of Western Medicine (79%), a more moderate rate of use of both medicines simultaneously (21%), and none used Traditional Chinese Medicine alone. Portugal is becoming increasingly multicultural. Consequently, the health system must adapt to this cultural diversity in order to provide high quality health services, creating solutions to the many problems encountered by the illegal immigrants. Thus, this study highlights the need to involve interpreters in the health services who break the language barriers between physicians and Chinese patients.
Immigrant communities are becoming increasingly important in our country, and therefore, the health sector must also accompany this emerging phenomenon. This study focuses on the Chinese community, part of which that is known to be in an illegal position. The primary objective of this study was to evaluate the rate of access to healthcare by the Chinese community living in Portugal. Secondarily, we sought to know the reasons for the lack of healthcare in this population – choices or mistrusts regarding a specific type of medicine, language barriers, illegality, absence of health system, among other –, as well as patient satisfaction regarding the type of medicine they chose. This study was conducted in mainland Portugal, mostly in the metropolitan area of Lisbon, and developed through interviews using a questionnaire, which encompassed two types of issues – either about the real possibility of access to healthcare in the society they live at the present, as well as about the attitudes and beliefs towards West and/or Chinese medicine. A total of 33 individuals were interviewed, all from Chinese ethnicity and born in the People’s Republic of China, since the beginning of February 2010 and lasted until mid-April 2010. Results showed an overall low rate of utilization of health services by respondents – in general, its use was restricted only in emergency situation. On the other hand, in many situations they consider to be less severe, they will go to the pharmacy, and self-medicate themselves. Respondents showed a high rate of utilization of Western Medicine (79%), a more moderate rate of use of both medicines simultaneously (21%), and none used Traditional Chinese Medicine alone. Portugal is becoming increasingly multicultural. Consequently, the health system must adapt to this cultural diversity in order to provide high quality health services, creating solutions to the many problems encountered by the illegal immigrants. Thus, this study highlights the need to involve interpreters in the health services who break the language barriers between physicians and Chinese patients.
Description
Keywords
Medicina tradicional chinesa - Imigrantes chineses - Potugal Imigrantes chineses - Cuidados de saúde - Portugal Imigrantes chineses - Sistema Nacional de Saúde - Portugal Cuidados de saúde - Multiculturalismo - Portugal
Pedagogical Context
Citation
Publisher
Universidade da Beira Interior