Co-Creating Asset and Place-Based Approaches to Tackling Refugee and Migrant Health Exclusion

共同创造基于资产和地点的方法来解决难民和移民健康排斥问题

• 批准号: AH/Z505390/1
• 负责人: Margaret Greenfields
• 金额: $ 270.71万
• 依托单位: Anglia Ruskin University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=AH%2FZ505390%2F1
• 关键词: Co; Creating; Asset; Place; Based

Refugees, asylum seekers and migrants (R/AS/Ms) are varyingly yet systematically disadvantaged (EHRC, 2016) throughout their migration and resettlement journeys, as well as (typically) across the post-migration life-course (Allsopp, Sigona and Phillimore, 2014; BMA, 2021; Kemmak, Nargesi and Saniee, 2021). Inequitable access to health-care (physical and mental) and the ability to meaningfully access NHS/integrated care services, whilst fundamental to counteracting health disadvantage, is but one element in relation to improving wellbeing outcomes for these populations.Poor health experienced by the above groups result from inequitable access to services and opportunities across the social determinants of health (SDOH) including: language barriers, accommodation, employment, education, frequent (often enforced) movement, poverty, and discrimination (Castañeda et al., 2015; Davies, 2006; Marmot et al., 2020). So deep are these exclusions that experience of multiple disadvantage is common, and has been found to persist across the life-course, worsening exponentially for some individuals at particular life-stages, or resulting from possession of 'protected characteristics' (Aldridge et al., 2018; Borhade and Dey, 2018; Dagilyte et al., 2022; The Migration Observatory, 2020)Against this backdrop, our innovative co-created interdisciplinary research proposal which draws together expertise from a broad range of stakeholders from academia, policy professions, community development, healthcare (front-line practitioners, public health commissioners and Integrated Care Systems [ICS]), statutory and local government sectors, civil society agencies and creatives; has been designed.The key research aim (framed through understanding the experiences of R/AS/M migrant communities in relation to how diverse SDOHs impact wellbeing, and which by extension is transferable to wider populations) is: to generate an evidence-based conceptual framework for transdisciplinary interventions in health care that allow community assets to be efficiently integrated; in turn supporting cost-efficient, accessible, scalable services, delivered locally and regionally by ICSs and their key partners.

难民、寻求庇护者和移民 (R/AS/Ms) 在整个移民和重新安置旅程中，以及（通常）在整个移民后生命历程中（Allsopp、Sigona 和 Phillimore），都处于不同但系统性的不利地位（EHRC，2016） ，2014；BMA，2021；Kemmak、Nargesi 和 Saniee，2021）。医疗保健（身体和精神）以及有效获得 NHS/综合护理服务的能力，虽然从根本上抵消了健康劣势，但只是改善这些人群福祉结果的一个要素。上述群体的健康状况不佳是由于健康社会决定因素 (SDOH) 中获得服务和机会的不平等，包括：语言障碍、住宿、就业、教育、频繁（通常是强制）流动、贫困和歧视（Castañeda 等，2015 年；Davies， 2006；Marmot 等人，2020）这些排斥是如此深刻，以至于多重劣势的经历很常见，并且被发现在整个生命过程中持续存在，对于某些人来说，在特定的生命阶段会呈指数级恶化，或者由于占有而恶化。 “受保护的特征”（Aldridge 等人，2018 年；Borhade 和 Dey，2018 年；Dagilyte 等人，2022 年；移民观察站， 2020）在此背景下，我们创新性地共同创建了跨学科研究提案，该提案汇集了来自学术界、政策专业人士、社区发展、医疗保健（一线从业人员、公共卫生专员和综合护理系统 [ICS] 的广泛利益相关者的专业知识） ) )、法定和​​地方政府部门、民间社会机构和创意人员已被设计。主要研究目标（通过了解 R/AS/M 移民社区在多样化 SDOH 如何影响福祉方面的经验，以及由此延伸而来的经验）是可转移到更广泛的人群）是：为卫生保健领域的跨学科干预措施建立一个基于证据的概念框架，使社区资产能够有效整合，从而支持由ICS及其在当地和区域范围内提供的具有成本效益的、可获得的、可扩展的服务；关键合作伙伴。