A Conceptual Model for Home Based Primary Care of Older Refugees

Nies, Mary A.; Febles, C; Fanning, Kelly; Tavernier, Susan S.

doi:10.1007/s10903-017-0610-8

Cited by 5 publications

(2 citation statements)

References 47 publications

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“…Community venues provide opportunities for both health promotion activities and early linkage to primary care; in addition, home-based care models may facilitate innovative models for delivery of health care. While home visits have been adopted for refugee groups, home-based primary care remains underexplored in the U.S. for African immigrant communities as a whole [39]. Recruitment of African-born community health workers to provide linguistic and culturally appropriate care can help overcome current barriers related to health care navigation and improve retention in care [40].…”

Section: Discussionmentioning

confidence: 99%

Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants

et al. 2021

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Studies of African immigrant health in the U.S. have traditionally focused on infectious diseases. However, the rising burden of non-communicable diseases (NCDs) indicates the increasing importance of general preventive health care. As part of a series of community health events designed for African-born individuals in King County, Washington, we administered key informant interviews (KIIs) with 16 health event participants, medical professionals, and community leaders to identify barriers and facilitators to use of preventive health care among African-born individuals. We used descriptive thematic analysis to organize barriers according to the socio-ecological model. Within the individual domain, KII participants identified lack of knowledge and awareness of preventive health benefits as barriers to engagement in care. Within the interpersonal domain, language and cultural differences frequently complicated relationships with health care providers. Within the societal and policy domains, healthcare costs, lack of insurance, and structural racism were also reported as major barriers. Participants identified community outreach with culturally competent and respectful providers as key elements of interventions to improve uptake. In conclusion, African immigrant communities face several barriers, ranging from individual to policy levels, to accessing health services, resulting in substantial unmet need for chronic disease prevention and treatment. Community-centered and -led care may help facilitate uptake and engagement in care.

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Section: Discussionmentioning

confidence: 99%

Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants

et al. 2021

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“…9 Home-based primary care has been utilized for vulnerable refugee populations in the United States, and linguistic communication, cultural safety, and utilization of an inter-professional team has been associated with positive health outcomes. 10 The World Health Organization notes:…”

Section: Introductionmentioning

confidence: 99%

A Localized Home-based Health Care Delivery Model for Refugees in Jordan

Suleiman¹,

Nance²,

O'Neill³

2018

han-j-cjgh

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Interprofessional teams delivering home-based care hold promise as an effective model for vulnerable populations, but examples of good practice are limited. This case study presents the initial evaluation of a contextualized application of home-based medical care initiated from the faith community in Jordan toward Syrian and Iraqi refugees with constrained access to resources. Reflexive responses to human need by local churches became the basis for home-based medical outreach. Heavily dependent on volunteers, these church-based teams are selected and trained to meet specific needs, inter-professional partnerships were created through networking, and electronic medical records are deployed to facilitate communication and follow-up. The program’s standards of operation are delineated, and a program description is explained which clarifies volunteer selection, training, faith inspiration, communication, continuity, inter-professional partnerships, and addresses obstacles of care. Based on subjective collective observations of team members, the advantages of the model in practice are reported, along with lessons learned. These include dignity promotion, contextualization of health in the home, relationship development, inter-faith communication, inter-professional partnerships created through networking with local health professionals of other faiths, and other NGOs. Limitations of the model, and potential application in other contexts concludes the case study.

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Challenges in the Provision of End-of-Life and Palliative Care to Ethnic Nepali Refugees

Najjar

Hauck

2020

Journal of Pain and Symptom Management

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A Conceptual Model for Home Based Primary Care of Older Refugees

Cited by 5 publications

References 47 publications

Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants

Barriers to accessing preventive health care among African-born individuals in King County, Washington: A qualitative study involving key informants

A Localized Home-based Health Care Delivery Model for Refugees in Jordan

Challenges in the Provision of End-of-Life and Palliative Care to Ethnic Nepali Refugees

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