Care of Adult Refugees with Chronic Conditions

Terasaki, Genji; Ahrenholz, Nicole Chow; Haider, Mahri

doi:10.1016/j.mcna.2015.05.006

Cited by 18 publications

(14 citation statements)

References 56 publications

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“…This brief coverage allows patients to see a physician for their initial evaluation and any necessary follow up. After 8 months, refugees are eligible to apply for health insurance through the Affordable Care Act (as of July 2017) or their employers (Terasaki, Ahrenholz & Haider, 2015). While RMA provides urgent and necessary coverage for recently resettled refugees, there are often significant lapses in coverage once the first 8 months have passed.…”

Section: Caring For Refugee Patients: General Considerationsmentioning

confidence: 99%

The Medical Evaluation of the Newly Resettled Female Refugee: A Narrative Review

Duckles¹,

Barden-Maja²,

Caplow³

2018

rgh

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The number of forcibly displaced individuals worldwide is increasing each year, reaching 65 million persons by the end of 2015, half of which were women and children. As the population of displaced persons grows, it is every physician's responsibility to understand these patients and their health needs. Refugee patients and the providers who care for them face many barriers to effective patient care, including language barriers, cultural differences, and systematic inequalities. Female refugees commonly experience gender-based violence, repetitive trauma, stigmatized mental illness, and cultural barriers to women's healthcare. This review is intended to be a comprehensive guide for the provider caring for the recently resettled female refugee patient. It addresses general considerations for working with refugee patients, initial medical evaluation guidelines, specific women's health issues, and mental health care of female refugee patients.

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Section: Caring For Refugee Patients: General Considerationsmentioning

confidence: 99%

The Medical Evaluation of the Newly Resettled Female Refugee: A Narrative Review

Duckles¹,

Barden-Maja²,

Caplow³

2018

rgh

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“…There is no “one size fits all” approach to identifying health needs and facilitating integration into each country’s health care system. The legal status of refugees and asylum seekers is a key factor in obtaining government assistance such as housing, food, vocational training and health insurance [2,3]. Traditionally, early-stage health assessment focused on communicable diseases (to avoid infection of the local population) and on mental health issues (to help cope with trauma caused by conditions in the home country, during transit, and on arrival in the receiving country) [2,4].…”

Section: Introductionmentioning

confidence: 99%

“…The legal status of refugees and asylum seekers is a key factor in obtaining government assistance such as housing, food, vocational training and health insurance [2,3]. Traditionally, early-stage health assessment focused on communicable diseases (to avoid infection of the local population) and on mental health issues (to help cope with trauma caused by conditions in the home country, during transit, and on arrival in the receiving country) [2,4]. Increasingly, however, policy-makers are concerned with ensuring equitable, long-term access to appropriate health services, including management of chronic diseases and development of comprehensive programs that address social determinants of health and evaluate the health impact of policies [5–7].…”

Section: Introductionmentioning

confidence: 99%

Addressing refugee health through evidence-based policies: a case study

Bocanegra

Carter‐Pokras

Ingleby

et al. 2018

Annals of Epidemiology

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The cumulative total of persons forced to leave their country for fear of persecution or organized violence reached an unprecedented 24.5 million by the end of 2015. Providing equitable access to appropriate health services for these highly diverse newcomers poses challenges for receiving countries. In this case study, we illustrate the importance of translating epidemiology into policy to address the health needs of refugees by highlighting examples of what works as well as identifying important policy-relevant gaps in knowledge. First, we formed an international working group of epidemiologists and health services researchers to identify available literature on the intersection of epidemiology, policy, and refugee health. Second, we created a synopsis of findings to inform a recommendation for integration of policy and epidemiology to support refugee health in the US and other high-income receiving countries. Third, we identified eight key areas to guide the involvement of epidemiologists in addressing refugee health concerns. The complexity and uniqueness of refugee health issues, and the need to develop sustainable management information systems, require epidemiologists to expand their repertoire of skills to identify health patterns among arriving refugees, monitor access to appropriately designed health services, address inequities, and communicate with policy makers and multidisciplinary teams.

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“…Based on a systematic review and meta-analysis, it is estimated that among approximately 80,000 refugees in the US, about 30 % will suffer from PTSD or depression. Moreover, approximately 86 % of refugees with major depression also experience concomitant PTSD [6].…”

mentioning

confidence: 99%

“…A chronic disease such as hypertension is difficult to manage in refugees. This is because many have limited experience and knowledge about an asymptomatic disease [6].…”

mentioning

confidence: 99%

Importance of Interprofessional Healthcare for Vulnerable Refugee Populations

Nies

Lim

Fanning

et al. 2016

J Immigrant Minority Health

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The refugee population in the United States is steadily increasing. These populations face a plethora of diseases and chronic health problems (i.e. obesity, hypertension and depression) as they resettle into their new environment. Due to the lack of understanding, minority population refugee health is scarce and minimal at best. Refugees and healthcare professionals face similar barriers when it comes to seeking treatment and treatment itself. For example, refugees might not be able to communicate efficiently and understand the referral process while healthcare professionals do not understand the culture and language of their patients. However, more data is needed to determine if interprofessional teams consisting of differing healthcare professionals such as nurses, pharmacists, and dieticians that conduct home visits might be able to bridge the health care gap between individualized treatment and refugee needs.

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Care of Adult Refugees with Chronic Conditions

Cited by 18 publications

References 56 publications

The Medical Evaluation of the Newly Resettled Female Refugee: A Narrative Review

The Medical Evaluation of the Newly Resettled Female Refugee: A Narrative Review

Addressing refugee health through evidence-based policies: a case study

Importance of Interprofessional Healthcare for Vulnerable Refugee Populations

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