Completion of Primary Care Referrals Among New York State Refugees

Alarcón, Jemma; Cleghorn, Eric J.; Rodriguez, Edwin M.; Hughes, Stephen; Oxtoby, Margaret J.

doi:10.1007/s10903-013-9899-0

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…13 Re-location of refugees away from points of arrival has been associated with increased rates of temporary registration in community family practices, which can remove some financial incentives for family physicians accepting refugee patients, such as incentives for performing longer-term interventions, immunization and cervical smear tests with this population. 3 Other barriers to follow-up in community family practices were identified by Alarcon et al, 14 including health literacy, accessibility, transportation, lack of culturally competent providers, and issues with healthcare insurance coverage.…”

Section: Challenges Related To Transitions For Beacon Clinicsmentioning

confidence: 99%

“…15 Other challenges include cultural barriers, refugee population’s understanding of next of kin, and providers’ lack of familiarity and comfort working with interpretation services. 13 Health literacy, transportation, local language proficiency, and health literacy were identified by Alarcon et al 14 as challenges which also impact follow-up completion rates among refugee patients at community family practices. Some refugee patients also reported to feeling afraid to go to the doctor because they felt unwanted or a burden on resources.…”

Section: Challenges Related To Transitions For Beacon Clinicsmentioning

confidence: 99%

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The Newcomer Health Clinic in Nova Scotia: A Beacon Clinic to Support the Health Needs of the Refugee Population

Kohler

Holland

Sharpe

et al. 2018

Int J Health Policy Manag

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Refugees tend to have greater vulnerability compared to the general population reporting greater need for physical, emotional, or dental problems compared to the general population. Despite the importance of creating strong primary care supports for these patients, it has been demonstrated that there is a significant gap in accessing primary care providers who are willing to accept the refugee population. These have resulted in bottlenecks in the transition or bridge clinics and have left patients orphaned without a primary care provider. This in turn results in higher use of emergency service and other unnecessary costs to the healthcare system. Currently there are few studies that have explored these challenges from primary care provider perspectives and very few to none from patient perspectives. A novel collaborative implementation initiative in primary healthcare (PHC) is seeking to improve primary medical care for the refugee population by creating a globally recommended transition or beacon clinic to support care needs of new arrivals and transitions to primary care providers. We discuss the innovative elements of the clinic model in this paper.

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Section: Challenges Related To Transitions For Beacon Clinicsmentioning

confidence: 99%

Section: Challenges Related To Transitions For Beacon Clinicsmentioning

confidence: 99%

The Newcomer Health Clinic in Nova Scotia: A Beacon Clinic to Support the Health Needs of the Refugee Population

Kohler

Holland

Sharpe

et al. 2018

Int J Health Policy Manag

View full text Add to dashboard Cite

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Emergency Department and Primary Care Use by Refugees Compared to Non-refugee Controls

Guess

Tanabe

Nelson

et al. 2018

J Immigrant Minority Health

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The U.S. grants asylum to 60,000-70,000 refugees yearly. However, little is known about their healthcare utilization practices. We examined data from emergency department (ED) and primary care (PC) visits of 694 refugees and 738 non-refugee controls over a 3 years period at a large academic medical center, comparing visit frequencies, Emergency Severity Index (ESI) scores, diagnoses, and dispositions. Refugees used emergency care services less frequently than the non-refugee controls (1.19 vs. 2.31, p < 0.0001) while there was no difference in their use of primary care services (8.45 vs. 9.07, p = 0.18). Non-English-speaking refugees were more likely to use the ED than English-speaking refugees (mean ED use in study period 1.50 visits vs. 0.73, p < 0.0001). Refugee patients utilized emergency services less often compared to controls. These results differ from previously studied refugee populations. Refugee-specific primary care services in this study population may reduce unnecessary ED use.

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Completion of Primary Care Referrals Among New York State Refugees

Cited by 2 publications

References 8 publications

The Newcomer Health Clinic in Nova Scotia: A Beacon Clinic to Support the Health Needs of the Refugee Population

The Newcomer Health Clinic in Nova Scotia: A Beacon Clinic to Support the Health Needs of the Refugee Population

Emergency Department and Primary Care Use by Refugees Compared to Non-refugee Controls

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