Refugee-Centered Medical Home: A New Approach To Care at the University of Louisville Global Health Center

Bosson, Rahel; Carrico, Ruth; Raghuram, Anupama; Peyrani, Paula; Mattingly, William A.; Ford, Rebecca; Furmanek, Stephen; Ramírez, Julio

doi:10.18297/rgh/vol1/iss1/3/

Cited by 6 publications

(9 citation statements)

References 6 publications

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“…Interprofessional collaboration in primary care has been shown to benefit health systems and patients, particularly those with complex healthcare needs 30. Individuals who arrive in the USA as refugees are a particularly vulnerable patient group and often require this team approach 17. The case study illustrates the patient-centred, collaborative approach taken to improve care for all of the refugees who attend the IFMC.…”

Section: Resultsmentioning

confidence: 99%

“…Studies, including two published about the International Family Medicine Clinic (IFMC), show outcome measures that demonstrate how models of care dedicated to refugee populations can improve quality of care by decreasing wait times to initial visits,11 12 decreasing inappropriate emergency room visits,13 14 improving management of chronic diseases15 and decreasing the need for specialty referrals by having primary care providers (PCPs) who are trained in the unique medical needs of refugees 12. There are a few published examples of refugee centred collaborative models and medical homes across the USA and Canada,16 17 as well as papers written by experts who have advocated the importance of providing comprehensive, interprofessional care to refugee patient populations 18. In addition to language barriers, the care of refugee patients is often complicated by cultural differences, lack of previous health records, social barriers and complex psychosocial histories.…”

Section: Introductionmentioning

confidence: 99%

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Using an interprofessional team to provide refugee healthcare in an academic medical centre

et al. 2019

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IntroductionThe International Family Medicine Clinic (IFMC) was established in 2002 by the University of Virginia Department of Family Medicine to provide comprehensive, timely, culturally sensitive and high-quality healthcare to the growing refugee and special immigrant population in Central Virginia, USA.MethodsThe purpose of this paper is to describe the IFMC, with a specific focus on interprofessional roles, interprofessional collaboration, community partnerships and the services and resources available to IFMC patients.ResultsThe clinic has served over 3100 refugees from 60 countries in its 16-year history. In 2019, the clinic staff now includes 4 attending physicians, 2 nurse practitioners and 14 residents who have dedicated clinic time to see refugees; a registered nurse care coordinator and a social worker dedicated to the IFMC refugee population; 2 clinical psychologists and doctoral students in clinical psychology; and a clinical pharmacist. The IFMC also provides onsite psychiatric care. A process flow map depicts the interconnectivity of interprofessional team members working together with other specialty care providers within the medical centre and with community partners on behalf of refugee patients through the resettlement process.ConclusionIndividuals who arrive in the USA as refugees are a particularly vulnerable patient group and often require an interprofessional team approach. The IFMC may serve as a model for other institutions interested in starting a similar interprofessional, refugee-centred medical home.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Using an interprofessional team to provide refugee healthcare in an academic medical centre

et al. 2019

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“…Several published studies have focused on the data gathered in the ARIVE system [25,26], including vaccine effectiveness in refugee populations [27], the role of refugees in nursing and physician resident curriculum [28], and refugee utilization of emergency room services [29]. Collaborators continue to make use of the ARIVE data to investigate research questions regarding refugee health in Kentucky.…”

Section: Reporting and Analysismentioning

confidence: 99%

Designing the Arriving Refugee Informatics Surveillance and Epidemiology (ARIVE) System: A Web-based Electronic Database for Epidemiological Surveillance

Mattingly¹

2019

RGH

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Objectives: This article discusses the design and implementation of the Arriving Refugee Informatics surVeillance and Epidemiology (ARIVE) system. The system seeks to improve the health of refugees undergoing resettlement and enhance existing health surveillance networks. Methods: Using the REDCap™ Electronic Data Capture (EDC) software as a basis we create a refugee health database incorporating data from the Centers for Disease Control and Prevention's Electronic Disease Notification (EDN) system and domestic screening data from refugee health care providers. Results: Domestic screening and EDN refugee health data have been integrated for 16,739 refugees resettled from 35 different countries into the state of Kentucky from the years 2013-2016. Discussion: The ARIVE system is a flexible software system that implements the core of a health surveillance network in a way that is sustainable and cost-effective, and its data dictionary provides an easy way to share and improve the database structure of a health surveillance network.

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“…Results provide evidence in support of Patient (Refugee) Centered Medical Homes. Comprehensive, patient-centered, coordinated, and accessible care are pillars supported in the Patient-Centered Medical Homes (PCMH) model and in this study [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Qualitative Pilot Study: Challenges for Primary Healthcare Providers Caring for Refugees in Northeast Ohio

Reece

Rubin

2021

Cureus

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Background: Refugees resettling into the United States are faced with complex barriers to accessing basic health care. Qualitative research is needed from the primary health care providers' (PHCP) experience caring for refugees. Examination of PHCPs’ experience adds to a holistic understanding of the healthcare needs of refugees and points to specific health system interventions to improve care. Consideration for Patient-Centered Medical Homes (PMCH) within refugee communities is advanced. Objective: Gather experiences through narratives from PHCPs to understand challenges and barriers in meeting the health care needs of refugees and suggest solutions. Design: Qualitative, descriptive framework. Open-ended, semi-structured interviews. Participants: In-depth interviews (n=seven) with current licensed PHCPs (four physicians and three family nurse practitioners) working in clinic practice settings throughout Northeast Ohio, providing care to four or more refugee families per week. Approach: Interviews were recorded and transcribed. Transcripts were coded and analyzed utilizing thematic analysis to identify themes. Key results: Three themes related to challenges faced by PHCPs: 1) coordination and comprehensive care, 2) accessibility of services, 3) provision of patient-centered care. Conclusions: The challenges PHCPs describe in delivering healthcare to refugee families were physical access to resources and care coordination. Support was found for inclusion of PCMH within refugee communities.

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Refugee-Centered Medical Home: A New Approach To Care at the University of Louisville Global Health Center

Cited by 6 publications

References 6 publications

Using an interprofessional team to provide refugee healthcare in an academic medical centre

Using an interprofessional team to provide refugee healthcare in an academic medical centre

Designing the Arriving Refugee Informatics Surveillance and Epidemiology (ARIVE) System: A Web-based Electronic Database for Epidemiological Surveillance

Qualitative Pilot Study: Challenges for Primary Healthcare Providers Caring for Refugees in Northeast Ohio

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