Transition from an asylum seeker–specific health service to mainstream primary care for community-based asylum seekers: a qualitative interview study

Fair, Genevieve L; Harris, Mark; Smith, Mitchell

doi:10.17061/phrp2811805

Cited by 8 publications

(13 citation statements)

References 10 publications

(18 reference statements)

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“…This was evidenced in a number of previous studies were asylum seekers failed to integrate into their local community services such as GP or maternal health services from using asylum seekers specific services (Fair et al 2018;Spike 2011).…”

Section: Discussionmentioning

confidence: 98%

“…Findings from a scoping review on chronic non-communicable diseases in asylum seekers exposed that in comparison to host populations they have high incidences cardiovascular diseases and diabetes however, the exact statistics are quite fluid (Agyemang et al, 2018). Asylum seekers face numerous challenges in host countries such as language and cultural barriers, health illiteracy, poor housing and healthcare access and work restrictions and difficulties navigating healthcare services when move into communities where they have little or no assistance (Spike 2011;Fair et al 2018).…”

Section: Introductionmentioning

confidence: 99%

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Reducing health inequities for asylum seekers with chronic non-communicable diseases: Australian context

Nkhoma

Lim

Kennedy

et al. 2021

Aust. J. Primary Health

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Asylum seekers are susceptible to chronic non-communicable diseases pre- and post-arrival due to poor living conditions, unhealthy lifestyles and restrictive and poor access to health services. Despite their need for constant and continuous health care access due to poor health, they face healthcare services access restrictions dependent on their visa conditions in Australia. Some visas only allow access to hospital services with restrictions on primary health services access such as GPs and free or discounted pharmaceutical products. In comparison, disadvantaged host populations have access to free/discounted pharmaceutical products and unrestricted access to primary and secondary health care. Ten professionals who constantly engage with asylum seekers in three large asylum seeker centres in Melbourne were interviewed either face-to-face or over the phone. The interviews were essential to understand how health inequities may be addressed for asylum seekers. Interviews were audio-recorded, transcribed verbatim and analysed using a thematic analysis framework. Their recommendations, based mainly on their experience and evaluation of programs, were: (1) cultural competence training; (2) use of interpreters; (3) free access to health services and medications; (4) use of English learning to promote health literacy and community integration; (5) robust chronic non-communicable diseases screening; and (6) health promotion and accessible food programs.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Reducing health inequities for asylum seekers with chronic non-communicable diseases: Australian context

Nkhoma

Lim

Kennedy

et al. 2021

Aust. J. Primary Health

View full text Add to dashboard Cite

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“…The study findings align with those outlined by other studies discussing challenges of working within the healthcare system when providing care to refugees. Mainstream PHC providers often lack professional support, particularly around abilities to address refugees’ complex physical, psychological and social problems, as previously identified 38 40. A recent Scottish qualitative study41 highlights the need to further strengthen GPs’ competency in addressing social determinants of health to support their work with disadvantaged groups and maximise impact of PHC in tacking health disparities 42–44…”

Section: Discussionmentioning

confidence: 98%

Providing care to refugees through mainstream general practice in the southern health region of New Zealand: a qualitative study of primary healthcare professionals’ perspectives

et al. 2019

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ObjectiveTo explore the perspectives of primary healthcare (PHC) professionals providing care to refugees through mainstream general practice.DesignQualitative exploratory design with semistructured interviews subjected to inductive thematic analysis.Setting and participantsNine general practices enrolled in the Dunedin Refugee Resettlement Programme, in New Zealand (NZ)’s southern health region. Participants included nine general practitioners and six practice nurses.ResultsThree analytical constructs were identified: relational engagement with refugees, refugee healthcare delivery and providers’ professional role shaped by complexity. Building meaningful relational connections involved acknowledging refugees’ journeys by getting to know them as people. This was instrumental for the development of an empathetic understanding of the complex human trajectories that characterise refugees’ journeys to NZ. Participants encountered challenges in providing care to refugees with respect to time-limited consultations, variable use of interpreter services, fragmentation of care between agencies and need for improved health infrastructure to ensure a fluid interface between PHC, secondary care and community support services. The current business model of NZ general practice was perceived to interfere with value-driven care and discouraged tailoring of care to specific patient groups, raising concerns about the ‘fit’ of mainstream general practice to address the complex healthcare needs of refugees. Meeting the needs of refugees across the social determinants of health involved a lot of ‘behind the scenes work’ particularly in the absence of shared information systems and the lack of well-established referral pathways to connect refugees to services beyond the health sector. This led to providers feeling overwhelmed and uncertain about their ability to provide appropriate care to refugees.ConclusionsThis study provides rich context-specific findings that enhance PHC responsiveness to the needs of refugees in NZ.

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“…On the other hand, refugee/asylum seeker patients' lack of understanding of the host country's health system and social and economic limitations directly affect the difficulties faced by health personnel in providing services to refugee patients (Ahmad, 2018; Fair et al, 2018). In one previous study, nurses noted that they needed extra time and more home visits to meet the needs they identified within the scope of mother–child health services and required comprehensive interviews with families to establish accurate communication (Willey et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the care needs of refugees in Turkey, changing patient type, and ongoing waves of migration may lead to insufficiencies and problems in the healthcare provided (Aloğlu et al, 2017; Assi et al, 2019). Many quantitative and qualitative studies in the domestic (Karadag et al, 2018; Savaş et al, 2016; Sevinç, 2018) and international (Fair et al, 2018; Ogunsiji et al, 2018; Willey et al, 2018) literature have been conducted to investigate difficulties experienced in caring for individuals from different cultures. However, no qualitative study in which data specific to the field of nursing were analyzed using content analysis was found.…”

Section: Introductionmentioning

confidence: 99%

Nursing Care Experiences With Syrian Refugees in Southern Turkey: A Metaphor Analysis

Akgül-Gündoğdu

Taş

Tosun

2022

Journal of Nursing Research

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BackgroundHealthcare professionals' “cultural prejudices” toward individuals' cultural beliefs, attitudes, and perceptions affect the care they provide. Their awareness of their bias is closely associated with the quality of healthcare provided.PurposeThis study was designed to assess nurses' perceptions regarding providing care to Syrian refugee patients using metaphors and to evaluate their views based on these metaphors.MethodsThe participants in this qualitative study consisted of 80 nurses who worked in Level 1 and Level 2 health institutions. Data were collected using an interview form prepared by the researchers. The form included descriptive characteristics of the nurses and two expressions used to determine the nurses' opinions on providing care for Syrian refugee patients. The nurses were given an incomplete sentence, which was “Providing care for a Syrian refugee patient…because…,” and were asked to complete the blanks. The data were analyzed using the content analysis method.ResultsOn the basis of “providing care for Syrian refugee patients,” four categories of metaphors were determined: occupational awareness, health promotion, a difficult process/resistance, and providing service in vain. The participants generated 50 metaphors, with “humanity,” “a baby/little child,” and “a barrier” as the three most used metaphors, belonging to the “occupational awareness” and “a difficult process/resistance” categories, respectively.Conclusions/Implications for PracticeThe metaphors of nurses regarding giving care to Syrian refugee patients were mostly concentrated in the categories of “occupational awareness” and “a difficult process/resistance.” Metaphors generated by the nurses offer a powerful research tool to reveal, understand, and explain nurses' personal perceptions and to develop and support nursing care accordingly. In addition, the subject of transcultural nursing should be discussed more extensively in nursing education programs. Understanding the social context of refugees is very important during the nursing care process.

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Transition from an asylum seeker–specific health service to mainstream primary care for community-based asylum seekers: a qualitative interview study

Cited by 8 publications

References 10 publications

Reducing health inequities for asylum seekers with chronic non-communicable diseases: Australian context

Reducing health inequities for asylum seekers with chronic non-communicable diseases: Australian context

Providing care to refugees through mainstream general practice in the southern health region of New Zealand: a qualitative study of primary healthcare professionals’ perspectives

Nursing Care Experiences With Syrian Refugees in Southern Turkey: A Metaphor Analysis

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