慢性病成年难民的护理。

Terasaki Genji, Ahrenholz Nicole Chow, Haider Mahri Z

Section of General Internal Medicine, Department of Medicine, Harborview Medical Center, University of Washington, Box 359780, 325 Ninth Avenue, Seattle, WA 98104, USA.

Med Clin North Am. 2015 Sep;99(5):1039-58. doi: 10.1016/j.mcna.2015.05.006. Epub 2015 Jul 7.

Refugees share a common experience of displacement from their country of origin, migration, and resettlement in an unfamiliar country. More than 17 million people have fled their home countries due to war, generalized violence, and persecution. US primary care physicians must care for their immediate and long-term medical needs. Challenges include (1) language and cultural barriers, (2) high rates of mental health disorders, (3) higher prevalence of latent infections, and (4) different explanatory models for chronic diseases. This article discusses management strategies for common challenges that arise in the primary care of refugees.

难民都有离开原籍国、移民并在一个陌生国家重新定居的共同经历。超过1700万人因战争、普遍暴力和迫害逃离了自己的祖国。美国初级保健医生必须关注他们的即时和长期医疗需求。挑战包括：（1）语言和文化障碍；（2）精神健康障碍的高发病率；（3）潜伏感染的较高患病率；（4）对慢性病的不同解释模式。本文讨论了难民初级保健中常见挑战的管理策略。