Primary Health Care, Nova Scotia Health Authority, Halifax, NS, Canada.
Newcomer Health Clinic, Primary Health Care, Nova Scotia Health Authority, Halifax, NS, Canada.
Int J Health Policy Manag. 2018 Dec 1;7(12):1085-1089. doi: 10.15171/ijhpm.2018.54.
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.
难民往往比一般人群更加脆弱，他们报告的身体、情感或牙齿问题比一般人群更多。尽管为这些患者建立强大的初级保健支持非常重要，但已经表明，愿意接受难民群体的初级保健提供者存在显著差距。这导致了过渡或桥梁诊所的瓶颈，使患者失去了初级保健提供者而成为孤儿。这反过来又导致了对急诊服务和医疗保健系统其他不必要费用的更高使用。目前，很少有研究从初级保健提供者的角度探讨这些挑战，从患者的角度来看则更少。一项新的初级医疗保健（PHC）合作实施倡议旨在通过创建一个全球推荐的过渡或灯塔诊所来改善对难民群体的初级医疗保健，以支持新移民和过渡到初级保健提供者的护理需求。我们在本文中讨论了诊所模式的创新元素。
