Bellamy Kim, Ostini Remo, Martini Nataly, Kairuz Therese
School of Pharmacy, The University of Queensland, 20 Cornwall Street, Woolloongabba, Qld 4102, Australia; and Corresponding author. Email:
Rural Clinical School, The University of Queensland, Toowoomba, Qld 4350, Australia.
Aust J Prim Health. 2019 Apr;25(2):118-124. doi: 10.1071/PY18092.
Resettled refugees in Australia have been shown to exhibit a high prevalence of limited health literacy and are at greater risk of mismanaging their medication and not being able to access the healthcare services they need. The aim of the current study is to explore the barriers to accessing medicines and pharmacy services in Queensland, Australia, among resettled refugees from Africa; this research was conducted from the perspectives of healthcare professionals and people who help the refugees to resettle in their adopted country (resettlement workers). A 'generic qualitative' approach was used in this study. In-depth interviews were conducted among healthcare professionals (two GPs, nine pharmacists and three nurse practitioners) and resettlement workers. Participants were recruited via a purposive snowball sampling method in the cities of Brisbane and Townsville, Queensland, Australia. Twenty-four in-depth interviews were conducted; 14 with healthcare professionals. Three key themes emerged from the data: (1) Communication Barriers; (2) Navigating the Health System; and (3) Belief Systems and Culture. Perceptions of those 'at the coalface' - healthcare professionals and people who are responsible for assisting refugees to resettle in Australia - provide insight into the language and cultural challenges experienced by resettled refugees from Africa regarding access to the Australian health system, including medicines and pharmacy services.
研究表明，澳大利亚重新安置的难民健康素养有限的比例很高，他们在药物管理不当以及无法获得所需医疗服务方面面临更大风险。本研究的目的是探讨澳大利亚昆士兰州来自非洲的重新安置难民在获取药品和药房服务方面的障碍；这项研究是从医疗保健专业人员和帮助难民在其侨居国重新安置的人员（重新安置工作人员）的角度进行的。本研究采用了“一般定性”方法。对医疗保健专业人员（两名全科医生、九名药剂师和三名执业护士）和重新安置工作人员进行了深入访谈。通过目的抽样滚雪球抽样方法在澳大利亚昆士兰州的布里斯班和汤斯维尔市招募了参与者。共进行了24次深入访谈；其中14次是与医疗保健专业人员进行的。数据中出现了三个关键主题：（1）沟通障碍；（2）应对卫生系统；（3）信仰体系和文化。“一线人员”——医疗保健专业人员和负责协助难民在澳大利亚重新安置的人员——的看法，有助于深入了解来自非洲的重新安置难民在获取澳大利亚卫生系统（包括药品和药房服务）方面所经历的语言和文化挑战。
