Walden Jeffrey, Sienkiewicz Holly
director, Cone Health Family Medicine Refugee Clinic, Greensboro, North Carolina; assistant professor of family medicine, Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
director, University of North Carolina at Greensboro Center for New North Carolinians, Greensboro, North Carolina; board member, Association of Refugee and Immigrant Service Professionals, Greensboro, North Carolina
N C Med J. 2019 Mar-Apr;80(2):84-88. doi: 10.18043/ncm.80.2.84.
The demographic composition of North Carolina has changed dramatically in the past three decades. Because of trends in immigration and refugee resettlement, our state is more diverse than ever before. Immigrants and refugees in North Carolina face unique challenges within the health care system, as well as increasing political and social pressures. Although often discussed as a homogenous group, newcomers comprise a varied mix of peoples from many cultures. The ability to connect across cultural barriers remains a key point when working with these populations. Despite myriad backgrounds, practice recommendations do exist when working with refugees and immigrants, and clinicians and other health care providers should adhere to these standards when working with these underserved individuals.
在过去三十年里，北卡罗来纳州的人口构成发生了巨大变化。由于移民和难民重新安置的趋势，我们州比以往任何时候都更加多元化。北卡罗来纳州的移民和难民在医疗保健系统中面临着独特的挑战，同时也面临着日益增加的政治和社会压力。尽管新移民通常被视为一个同质化群体，但他们实际上是来自许多文化的不同人群的混合体。在与这些人群合作时，跨越文化障碍进行沟通的能力仍然是一个关键点。尽管背景各异，但在为难民和移民提供服务时确实存在一些实践建议，临床医生和其他医疗保健提供者在为这些未得到充分服务的人群提供服务时应遵循这些标准。
