Scott Rosie, Forde Emer, Wedderburn Clare
GP Centre, Bournemouth University , Bournemouth , UK.
Educ Prim Care. 2019 Sep;30(5):322-323. doi: 10.1080/14739879.2019.1652699. Epub 2019 Aug 13.
: According to the World Health Organisation 'more people are on the move now than ever before with an estimated 1 billion migrants in the world today and 68 million forcibly displaced people'. GPs are on the frontline of healthcare in the UK and have a responsibility to provide free and equitable access for everyone. : The main aim of our work was to assess GP trainees' current experience, knowledge and attitudes towards caring for refugees, asylum seekers and undocumented migrants. : 30 final year GP trainees on the Dorset Vocational Training Scheme (VTS) were asked to participate by completing a questionnaire. : The results show that GP trainees lack knowledge regarding migrants health needs, rights to care, including whether there is a duty to disclose an illegal immigrant and what to do if a patient could not provide proof of identification. They lacked experience and confidence in caring for this group of patients, with the biggest perceived challenge being language barriers. : Education in primary care needs to respond to meet the challenge of population movement (5), and this project highlighted a need to improve education on migrants' rights to care, local support groups, as well as common health problems. In response, we have reviewed our curriculum and introduced an education session on refugee health for all our GP trainees in Dorset.
根据世界卫生组织的数据，“如今流动的人口比以往任何时候都多，全球估计有10亿移民，6800万人被迫流离失所”。全科医生在英国医疗保健的前线，有责任为每个人提供免费且公平的医疗服务。我们工作的主要目的是评估全科医生培训生目前对照顾难民、寻求庇护者和无证移民的经验、知识和态度。多塞特职业培训计划（VTS）的30名最后一年的全科医生培训生被要求通过填写问卷来参与。结果显示，全科医生培训生缺乏关于移民健康需求、医疗护理权利的知识，包括是否有义务披露非法移民身份以及如果患者无法提供身份证明该怎么办。他们在照顾这类患者方面缺乏经验和信心，最大的感知挑战是语言障碍。初级保健教育需要做出回应以应对人口流动的挑战（5），并且这个项目凸显了改进关于移民医疗护理权利、当地支持团体以及常见健康问题教育的必要性。作为回应，我们已经审查了我们的课程，并为多塞特的所有全科医生培训生引入了一次关于难民健康的教育课程。
