增强澳大利亚墨尔本初级卫生保健机构应对寻求庇护者和难民需求的能力:“全科医生参与”倡议。

Building capacity in primary health care to respond to the needs of asylum seekers and refugees in Melbourne, Australia: the 'GP Engagement' initiative.

作者信息

Timlin Mark, Russo Alana, McBride Jacquie

机构信息

Refugee Health Program, Monash Health, 122 Thomas Street, Dandenong, Vic. 3175, Australia.

Refugee Health Program, Monash Health, 122 Thomas Street, Dandenong, Vic. 3175, Australia; and Corresponding author.

出版信息

Aust J Prim Health. 2020 Feb;26:10-16. doi: 10.1071/PY18190.

Abstract

Asylum seekers and refugees experience poorer health than the broader Australian population. Universal primary healthcare services play an integral role in supporting and optimising the health and wellbeing of these communities. However, clinical-level issues frequently compromise the quality of care provided to these groups. The 'GP Engagement' initiative, implemented in the south-eastern region of Melbourne, aimed to build capacity within universal primary health care to respond to the needs of asylum seekers and refugees. This involved engaging general practice clinics, resourcing them with tools and frameworks, and undertaking collaborative problem-solving on refugee issues. Evaluation methods included: rigorous record keeping; pre- and post-practice assessments guided by a self-reported '12-Point Checklist'; and participant feedback. Findings from 57 participating health professionals indicated changes in the way that GPs work with asylum seekers and refugees. 'GP Engagement' suggests that it is possible to build primary healthcare responsiveness to asylum seekers and refugees through a strategic regional approach that is firmly grounded in evidence-based practice and considerate of the requirements and constraints of GPs.

摘要

寻求庇护者和难民的健康状况比澳大利亚广大民众更差。全民初级医疗保健服务在支持和优化这些群体的健康与福祉方面发挥着不可或缺的作用。然而,临床层面的问题常常影响到为这些群体提供的护理质量。在墨尔本东南部地区实施的“全科医生参与”倡议旨在增强全民初级医疗保健体系满足寻求庇护者和难民需求的能力。这包括让全科诊所参与进来,为其提供工具和框架,并就难民问题开展协作性问题解决工作。评估方法包括:严格的记录保存;以自我报告的“12项清单”为指导的实践前和实践后评估;以及参与者反馈。57名参与的卫生专业人员的调查结果表明,全科医生与寻求庇护者和难民合作的方式发生了变化。“全科医生参与”表明,通过一种基于循证实践且充分考虑全科医生的要求和限制的战略性区域方法,有可能提高初级医疗保健对寻求庇护者和难民的响应能力。

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