Southgate Institute for Health, Society and Equity, Flinders University, South Australia.
Aust N Z J Public Health. 2020 Apr;44(2):152-159. doi: 10.1111/1753-6405.12965. Epub 2020 Feb 12.
This paper examines whether Australian regional primary health care organisations - in this case, Medicare Locals (MLs) and Primary Health Networks (PHNs) - have engaged with migrant and refugee health, and what factors encourage work in this area.
The study used mixed methods with surveys of ML (N=210) and PHN staff (N=66), interviews with ML (N=50) and PHN (N=55) staff, national consultations with migrant and refugee organisations (N=8 groups with 62 participants), and analysis of ML and PHN documents.
Needs assessment documents identified migrant and refugee health issues in 46% of MLs and 74% of PHNs. However, 48% of MLs and 55% of PHNs did not report any activities on migrant health, and 78% and 62% did not report any activities for refugees, respectively. Key factors identified by participants as associated with whether ML and PHN focus on migrant and refugee health were the determination of local priority areas, policy context and funding, collaboration with migrant and refugee organisations and communities, and mechanisms for engagement.
Despite the importance of primary health care for migrants and refugees, there was relatively little attention paid to these population groups in MLs and PHNs, with a small number of notable exceptions. Implications for public health: The paper concludes with a range of recommendations for improving regional primary health care organisation engagement with migrant and refugee health.
本文考察了澳大利亚地区初级卫生保健组织（在此情况下为医疗保险地方办事处（MLs）和初级卫生网络（PHNs））是否参与了移民和难民健康工作，以及哪些因素鼓励在这一领域开展工作。
该研究采用混合方法，对 ML（N=210）和 PHN 工作人员（N=66）进行了调查，对 ML（N=50）和 PHN（N=55）工作人员进行了访谈，与移民和难民组织进行了全国协商（N=8 组共 62 人），并对 ML 和 PHN 文件进行了分析。
需求评估文件确定了 46%的 MLs 和 74%的 PHNs 存在移民和难民健康问题。然而，48%的 MLs 和 55%的 PHNs 没有报告任何有关移民健康的活动，分别有 78%和 62%的 MLs 和 PHNs 没有报告任何有关难民的活动。参与者认为与 ML 和 PHN 是否关注移民和难民健康相关的关键因素是确定当地优先领域、政策背景和资金、与移民和难民组织及社区的合作以及参与机制。
尽管初级卫生保健对移民和难民非常重要，但在 MLs 和 PHNs 中，对这些人群的关注相对较少，只有少数值得注意的例外。对公共卫生的影响：本文最后提出了一系列建议，以改善地区初级卫生保健组织对移民和难民健康的关注。
