Elmore Catherine E, Tingen Jeffrey M, Fredgren Kelly, Dalrymple Sarah N, Compton Rebekah M, Carpenter Elizabeth L, Allen Claudia W, Hauck Fern R
Department of Family Medicine, University of Virginia Health System, Charlottesville, Virginia, USA.
Department of Pharmacy Services, University of Virginia Health System, Charlottesville, Virginia, USA.
Fam Med Community Health. 2019 Jul 11;7(3):e000091. doi: 10.1136/fmch-2018-000091. eCollection 2019.
The International Family Medicine Clinic (IFMC) was established in 2002 by the University of Virginia Department of Family Medicine to provide comprehensive, timely, culturally sensitive and high-quality healthcare to the growing refugee and special immigrant population in Central Virginia, USA.
The purpose of this paper is to describe the IFMC, with a specific focus on interprofessional roles, interprofessional collaboration, community partnerships and the services and resources available to IFMC patients.
The clinic has served over 3100 refugees from 60 countries in its 16-year history. In 2019, the clinic staff now includes 4 attending physicians, 2 nurse practitioners and 14 residents who have dedicated clinic time to see refugees; a registered nurse care coordinator and a social worker dedicated to the IFMC refugee population; 2 clinical psychologists and doctoral students in clinical psychology; and a clinical pharmacist. The IFMC also provides onsite psychiatric care. A process flow map depicts the interconnectivity of interprofessional team members working together with other specialty care providers within the medical centre and with community partners on behalf of refugee patients through the resettlement process.
Individuals who arrive in the USA as refugees are a particularly vulnerable patient group and often require an interprofessional team approach. The IFMC may serve as a model for other institutions interested in starting a similar interprofessional, refugee-centred medical home.
国际家庭医学诊所（IFMC）由弗吉尼亚大学家庭医学系于2002年设立，旨在为美国弗吉尼亚州中部不断增长的难民和特殊移民群体提供全面、及时、具有文化敏感性且高质量的医疗服务。
本文旨在描述国际家庭医学诊所，特别关注跨专业角色、跨专业协作、社区伙伴关系以及该诊所患者可获得的服务和资源。
在其16年的历史中，该诊所已为来自60个国家的3100多名难民提供了服务。2019年，诊所工作人员包括4名主治医生、2名执业护士和14名专门安排诊所时间接待难民的住院医师；一名注册护士护理协调员和一名专门负责IFMC难民群体的社会工作者；2名临床心理学家和临床心理学博士生；以及一名临床药剂师。IFMC还提供现场精神科护理。一张流程图描绘了跨专业团队成员在安置过程中代表难民患者与医疗中心内的其他专科护理提供者以及社区伙伴共同协作的相互联系。
作为难民抵达美国的个人是一个特别脆弱的患者群体，通常需要跨专业团队的方法。IFMC可以作为其他有兴趣开办类似的以难民为中心的跨专业医疗之家的机构的典范。
