Mater Misericordiae Brisbane Ltd, Mater Refugee Health Service, Level 2 Quarters Building, College Hill Drive, South Brisbane, Qld 4101, Australia; and Corresponding author. Email:
Mater Misericordiae Brisbane Ltd, Mater Refugee Health Service, Level 2 Quarters Building, College Hill Drive, South Brisbane, Qld 4101, Australia.
Aust J Prim Health. 2020 Dec;26(6):452-457. doi: 10.1071/PY20138.
People from a refugee background have significant unmet health needs including complex physical and psycho-social presentations. They can experience low trust, unfamiliarity with the health system and reliance on family and friends to access care. To address these needs, Australia has specialised refugee health services in each state and territory. The majority of these services transition patients to primary care, but this transition, although necessary, is difficult. Most primary care and specialised health professionals share a high degree of commitment to refugee patients; however, despite best efforts, there are gaps. More integrated health services can start to address gaps and promote continuity of care. A previous study has described 10 principles that are associated with successful integration; this paper references five of those principles (continuum of care, patient focus, geographic coverage, information systems and governance) to describe and map out the outcomes of an integrated model of care designed to deliver specialist refugee health in primary care. The Co-location Model is a partnership between a refugee health service, Primary Health Networks, a settlement agency and general practices. It has the potential to deliver benefits for patients, greater satisfaction for health professionals and gains for the health system.
背景不同的难民群体存在大量未满足的健康需求，包括复杂的身体和心理社会问题。他们可能对健康系统缺乏信任，不熟悉健康系统，并且依赖家人和朋友来获得医疗服务。为了解决这些需求，澳大利亚在每个州和地区都设有专门的难民健康服务。这些服务中的大多数将患者转介到初级保健，但这种过渡虽然必要，但却很困难。大多数初级保健和专业卫生专业人员都对难民患者有着高度的承诺；然而，尽管付出了最大的努力，仍然存在差距。更综合的卫生服务可以开始解决这些差距并促进护理的连续性。先前的一项研究描述了与成功整合相关的 10 项原则；本文参考了其中的五项原则（连续护理、以患者为中心、地理覆盖范围、信息系统和治理）来描述和描绘专门为在初级保健中提供难民健康服务而设计的综合护理模式的结果。共置模式是难民健康服务、初级卫生网络、安置机构和全科医生之间的合作伙伴关系。它有可能为患者带来好处，为卫生专业人员带来更高的满意度，并为卫生系统带来收益。
