Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Department of Pediatrics, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
J Immigr Minor Health. 2024 Feb;26(1):101-109. doi: 10.1007/s10903-023-01534-w. Epub 2023 Sep 5.
This study reports how refugees experienced care at an integrated clinic during their first year in Canada and how they transitioned to a community physician. A survey was completed by 75 Government Assisted Refugees followed at the REACH clinic between 2018 and 2020; 16 agreed to an additional interview. Regression modelling explored the relationship between "perceived health status at one year" and several independent variables. Qualitative thematic analysis provided context. Tailored access to care and enhanced communication through interpretation contributed to satisfaction with clinic services. A significant positive relationship was found between their perceived health status and frequency of visits (p < 0.042), and "doctors' advice about how to stay healthy" (p < 0.039). Interview findings highlighted the important role of settlement agencies, timing for a successful transition and physicians' support resources. While refugees benefit from attending integrated clinics, these should also prepare the care transition to community physicians. Targeted government funding and continued medical education could enhance refugees' transition experience.
本研究报告了难民在加拿大的第一年如何在综合诊所获得护理，以及他们如何过渡到社区医生。2018 年至 2020 年间，在 REACH 诊所接受随访的 75 名政府援助难民完成了一项调查；16 人同意接受额外的访谈。回归模型探讨了“一年时的健康感知状况”与几个自变量之间的关系。定性主题分析提供了背景信息。通过口译提供量身定制的医疗服务和增强沟通有助于对诊所服务的满意度。他们的健康感知状况与就诊频率（p<0.042）和“医生关于如何保持健康的建议”（p<0.039）之间存在显著正相关关系。访谈结果突出了安置机构、过渡成功的时机和医生支持资源的重要作用。尽管难民从参加综合诊所中受益，但这些诊所也应该为过渡到社区医生做好准备。有针对性的政府资金和持续的医学教育可以改善难民的过渡体验。
