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实践中的公平:为不列颠哥伦比亚省的移民和难民提供文化安全的初级保健,整合跨文化健康经纪人。

Equity in practice: Integrating cross cultural health brokers for culturally safe primary care for immigrants and refugees in British Columbia.

机构信息

Umbrella Multicultural Health Co-op, New Westminster, British Columbia, Canada.

University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Healthc Manage Forum. 2024 Sep;37(1_suppl):23S-27S. doi: 10.1177/08404704241264426.

DOI:10.1177/08404704241264426
PMID:39194273
Abstract

Umbrella Multicultural Health Co-op is a community health centre serving cultural communities of immigrants/refugees in British Columbia. It uses Cross Cultural Health Brokers (CCHBs), multicultural workers bridging patients and the healthcare system, to better meet the primary care needs of immigrant/refugee populations. Through the Team Primary Care initiative, Umbrella Co-op: (1) added new CCHBs alongside allied health practitioners; and (2) implemented team workshops and evaluation for quality improvement. The learning health system framework guided project activities. Comprehensive, culturally responsive primary care for immigrants and refugees benefits from a team-based approach that includes the integration of CCHBs. Team development activities improved team function. Co-developing evaluation with the interprofessional team enabled meaningful participation. Health system design for equity-oriented team-based primary care for immigrants and refugees should include resources for CCHBs and team development infrastructure.

摘要

伞式多元文化健康合作社是一家社区健康中心,为不列颠哥伦比亚省的移民/难民文化群体提供服务。它使用跨文化健康经纪人 (CCHBs),即连接患者和医疗保健系统的多元文化工作者,以更好地满足移民/难民群体的基本医疗需求。通过团队初级保健倡议,伞式合作社:(1) 在联合保健从业者旁边增加了新的 CCHBs;(2) 实施了团队研讨会和质量改进评估。学习健康系统框架指导了项目活动。为移民和难民提供全面、有文化响应的初级保健,得益于包括 CCHBs 整合在内的团队方法。团队发展活动改善了团队功能。与多专业团队共同制定评估方案,实现了有意义的参与。为移民和难民的公平导向的团队基础初级保健进行卫生系统设计,应包括 CCHBs 和团队发展基础设施的资源。

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