White Jennifer, Young Ashley, Webber Murray, Harrison Joy, Hiscox Amy, Lush Jessica, Joo Baeho, Sherrin Janessa, Grasselli Mattias, Byles Julie
College of Health Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia.
Hunter Medical Research Institute, Newcastle, NSW, Australia.
Community Health Equity Res Policy. 2024 Sep 19:2752535X241286250. doi: 10.1177/2752535X241286250.
Refugees experience physical and mental health issues that need attention following settlement in a new community. However, access to and utilisation of healthcare services is challenging. We aimed to explore the experience of refugee access to a dedicated multi-disciplinary refugee health team.
An interpretative qualitative study. 17 qualitative interviews were conducted with Ezidi refugees who attended a newly established multi-disciplinary refugee health program in a regional town in NSW, Australia. Data were analysed using an inductive thematic approach.
Participants ( = 17) identified as Ezidi and were from Iraq. Parents were between 23 and 57 years of age and had 1-12 children per family. Most had been in Australia between 2 and 5 years. Four key themes were identified: (1) Identifying the extent of health needs following a long wait to migrate; (2) Health support across the life span: the benefit of access to a multi-disciplinary team; (3) Gaps in cultural competence - impacted by understanding and interpreter access; and (4) Ongoing health and lifestyle concerns - influenced by understanding and education.
We identified the benefit of access to allied health for prompt diagnosis, treatment and management of conditions including congenital and developmental conditions, mental health and chronic diseases. Access to a dedicated team ensured early intervention for a broad range of health and social issues including early referral to services, close coordination and help to complete supporting paperwork and applications. Ongoing investments are needed to maintain this comprehensive and coordinated approach to care that is underpinned by a family centric approach.
难民在新社区定居后面临需要关注的身心健康问题。然而，获得和利用医疗服务具有挑战性。我们旨在探讨难民获得专门的多学科难民健康团队的经历。
一项解释性定性研究。对参加澳大利亚新南威尔士州一个地区城镇新设立的多学科难民健康项目的埃齐迪难民进行了17次定性访谈。采用归纳主题分析法对数据进行分析。
参与者（n = 17）为埃齐迪人，来自伊拉克。父母年龄在23至57岁之间，每个家庭有1至12个孩子。大多数人在澳大利亚已生活2至5年。确定了四个关键主题：（1）在漫长的移民等待之后确定健康需求的程度；（2）一生的健康支持：获得多学科团队的益处；（3）文化能力方面的差距——受理解和口译服务获取的影响；（4）持续的健康和生活方式问题——受理解和教育的影响。
我们确定了获得联合健康服务对于包括先天性和发育性疾病、心理健康和慢性病在内的疾病的及时诊断、治疗和管理的益处。获得专门团队的服务确保了对广泛的健康和社会问题进行早期干预，包括早期转介到服务机构、密切协调以及帮助完成支持性文书工作和申请。需要持续投资以维持这种以家庭为中心的全面且协调的护理方法。
