Guajardo Maria Gabriela Uribe, Mukumbang Ferdinand C, Dronavalli Mithilesh, Woolfenden Susan, Parcsi Lisa, McDougall Brendon, Gillespie James, Katz Ilan, Page Andrew, Giannopoulos Vicki, Eastwood John, Cunich Michelle, Schneider Carmen Huckel
The Leeder Centre for Health Policy, Economics and Data, Sydney School of Public Health, University of Sydney, Sydney, Australia.
Sydney Institute for Women, Children and their Families, Sydney Local Health District, Sydney, Australia.
J Immigr Minor Health. 2025 Apr 29. doi: 10.1007/s10903-025-01697-8.
The fragmented nature of Australian health and social care systems present a barrier to integrated care. Culturally and linguistically diverse (CALD) communities are recognised as a priority population with unmet health and social needs. This study describes policy supports for programs that promote health and social care integration with a CALD focus, including governance and partnerships; workforce and staffing; funding and payment; and data sharing and use. The research question was 'what innovative policy supports to integrate health and social programs?'. Qualitative interviews of participants involved in the implementation of health and social care programs in the Sydney using the Innovative Policy Supports For Integrated Health And Social Care Programs Framework, were conducted. Twenty-seven participants from 24 health and social programs based in Sydney participated in the study. Six programs serviced CALD communities only. Ten had majority of CALD clients, with the remaining having a mixture of clients. Ten programs had a formal coordinator role. Most programs did not report new approaches to data sharing. Two out of the 6 CALD targeted programs reported data-sharing via teleconference in the context of emergency. These were 2 health programs addressing COVID-19 disparities and the humanitarian needs of refugees, respectively. Only 2 reported a special funding to assist vulnerable families and common emergency department presenters, respectively. This study demonstrated the lack of integration of services in health and social care. Policy development and implementation should consider bringing stakeholders together (informed by CALD groups) to advance the generation of technology for adopting universal standards and the integration of funding to better support health and social care for CALD communities in multicultural Australia.
澳大利亚卫生和社会护理系统的碎片化性质对综合护理构成了障碍。文化和语言多元化（CALD）社区被视为健康和社会需求未得到满足的重点人群。本研究描述了对以CALD为重点促进卫生和社会护理整合的项目的政策支持，包括治理与伙伴关系；劳动力与人员配备；资金与支付；以及数据共享与使用。研究问题是“整合卫生和社会项目有哪些创新的政策支持？”。我们使用《综合卫生和社会护理项目创新政策支持框架》对悉尼参与卫生和社会护理项目实施的参与者进行了定性访谈。来自悉尼24个卫生和社会项目的27名参与者参与了该研究。6个项目仅为CALD社区提供服务。10个项目的大多数客户是CALD群体，其余项目的客户则是混合群体。10个项目设有正式的协调员职位。大多数项目没有报告数据共享的新方法。6个针对CALD群体的项目中有2个报告在紧急情况下通过电话会议进行数据共享。这两个项目分别是针对新冠疫情差异问题的卫生项目和满足难民人道主义需求的项目。只有2个项目分别报告了为协助弱势家庭和急诊科常见就诊者提供的专项资金。本研究表明卫生和社会护理服务缺乏整合。政策制定和实施应考虑将利益相关者聚集在一起（以CALD群体的意见为依据），以推动采用通用标准的技术生成以及资金整合，从而更好地支持多元文化的澳大利亚CALD社区的卫生和社会护理。
