Enhancing Immunization Rates in Two Urban Academic Primary Care Clinics: A Before and After Assessment

Yacoob, Zeeshan; Cook, Christopher; Kotovicz, Fabiana; Kram, Jessica J. F.; Klumph, Marianne; Stanley, Marisa; Hunter, Paul; Baumgardner, Dennis J

doi:10.17294/2330-0698.1709

Cited by 2 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the total of 55 studies included in the review, the majority n = 35 were from North America (United States and Canada) 25–30,34,35,37,39–42,44–47,49,51,52,54–57,59,62,65,66,69–75 ; 14 were from countries in Europe including the United Kingdom, the Netherlands, Germany, Sweden and Italy 31–33,38,48,53,60,61,63,64,68,76–78 ; and 6 were from Australia 36,43,50,58,67,79 . All articles were published between 1992 and 2020.…”

Section: Resultsmentioning

confidence: 99%

“…Some interventions were self‐directed and were online and/or computer based (10/55 studies) 33,52,53,55,57,60,66,67,69,72 . A variety of study designs and methods were used including qualitative interviews (in‐depth, semistructured and unstructured; 24/55 studies) 26,30,31,33,40,41,45,47,53–55,57,62,63,66–68,70,73,77,78 ; 20/55 studies reported quantitative information on administrative data sets from self‐reported surveys (collecting data on hospital/emergency visits and uptake of screening/treatment/vaccination) 26,29,30,34,36,38,39,41,43,48,49,56,58,63,66,68,69,72,75,76 and quantitative surveys (16/55 studies) 27,29,35,42,44,47,50,51,55,57,59–62,70,77 . Some studies (9/55 studies) gathered baseline and postintervention data 32,37,45,46,53,56,68,71,74,79 .…”

Section: Resultsmentioning

confidence: 99%

“…The vast majority of studies relied on self‐reported data about whether interventions were effective in improving the quality of health care, that is n = 51 studies 25,26,28–74,76,77,79 . Meanwhile, there were fewer large‐scale and longitudinal studies, n = 4 27,57,75,78 . The complexities and challenges of conducting longitudinal studies with humanitarian migrants are identified in the literature 83,84 .…”

Section: Discussionmentioning

confidence: 99%

“…25,26,76,77,79 Meanwhile, there were fewer large-scale and longitudinal studies, n = 4. 27,57,75,78 The complexities and challenges of conducting longitudinal studies with humanitarian migrants are identified in the literature. 83,84 Long-term and longitudinal research on refugee resettlement is valuable because it can provide an insight into the transformation of challenges and opportunities over time.…”

Section: Discussionmentioning

confidence: 99%

“…Of the total of 55 studies included in the review, the majority n = 35 were from North America (United States and Canada) [25][26][27][28][29][30]34,35,37,[39][40][41][42][44][45][46][47]49,51,52,[54][55][56][57]59,62,65,66,[69][70][71][72][73][74][75] ; 14 were from countries in Europe including the United Kingdom, the Netherlands, Germany, Sweden and Italy [31][32][33]38,48,53,60,61,63,64,68,[76][77][78] ; and 6 were from Australia. 36,…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

See 4 more Smart Citations

Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches

Iqbal

Walpola

Harris‐Roxas

et al. 2021

Health Expectations

View full text Add to dashboard Cite

Background It has been widely acknowledged that refugees are at risk of poorer health outcomes, spanning mental health and general well‐being. A common point of access to health care for the migrant population is via the primary health care network in the country of resettlement. This review aims to synthesize the evidence of primary health care interventions to improve the quality of health care provided to refugees and asylum seekers. Methods A systematic review was undertaken, and 55 articles were included in the final review. The Preferred Reporting Items for Systematic Reviews was used to guide the reporting of the review, and articles were managed using a reference‐management software (Covidence). The findings were analysed using a narrative empirical synthesis. A quality assessment was conducted for all the studies included. Results The interventions within the broad primary care setting could be organized into four categories, that is, those that focused on developing the skills of individual refugees/asylum seekers and their families; skills of primary health care workers; system and/or service integration models and structures; and lastly, interventions enhancing communication services. Promoting effective health care delivery for refugees, asylum seekers and their families is a complex challenge faced by primary care professionals, the patients themselves and the communication between them. Conclusion This review highlights the innovative interventions in primary care promoting refugee health. Primary care interventions mostly focused on upskilling doctors, with a paucity of research exploring the involvement of other health care members. Further research can explore the involvement of interprofessional team members in providing effective refugee/migrant health. Patient or Public Contribution Patient and public involvement was explored in terms of interventions designed to improve health care delivery for the humanitarian migrant population, that is, specifically refugees and asylum seekers.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches

Iqbal

Walpola

Harris‐Roxas

et al. 2021

Health Expectations

View full text Add to dashboard Cite

show abstract

Health care utilisation of asylum seekers and refugees in the South-West of Germany

Bockey,

Braun,

Camp

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Limited evidence on utilisation of health care by recently arrived asylum seekers and refugees in high-income countries is available. This study aims to describe the implementation of an integrated care facility (ICF) in an initial reception centre and measure the utilisation of care and the influence of operational parameters. Methods In a retrospective cohort study design, using medical records, we followed inhabitants of a reception centre in Germany between 11.10.2015 and 30.05.2018. We assessed frequency of visits and revisits to a newly established integrated care facility (ICF), and the effects of the ICF on visits to the local emergency department (LED) in the regional tertiary hospital using survival analysis and time series regression. We also explore the influence of operational parameters on the different implementation phases; phase 1: provisional clinic with 1–2 hours of physician presence daily, phase 2: implementation of ICF with 2–4 hours of care by a team of doctors and nurses daily, phase 3: routine running of ICF with daily operational hours of 10am–2pm with care provided by an interdisciplinary team of doctors and nurses. Results 14,419 total medical visits were recorded from 1,883 persons seeking health care in the ICF. The absolute number of visits per day remained similar over the study period (19·9/day), yet the relative number of visits changed from 2·2 to 15 per 100 inhabitants from phase 2 to 3, respectively. Most visits were due to respiratory infections (612/3080, 20%), and trauma and musculoskeletal conditions (441/3080, 14%). The rate of revisits to ICF was 2·9 per person per month (95%CI 2·9–3), more for those older, female, from North Africa and those with a translator present. The ratio of visits to the LED changed from 0·3/100 inhabitants per day to 0·14/100 inhabitants after implementation of the ICF and back to 0·3/100 inhabitants during the routine running. Conclusions Though seasonal variation and referral practices must be considered, a high rate of revisits to the ICF were recorded. While visits to the LED decreased after the implementation of the ICF, visits returned to the pre-ICF levels during the routine running of the ICF. The results show that AS&R require reliable access to health care, yet the needs of specific groups of migrants may be different, especially those with language barriers, minority groups or those from certain regions. As such, care should be migrant sensitive and adapt to the changing needs of the population. Though more research is required to better understand the differing needs of migrants, this study may help to inform guidelines surrounding migrant sensitive standards of care in Germany.

show abstract

Enhancing Immunization Rates in Two Urban Academic Primary Care Clinics: A Before and After Assessment

Abstract: Journal of Patient-Centered Research and Reviews (JPCRR) is a peer-reviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations.

Cited by 2 publications

References 11 publications

Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches

Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches

Health care utilisation of asylum seekers and refugees in the South-West of Germany

Contact Info

Product

Resources

About