The Refugee Co-Location Model may be useful in addressing refugee barriers to care. What do refugees think?

Au, Michael; Preston, Robyn; Ray, Robin; Davis, Meg

doi:10.1071/py21178

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…The services are also created due to difficulties experienced by many GPs in private practice in delivering care to refugees [ 16 , 17 ]. Examples of refugee-focused health services include the New South Wales Refugees Health Service, NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors [STARTTS], Refugee Health Program in Victoria, and Mater Refugee Health Services in Queensland [ 13 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Health literacy and cultural responsiveness of primary health care systems and services in Australia: reflections from service providers, stakeholders, and people from refugee backgrounds

Peprah,

Lloyd,

Harris

2023

BMC Public Health

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Background Primary health care [PHC] services with general practitioners (GPs) as the first point of access to health care services for people from refugee backgrounds in Australia can play a crucial role in building health literacy and promoting access to culturally appropriate services. To achieve equitable access and engagement, services and systems must be responsive to diverse health literacy and cultural needs. This study aims to explore how primary health services respond as a system and organisation to the health literacy and cultural needs of people from refugee backgrounds in Australia. Methods This exploratory qualitative study involved 52 semi-structured interviews among 19 Africans from refugee backgrounds, 14 service providers, including GPs and nurses, and 19 other stakeholders, such as service managers/directors. Participants resided in New South Wales, Victoria, and Queensland. Interviews were audio-recorded, transcribed, and coded into QSR NVivo 12. Data analysis was guided by reflexive thematic analysis. Findings Three interrelated themes were identified from the data relating to the health literacy and cultural responsiveness of PHC systems and services. The first theme, ‘variable and ad hoc organisational response to health literacy and culturally responsive care,’ demonstrated that some organisations did not systematically address the inherent complexity of navigating the health system nor the capacity of services and providers to respond to the cultural needs of people from refugee backgrounds. The second theme, ‘individual provider responsibility,’ captured the individual providers’ interpersonal and relational efforts in supporting the health literacy and cultural needs of people from refugee backgrounds based on their motivation and adaptation. The third theme, ‘refugee patient responsibility,’ encapsulated people from refugee backgrounds’ adaptations to and learning of the health system to navigate and access services. Conclusion Health literacy and culturally responsive practices need to be systematised by PHC organisations to be implemented and sustained over time. There is a need for diversity in the organisational leadership and health care workforce, organisational commitment, health literacy and culturally responsive care policies, provider training, and auditing practice as essential components of the change process. Engaging with refugee communities would allow services to focus on people from refugee backgrounds’ needs by design.

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Section: Introductionmentioning

confidence: 99%

Health literacy and cultural responsiveness of primary health care systems and services in Australia: reflections from service providers, stakeholders, and people from refugee backgrounds

Peprah,

Lloyd,

Harris

2023

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Refugee health is examined in Saberi and colleagues' (2021) qualitative study of young Hazara people who have been refugees, which describes the practical, conceptual, and health literacy barriers that are encountered by people from this group when seeking access to care. Au et al (2021) correspond regarding the need for further and sustained research on models of specialist service delivery for people who have been refugees.…”

mentioning

confidence: 99%

Reflecting on 2021 for the Australian Journal of Primary Health

Harris‐Roxas¹,

Lewis²,

Macmillan³

2021

Aust. J. Prim. Health

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The past year has been a difficult one for health services and systems, including primary health care; arguably the most challenging in the post-war era. The COVID-19 pandemic has continued to dominate everyone's lives, and publication of this issue of the Australian Journal of Primary Health (AJPH) coincides with the second anniversary of the second documented case of COVID-19 in a human. This year has been characterised by a shift from 2020s' uncertainty and a lack of knowledge, to a better understanding of how COVID-19 is transmitted, the spread of new variants of concern, a rapid population-wide vaccination rollout, and COVID-19 becoming endemic. Primary health care mobilised on an unprecedented scale, as a workforce and as a system, to respond to these changes. Community-based health services have had an essential role proactively engaging with diverse communities and consumers to encourage testing and vaccination.The past year has also seen significant changes in academic publishing. There has been an emphasis on rapid dissemination of research findings during the pandemic, increasing the prominence of pre-publication manuscripts and reinforcing the need for timely peer review. There has been a significant increase in the volume of manuscripts submitted, including to the AJPH.At the same time, it is more difficult than ever to find peer reviewers for submitted articles. There has been a significant increase in the pressures on people's time, through their paid jobs, but also because of juggling caring responsibilities during multiple lockdowns. Many people have been redeployed to support health systems and organisations to respond to the COVID-19 pandemic. The Australian Government's decision to not provide any financial support to universities during the pandemic has led to thousands of jobs being lost across the sector over the past year, with more losses likely to come. Precarious employment has become even more entrenched and fewer people are in jobs that include service to the profession as part of their roles. This leads to fewer people being able to undertake reviews at the time we need high-quality peer review most.However, there are causes for hope. CSIRO Publishing has considerably extended and expanded its Read & Publish agreements (CAUL 2021; CSIRO Publishing 2021). From next year, AJPH joins these Read & Publish agreements, meaning Open Access publication without author publication charges to researchers at participating institutions. Corresponding authors from these institutions do not need to do anything, as eligibility will be flagged post-acceptance based on their email address or Ringgold ID. With a growing number of agreements in place, we hope this will make a major contribution to enhancing the accessibility of primary healthcare research to researchers, practitioners, and the public.

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The Refugee Co-Location Model may be useful in addressing refugee barriers to care. What do refugees think?

Cited by 2 publications

References 11 publications

Health literacy and cultural responsiveness of primary health care systems and services in Australia: reflections from service providers, stakeholders, and people from refugee backgrounds

Health literacy and cultural responsiveness of primary health care systems and services in Australia: reflections from service providers, stakeholders, and people from refugee backgrounds

Reflecting on 2021 for the Australian Journal of Primary Health

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