首页    期刊浏览 2024年07月16日 星期二
登录注册

文章基本信息

  • 标题:I don't think general practice should be the front line: Experiences of general practitioners working with refugees in South Australia
  • 本地全文:下载
  • 作者:David R Johnson ; Anna M Ziersch ; Teresa Burgess
  • 期刊名称:Australia and New Zealand Health Policy
  • 电子版ISSN:1743-8462
  • 出版年度:2008
  • 卷号:5
  • 期号:1
  • 页码:20
  • DOI:10.1186/1743-8462-5-20
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:

    Introduction

    Many refugees arrive in Australia with complex health needs. In South Australia (SA), providing initial health care to refugees is the responsibility of General Practitioners (GPs) in private practice. Their capacity to perform this work effectively for current newly arrived refugees is uncertain. The aim of this study was to document the challenges faced by GPs in private practice in SA when providing initial care to refugees and to discuss the implications of this for policy relating to optimising health care services for refugees.

    Methods

    Semi-structured interviews with twelve GPs in private practice and three Medical Directors of Divisions of General Practice. Using a template analysis approach the interviews were coded and analysed thematically.

    Results

    Multiple challenges providing care to refugees were found including those related to: (1) refugee health issues; (2) the GP-refugee interaction; and (3) the structure of general practice. The Divisions also reported challenges assisting GPs to provide effective care related to a lack of funding and awareness of which GPs required support. Although respondents suggested a number of ways that GPs could be assisted to provide better initial care to refugees, strong support was voiced for the initial care of refugees to be provided via a specialist refugee health service.

    Conclusion

    GPs in this study were under-resourced, at both an individual GP level as well as a structural level, to provide effective initial care for refugees. In SA, there are likely to be a number of challenges attempting to increase the capacity of GPs in private practice to provide initial care. An alternative model is for refugees with multiple and complex health care needs as well as those with significant resettlement challenges to receive initial health care via the existing specialist refugee health service in Adelaide.

国家哲学社会科学文献中心版权所有