Challenges and Strategies in Providing Home Based Primary Care for Refugees in the US
- 343 Downloads
The recent crisis in the Middle East has prompted the exodus of millions of refugees from the region who are at present seeking shelter across Europe and in the United States. Among the most immediate needs of refugees upon arrival in a host country is health care, and it is one of the most sustained interactions they experience. Home visits are a common form of primary care for refugees. The authors review the literature to identify themes related to challenges and strategies for providing home based primary care to refugees. The literature review was performed by searching cross-disciplinary databases utilizing Onesearch, but focusing primarily on results produced through CINAHL, EBSCOHOST, and Pub Med databases. To maximize the number of studies included, there was no time frame placed upon publication dates of articles within the search. A total of 55 articles were included in this paper.
KeywordsRefugee Home based primary care Health care provider Review
Health Resources and Services Administration (HRSA) Grant No. 1 UD7HP28528-01-00.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
Human Subjects and Animal Welfare
This article does not contain any studies with human participants or animals performed by any of the authors.
- 2.Burchill J. Safeguarding vulnerable families: work with refugees and asylum seekers. Community Practit. 2011;84(2):23.Google Scholar
- 3.Burchill J, Pevalin DJ. Demonstrating cultural competence within health-visiting practice: working with refugee and asylum-seeking families. Divers Equal Health Care. 2014;11(2):151–9.Google Scholar
- 6.McCulley A. The Physical and Psychological Sequelae in Adult Refugees Or Asylum Seekers Who Have Survived Torture (Master's Thesis). 2013. Retrieved from https://ethnomed.org/clinical/torture/torture-literature-review/AshleyMcCulley_Dec2013_final.pdf.
- 15.Tesfaye HT, DiP M. Health visitors’ perceptions of barriers to health and wellbeing. Community Pract. 2015;880:22–5.Google Scholar
- 18.Nelson-Peterman JL, Toof R, Liang SL, et al. Long-term refugee health health behaviors and outcomes of Cambodian refugee and immigrant women. Health Educ Behav. 2015; 1090198115590779.Google Scholar
- 24.Pace M, Al-Obaydi S, Nourian MM, et al. Health services for refugees in the United States: policies and recommendations. Health 2015;5(8):63–8.Google Scholar
- 41.Hiegel JP. Use of indigenous concepts and healers in the care of refugees: some experiences from the Thai border camps. In: Marcella AJ, et al., editors. Amidst peril and pain: the mental health and wellbeing of the world’s refugees. Washington, DC: American Psychological Association; 1994. p. 293–309.CrossRefGoogle Scholar
- 43.Jenkins JH. Culture, emotion and PTSD. In: Marsella MFA, Gerrity E, Scurfield R, editors. Ethnocultural aspects of PTSD: issues, research, and clinical applications. Washington, DC: American Psychological Association; 1994. p. 165–82.Google Scholar
- 44.Julian R. Migrant and refugee health. In: Grbich C, editor. Health in Australia: sociologocial concepts and issues. Pearson Longman; 2004. p. 101–27.Google Scholar
- 45.Kneebone SA. Refugee health, humanitarianism, and human rights. In: Allotey P, editor. The health of refugees: public health perspectives from crisis to settlement. Melbourne: Oxford University Press; 2003. p. 1–13.Google Scholar
- 51.Brooks K, Stifani B, Batlle H, et al. Patient perspectives on the need for and barriers to professional medical interpretation. R I Med J. 2013;99(1):30–3.Google Scholar
- 55.Owen CL, English M. Working together as culture brokers by building trusting alliances with bilingual and bicultural newcomer paraprofessionals. Child Welf. 2005;84(5):669.Google Scholar