publication . Article . 2018

Transition from an asylum seeker–specific health service to mainstream primary care for community-based asylum seekers: a qualitative interview study

Genevieve L Fair; Mark Harris; Mitchell Smith;
Open Access English
  • Published: 01 Mar 2018 Journal: Public Health Research & Practice, volume 28, issue 1 (issn: 2204-2091, Copyright policy)
  • Publisher: Sax Institute
Background and aim: Transition of asylum seekers from special-purpose health services to mainstream primary care is both necessary and difficult. This study explores the issues encountered by asylum seekers undergoing this transition in Sydney, Australia. Methods: Qualitative semistructured interviews were conducted with nine asylum seeker patients and nine staff working in the sector. Results: Asylum seekers faced significant challenges in the transition to mainstream primary care. Contributing factors included the complexity of health and immigration systems, the way in which asylum seeker–specific services provide care, lack of understanding and accommodation...
Persistent Identifiers
free text keywords: Refugee health, Primary care, lcsh:Public aspects of medicine, lcsh:RA1-1270, Asylum seeker, Accommodation, business.industry, business, Immigration, media_common.quotation_subject, media_common, Mainstream, Sociology, Refugee, Nursing, Health services, Mental illness, medicine.disease, medicine
23 references, page 1 of 2

1. United Nations High Commissioner for Refugees. Global trends: forced displacement in 2016. Geneva: UNHCR; 2017 [cited 2018 Jan 10]. Available from: www.unhcr. org/5943e8a34.pdf

2. Harris M, Telfer B. The health needs of asylum seekers living in the community. Med J Aust. 2001;175(11-12):589-92.

3. Hadgkiss E, Lethborg C, Al-Mousa A, Marck C. Asylum seeker health and wellbeing scoping study. Melbourne: St. Vincent's Health Australia; 2012 [cited 2016 Apr 1]. Available from: connect/cb7b96fc-6653-42ea-9683-749a184d3aed/ Asylum_Seeker_Health_and_Wellbeing_Scoping_ Study.pdf?MOD=AJPERES&amp%3bCONVERT_ TO=url&amp%3bCACHEID=cb7b96fc-6653-42ea-9683- 749a184d3aed

4. Asylum Seekers Centre. Asylum Seekers Centre annual report 2014-2015. Sydney: ASC; 2015 [cited 2018 Jan 10]. Available from: pdf

5. South Western Sydney Local Health District. Sydney: SWSLHD; 2017 June 16. NSW Refugee Health Service; 2017 Oct 31 [cited 2018 Jan 10]; [about 1 screen]. Available from:

6. Joshi C, Russell G, Cheng IH, Kay M, Pottie K, Alston M, et al. A narrative synthesis of the impact of primary health care delivery models for refugees in resettlement countries on access, quality and coordination. Int J Equity Health. 2013;12:88.

7. Le Feuvre P. How primary care services can incorporate refugee health care. Med Confl Surviv. 2001;17(2):131-6.

8. Settlement Services International. Sydney: SSI. What is the Status Resolution Support Service? [cited 2018 Jan 12]; [about 2 screens]. Available from: au/faqs/humanitarian-services-faqs/127-what-is-thestatus-resolution-support-service

9. Johnson DR, Ziersch AM, Burgess T. I don't think general practice should be the front line: experiences of general practitioners working with refugees in South Australia. Aust N Z J Public Health. 2008;5:20.

10. Gould G, Viney K, Greenwood M, Kramer J, Corben P. A multidisciplinary primary healthcare clinic for newly arrived humanitarian entrants in regional NSW: model of service delivery and summary of preliminary findings. Aust N Z J Public Health. 2010;34(3):326-9.

11. Jensen NK, Johansen KS, Kastrup M, Krasnik A, Norredam M. Patient experienced continuity of care in the psychiatric healthcare system - a study including immigrants, refugees and ethnic Danes. Int J Environ Res Public Health. 2014;11(9):9739-59.

12. Lewis V, Marsh G, Hanley F, Macmillan J, Morgain L, Silburn K, et al. Understanding vulnerability in primary health care: overcoming barriers to consumer transitions through the primary health system. Canberra: Australian Primary Health Care Research Institute, Australian National University; 2013 [cited 2018 Jan 10]. Available from: Report.25.pdf

13. Cooke R, Murray S, Carapetis J, Rice J, Mulholland N, Skull S. Demographics and utilisation of health services by paediatric refugees from East Africa: implications for service planning and provision. Aust Health Rev. 2004;27(2):40-5.

14. McMurray J, Breward K, Breward M, Alder R, Arya N. Integrated primary care improves access to healthcare for newly arrived refugees in Canada. J Immigr Minor Health. 2014;16(4):576-85.

15. Watters C, Ingleby D. Locations of care: meeting the mental health and social care needs of refugees in Europe. Int J Law Psychiatry. 2004;27(6):549-70. [OpenAIRE]

23 references, page 1 of 2
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