Connecting Refugees to Medical Homes Through Multi-Sector Collaboration

Journal of Immigrant and Minority Health
Lemaat MichaelJulie M Linton

Abstract

As increasing numbers of refugees have resettled globally, an interdisciplinary group of stakeholders in Forsyth, North Carolina, recognized obstacles preventing coordinated medical care, which inspired the development of our Refugee Health Collaborative. This study assessed the Collaborative's impact on access to coordinated care within patient-centered medical homes (PCMH). A Collaborative-developed novel algorithm guided the process by which refugees establish care in PCMHs. All refugees who established medical care in the two primary health systems in our county (n = 285) were included. Logistic non-linear mixed models were used to estimate the differences between three time frames: pre-algorithm, algorithm implementation and refinement, and ongoing algorithm implementation. After algorithm implementation, there has been a significant decrease in the time required to establish care in PCMHs, increased provider acknowledgment of refugee status, and decreased emergency department (ED) visits. Multi-disciplinary, organized collaboration can facilitate enhanced access to care for refugee families at the population level.

Citations

Mar 10, 2020·Family Medicine and Community Health·Catherine E ElmoreFern R Hauck
Feb 1, 2021·Primary Care·Catherine E ElmoreErica Uhlmann
Oct 16, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Maha P IqbalReema Harrison

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