Australian Family Physician
Volume 44, Issue 7, 2015, Pages 503-507

Rites of passage: Improving refugee access to general practice services (Article)

Cheng I.-H.* , Vasi S. , Wahidi S. , Russell G.
  • a Southern Academic Primary Care Research Unit, Monash University, South Eastern Melbourne Medicare Local, Monash Health, Dandenong, VIC, Australia, South Eastern Melbourne Medicare Local, Dandenong, VIC, Australia, Hill Medical Services, Noble Park, VIC, Australia
  • b Southern Synergy and Southern Academic Primary Care Research Unit, Monash University, Dandenong, VIC, Australia
  • c Southern Academic Primary Care Research Unit, Monash University, South Eastern Melbourne Medicare Local, Monash Health, Dandenong, VIC, Australia
  • d General Practice Research, Southern Academic Primary Care Research Unit, Monash University, Dandenong, VIC, Australia

Abstract

Background: Refugees in Australia experience barriers in accessing healthcare services. The aim of this study was to analyse the factors influencing Afghan refugees' access to general practice. Methods: A qualitative study on a single general practice in south-east Melbourne in 2013 was conducted. Data were collected using individual, semi-structured interviews and field observations. Data were analysed thematically and informed by the Penchansky and Thomas concept of access. Results: The general practice utilised multiple strategies to improve access for refugees. Nevertheless, persistent barriers included language and cultural differences at reception, difficulties with transport to the practice, long wait times and the cost of care. Discussion: This case study highlights the benefits of providing affordable, co-located, culturally responsive services with integrated interpreter and settlement agency support. Increasing the use of interpreters and translated materials at reception, and improving the coordination of patient transport assistance could enhance refugees' access to general practice. © The Royal Australian College of General practitioners 2015.

Author Keywords

[No Keywords available]

Index Keywords

general practice Communication Barriers Health Care Costs Humans Health Services Accessibility refugee language Cultural Competency economics cultural competence Australia qualitative research organization and management health care cost human communication disorder Refugees health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84936934948&partnerID=40&md5=bf8a915e1904021d84bae6106cd7a909
ISSN: 03008495
Cited by: 7
Original Language: English