Australian Journal of Primary Health
Volume 20, Issue 1, 2014, Pages 85-91

Caring for refugees in general practice: Perspectives from the coalface (Article) (Open Access)

Farley R.* , Askew D. , Kay M.
  • a Discipline of General Practice, University of Queensland School of Medicine, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia, Inala Primary Care, 64 Wirraway Parade, Inala, QLD 4077, Australia
  • b Discipline of General Practice, University of Queensland School of Medicine, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia, Inala Indigenous Health Service, 64 Wirraway Parade, Inala, QLD 4077, Australia
  • c Discipline of General Practice, University of Queensland School of Medicine, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia

Abstract

This qualitative research project explored the experiences of primary health care providers working with newly arrived refugees in Brisbane. Data from 36 participants (20 general practitioners, five practice nurses and 11 administrative staff) involved in five focus groups and four semi-structured interviews were analysed. The results indicated that despite difficulties, providers are committed and enthusiastic about working with refugees. The flexibility of the general practice setting enables innovative approaches. The establishment of a specialised refugee health service in Brisbane has improved providers' capacity to deliver refugee health care. However, most practices continue to feel isolated as they search for solutions, and the need for greater supports and a more coordinated approach to care were emphasised. The themes of communication, knowledge and practice and health care systems encapsulated the factors that influence health care providers' ability to care for refugees and provide a framework for improving available supports. Australian primary health care is currently undergoing great change, which provides an opportunity to make significant gains in the provision of care for refugees and other minority groups within our community. As health care reforms are implemented it is essential that they are responsive to the expressed needs of health care providers working in these areas. © La Trobe University 2014.

Author Keywords

qualitative research. Australia Primary health care

Index Keywords

general practice Health Personnel coordination patient care Communication Barriers refugee nurse Australia health care policy interpersonal communication human Refugees health service general practitioner social support Cultural Competency administrative personnel qualitative research nurse attitude Humans Interviews as Topic male semi structured interview female Article physician attitude Focus Groups Health Services Accessibility primary health care

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84894172619&doi=10.1071%2fPY12068&partnerID=40&md5=03d2c46978aa23a8f3fa45214b6cf8fb

DOI: 10.1071/PY12068
ISSN: 14487527
Cited by: 16
Original Language: English