As successive groups of refugees reach countries of second asylum, refugee health care must be reinvented for each new group. But how can we bridge the one-to-two-year lag time between resettlement and publication of studies of specific cultures and thus render effective health services for refugees from the time of resettlement? Below, health problems common to refugees in countries of second asylum are identified and a community-based system for addressing their healthcare needs is proposed. The nursing process and principles of community health nursing are key concepts.

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Communication Barriers refugee health care planning mass screening nursing human communication disorder Refugees health service nursing care Health Plan Implementation Health Services Needs and Demand cultural factor health services Article program evaluation Health Planning health care quality Health Services Administration standard Cultural Characteristics Health Services Accessibility health care delivery