Equity and access: understanding emergency health service use by newly arrived refugees.

  • Sheikh Peter I ; Gao, Zhanhai ; Holdgate, Anna ; Short, Alison E ; Al Haboub, Ayman ; Macintyre, C Raina M
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Objectives: To determine issues that affect newly resettled refugees in accessing an emergency department (ED).Design, setting and participants: We conducted a descriptive community survey using a semistructured questionnaire. Newly resettled refugees from the Middle East and Africa were interviewed, statistical analysis was performed, and standard content analysis methods were applied to free-text responses.Main outcome measures: Emergency health-seeking behaviour, sociocultural barriers and beliefs about Australia's emergency health services.Results: Half the African refugees (53/106) (50%), compared with only 15/49 (31%) of the Middle Eastern refugees, preferred an ED service over other forms of care for an urgent medical condition (P = 0.024). Qualitative data revealed that most newly resettled refugees understand how to use the emergency health services. However, while most indicated that they were able to make a call for emergency medical help, a substantial number of our respondents revealed that they were afraid to make such a call for fear of security implications, on the basis of experiences from their home countries.Conclusion: Reasons for differences in preferences of health care access, and determining how best to educate the community on the use of ED services, warrant further investigation. From a policy perspective, the increasing health care needs of refugees need re-examination when planning health care provision to refugees.

Author-supplied keywords

  • Africa/ethnology ; Australia ; Emergency Service,

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  • Mohamud ; Nugus Sheikh Peter I ; Gao, Zhanhai ; Holdgate, Anna ; Short, Alison E ; Al Haboub, Ayman ; Macintyre, C Raina

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