Family Medicine With Refugee Newcomers During the COVID-19 Pandemic.


Journal

Journal of the American Board of Family Medicine : JABFM
ISSN: 1558-7118
Titre abrégé: J Am Board Fam Med
Pays: United States
ID NLM: 101256526

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 26 03 2020
revised: 22 05 2020
accepted: 26 05 2020
entrez: 24 2 2021
pubmed: 25 2 2021
medline: 10 3 2021
Statut: ppublish

Résumé

Certain members of society are disproportionately affected by the COVID-19 crisis and the added strain being placed on already overextended health care systems. In this article, we focus on refugee newcomers. We outline vulnerabilities refugee newcomers face in the context of COVID-19, including barriers to accessing health care services, disproportionate rates of mental health concerns, financial constraints, racism, and higher likelihoods of living in relatively higher density and multigenerational dwellings. In addition, we describe the response to COVID-19 by a community-based refugee primary health center in Ontario, Canada. This includes how the clinic has initially responded to the crisis as well as recommendations for providing services to refugee newcomers as the COVID-19 crisis evolves. Recommendations include the following actions: (1) consider social determinants of health in the new context of COVID-19; (2) provide services through a trauma-informed lens; (3) increase focus on continuity of health and mental health care; (4) mobilize International Medical Graduates for triaging patients based on COVID-19 symptoms; and (5) diversify communication efforts to educate refugees about COVID-19.

Identifiants

pubmed: 33622840
pii: 34/Supplement/S210
doi: 10.3122/jabfm.2021.S1.200115
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

S210-S216

Informations de copyright

© Copyright 2021 by the American Board of Family Medicine.

Déclaration de conflit d'intérêts

Conflict of interest: We have no conflicting or competing interests to declare.

Auteurs

Jackson Andrew Smith (JA)

From the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada (JAS, JDB, DTB); Centre for Mental Health Research and Treatment (CMHRT), University of Waterloo, Waterloo, Ontario, Canada (JAS, DTB); Sanctuary Refugee Health Centre, Kitchener, Ontario, Canada (JDB, MB, MS); Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada (SS).

Jean de Dieu Basabose (JD)

From the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada (JAS, JDB, DTB); Centre for Mental Health Research and Treatment (CMHRT), University of Waterloo, Waterloo, Ontario, Canada (JAS, DTB); Sanctuary Refugee Health Centre, Kitchener, Ontario, Canada (JDB, MB, MS); Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada (SS).

Margaret Brockett (M)

From the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada (JAS, JDB, DTB); Centre for Mental Health Research and Treatment (CMHRT), University of Waterloo, Waterloo, Ontario, Canada (JAS, DTB); Sanctuary Refugee Health Centre, Kitchener, Ontario, Canada (JDB, MB, MS); Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada (SS).

Dillon Thomas Browne (DT)

From the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada (JAS, JDB, DTB); Centre for Mental Health Research and Treatment (CMHRT), University of Waterloo, Waterloo, Ontario, Canada (JAS, DTB); Sanctuary Refugee Health Centre, Kitchener, Ontario, Canada (JDB, MB, MS); Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada (SS). dillon.browne@uwaterloo.ca.

Sandy Shamon (S)

From the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada (JAS, JDB, DTB); Centre for Mental Health Research and Treatment (CMHRT), University of Waterloo, Waterloo, Ontario, Canada (JAS, DTB); Sanctuary Refugee Health Centre, Kitchener, Ontario, Canada (JDB, MB, MS); Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada (SS).

Michael Stephenson (M)

From the Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada (JAS, JDB, DTB); Centre for Mental Health Research and Treatment (CMHRT), University of Waterloo, Waterloo, Ontario, Canada (JAS, DTB); Sanctuary Refugee Health Centre, Kitchener, Ontario, Canada (JDB, MB, MS); Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada (SS).

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