Abstract：
BACKGROUND: Following Kabul\'s fall in August 2021, there was influx of Afghan refugees in the UK. Southampton\'s Bridging Hotel provided temporary shelter to 22 families, totaling 116 individuals. The Living Well Partnership (LWP); assumed primary care provision for these vulnerable residents facing health inequalities.
OBJECTIVE: Enhancing refugee healthcare access and integration into the NHS system. Improving healthcare education, boosting confidence in appropriate healthcare use, and utilisation of electronic consultations effectively.
METHODS: Working with the local authorities, primary care services were brought to the hotel. Regular 3-hour drop-in sessions with a health and wellbeing coach were established and attended by residents. Non-identifiable data was recorded in individual patient care records and summarised quantitatively. Qualitative data was collected via a pre-established questionnaire during the sessions. RESULTS: Identified issues included language barriers, mental health problems, infectious diseases, contraception, and healthcare access. Language barriers were addressed with interpreters. Fifty-nine patients accessed support services, with 13 benefiting from e-consultations, and nine requiring on-site medical consultations in a 3-month period. Mental health support and infectious disease referrals were facilitated. Access challenges were mitigated by transitioning to e-consultations or face-to-face appointments. Outcomes included improved patient independence, awareness of healthcare processes, familiarity with LWP services, and confidence in navigating the NHS.
CONCLUSIONS: A multifaceted approach is vital for addressing language and access barriers for refugees. Providing educational resources through facilitated groups empowered refugees and improved healthcare access. This initiative highlights the importance of organised support for vulnerable populations during crises and can be applied more widely.
OBJECTIVE: Enhancing refugee healthcare access and integration into the NHS system. Improving healthcare education, boosting confidence in appropriate healthcare use, and utilisation of electronic consultations effectively.
METHODS: Working with the local authorities, primary care services were brought to the hotel. Regular 3-hour drop-in sessions with a health and wellbeing coach were established and attended by residents. Non-identifiable data was recorded in individual patient care records and summarised quantitatively. Qualitative data was collected via a pre-established questionnaire during the sessions. RESULTS: Identified issues included language barriers, mental health problems, infectious diseases, contraception, and healthcare access. Language barriers were addressed with interpreters. Fifty-nine patients accessed support services, with 13 benefiting from e-consultations, and nine requiring on-site medical consultations in a 3-month period. Mental health support and infectious disease referrals were facilitated. Access challenges were mitigated by transitioning to e-consultations or face-to-face appointments. Outcomes included improved patient independence, awareness of healthcare processes, familiarity with LWP services, and confidence in navigating the NHS.
CONCLUSIONS: A multifaceted approach is vital for addressing language and access barriers for refugees. Providing educational resources through facilitated groups empowered refugees and improved healthcare access. This initiative highlights the importance of organised support for vulnerable populations during crises and can be applied more widely.
摘要：
背景：在2021年8月喀布尔沦陷之后，阿富汗难民涌入英国。南安普敦的桥梁酒店为22个家庭提供了临时住所，共116人。LivingWellPartnership(LWP);假定为这些面临健康不平等的弱势居民提供初级保健。
目标：加强难民医疗服务的获取和融入NHS系统。改善医疗保健教育，增强对适当医疗保健使用的信心，并有效利用电子咨询。
方法：与地方当局合作，初级保健服务被带到了酒店。建立了与健康和福祉教练定期进行的3小时上门培训，并有居民参加。将不可识别的数据记录在个体患者护理记录中并进行定量总结。定性数据是在会议期间通过预先建立的问卷收集的。结果：发现的问题包括语言障碍，心理健康问题,传染病,避孕,和医疗保健。口译员解决了语言障碍。59名患者获得了支持服务，13人受益于电子咨询，九人需要在三个月内进行现场医疗咨询。促进了心理健康支持和传染病转诊。通过过渡到电子咨询或面对面任命，缓解了访问挑战。结果包括改善患者独立性，对医疗保健流程的认识，熟悉LWP服务，以及在NHS中导航的信心。
结论：多方面的方法对于解决难民的语言和准入障碍至关重要。通过便利团体提供教育资源，增强了难民的能力，并改善了医疗服务。该倡议强调了在危机期间为弱势群体提供有组织支持的重要性，可以更广泛地应用。
目标：加强难民医疗服务的获取和融入NHS系统。改善医疗保健教育，增强对适当医疗保健使用的信心，并有效利用电子咨询。
方法：与地方当局合作，初级保健服务被带到了酒店。建立了与健康和福祉教练定期进行的3小时上门培训，并有居民参加。将不可识别的数据记录在个体患者护理记录中并进行定量总结。定性数据是在会议期间通过预先建立的问卷收集的。结果：发现的问题包括语言障碍，心理健康问题,传染病,避孕,和医疗保健。口译员解决了语言障碍。59名患者获得了支持服务，13人受益于电子咨询，九人需要在三个月内进行现场医疗咨询。促进了心理健康支持和传染病转诊。通过过渡到电子咨询或面对面任命，缓解了访问挑战。结果包括改善患者独立性，对医疗保健流程的认识，熟悉LWP服务，以及在NHS中导航的信心。
结论：多方面的方法对于解决难民的语言和准入障碍至关重要。通过便利团体提供教育资源，增强了难民的能力，并改善了医疗服务。该倡议强调了在危机期间为弱势群体提供有组织支持的重要性，可以更广泛地应用。
