Abstract：
Background Provision of culturally responsive sexual health care for international students is important, given the large numbers of international students in Australia and known lower levels of health literacy among this cohort. Team-based care in general practice has the potential to provide this care. Methods A qualitative study that developed and evaluated a team-based model of care for female, Mandarin-speaking, international students in a university-based general practice. The model involved patients attending a consultation with a Mandarin-speaking nurse with advanced skills in sexual health who provided education and preventive health advice, followed by a consultation with a GP. Evaluation of the model explored patient and healthcare worker experiences using a survey and a focus group of patients, and interviews with healthcare workers. Data were analysed using a general inductive approach. Results The consultation model was evaluated with 12 patients and seven GPs. Five patients participated in a focus group following the consultation. Survey results showed high levels of patient satisfaction with the model. This was confirmed via the focus group findings. Healthcare workers found the model useful for providing sexual health care for this cohort of patients and were satisfied with the team approach to patient care. Conclusions A team-based approach to providing sexual health care for international students was satisfactory to patients, GPs and the practice nurse. The challenge is providing this type of model in Australian general practice under the current funding model.
摘要：
背景为国际学生提供文化上敏感的性保健很重要，鉴于澳大利亚的国际学生人数众多，并且该人群中的健康素养水平较低。一般实践中的团队护理有可能提供这种护理。方法一项定性研究，开发和评估了一种基于团队的女性护理模式，说普通话,国际学生在大学的一般实践。该模式涉及接受具有高级性健康技能的会讲普通话的护士咨询的患者，该护士提供教育和预防性健康建议，然后咨询全科医生。使用调查和患者焦点小组评估模型探索的患者和医护人员经验，以及对医护人员的采访。使用一般归纳法分析数据。结果12例患者和7例全科医生对咨询模式进行了评估。咨询后，有五名患者参加了焦点小组。调查结果显示，患者对该模型的满意度很高。通过焦点小组的发现证实了这一点。医护人员发现该模型可用于为该队列患者提供性健康护理，并对团队方法对患者护理感到满意。结论以团队为基础的方法为国际学生提供性健康护理令患者满意,全科医生和实习护士。挑战是在当前的资助模式下，在澳大利亚的一般实践中提供这种模式。
