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Addressing refugee health through evidence-based policies: a case study

机译:通过基于证据的政策解决难民卫生:一个案例研究

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The cumulative total of persons forced to leave their country for fear of persecution or organized violence reached an unprecedented 24.5 million by the end of 2015. Providing equitable access to appropriate health services for these highly diverse newcomers poses challenges for receiving countries. In this case study, we illustrate the importance of translating epidemiology into policy to address the health needs of refugees by highlighting examples of what works as well as identifying important policy-relevant gaps in knowledge. First, we formed an international working group of epidemiologists and health services researchers to identify available literature on the intersection of epidemiology, policy, and refugee health. Second, we created a synopsis of findings to inform a recommendation for integration of policy and epidemiology to support refugee health in the United States and other high-income receiving countries. Third, we identified eight key areas to guide the involvement of epidemiologists in addressing refugee health concerns. The complexity and uniqueness of refugee health issues, and the need to develop sustainable management information systems, require epidemiologists to expand their repertoire of skills to identify health patterns among arriving refugees, monitor access to appropriately designed health services, address inequities, and communicate with policy makers and multidisciplinary teams. (C) 2017 Elsevier Inc. All rights reserved.
机译:累计人民抵御遭受迫害或有组织暴力的累计人员将于2015年底达到前所未有的2450万。为这些高度多样化的新人提供公平的卫生服务,对接收国带来了挑战。在这种情况下,我们通过强调有关实际情况的例子以及确定知识中的重要政策相关差距,将流行病学转化为政策以解决难民的健康需求的重要性。首先,我们组建了一个国际流行病学家和卫生服务研究人员的国际工作组,以确定流行病学,政策和难民健康的交叉口的可用文学。其次,我们创建了一个调查结果的概要,以便为政策和流行病学整合,以支持美国和其他高收入国家的难民健康的建议。第三,我们确定了八个关键领域,以指导流行病学家参与解决难民健康问题。难民卫生问题的复杂性和独特性,以及开发可持续管理信息系统的需要,需要流行病学家,以扩大他们的曲目,以确定到达难民中的健康模式,监督适当设计的卫生服务,地址不平等和与政策沟通制造商和多学科团队。 (c)2017年Elsevier Inc.保留所有权利。

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