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Perspectives of resettled African refugees on accessing medicines and pharmacy services in Queensland, Australia

机译:重新安置非洲难民关于澳大利亚昆士兰州的药品和药房服务的观点

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Objectives The aim of this study was to explore the barriers to accessing medicines and pharmacy services among refugees in Queensland, Australia, from the perspectives of resettled African refugees.Methods A generic qualitative approach was used in this study. Resettled African refugees were recruited via a purposive snowball sampling method. The researcher collected data from different African refugee communities, specifically those from Sudanese, Congolese and Somalian communities. Participants were invited by a community health leader to participate in the study; a community health leader is a trained member of the refugee community who acts as a 'health information conduit' between refugees and the health system. Invitations were done either face-to-face, telephonically or by email. The focus groups were digitally recorded in English and transcribed verbatim by the researcher. Transcripts were entered into NVIVO? 11 and the data were analysed using inductive thematic analysis.Key findings Four focus groups were conducted between October and November 2014 in the city of Brisbane with African refugees, one with five Somali refugees, one with five Congolese refugees, one with three refugee community health leaders from South Sudan, Liberia and Eritrea and one with three refugee community health leaders from Uganda, Burundi and South Sudan. Eleven sub-themes emerged through the coding process, which resulted in four overarching themes: health system differences, navigating the Australian health system, communication barriers and health care-seeking behaviour. With regard to accessing medicines and pharmacy services, this study has shown that there is a gap between resettled refugees' expectations of health services and the reality of the Australian health system. Access barriers identified included language barriers, issues with the Translating and Interpreter Service, a lack of professional communication and cultural beliefs affecting health care-seeking behaviour. Conclusions This exploratory study has established a foundation for further research into the barriers to accessing medicines and pharmacy services for resettled refugees. The findings are likely to be applicable to a wider population.
机译:目的这项研究的目的是探讨澳大利亚昆士兰州难民的难民中获取药品和药房服务的障碍,从重新安置非洲难民的角度来看。本研究中使用了一种通用的定性方法。重新安置非洲难民通过目的地雪球采样方法招募。研究人员从不同的非洲难民社区收集了数据,特别是来自苏丹,刚果和索马利亚社区的数据。社区卫生领导者邀请参与者参加该研究;社区卫生领导者是难民社区的训练有素的成员,他们是难民与卫生系统之间的“健康信息管道”。邀请症是面对面,电话或通过电子邮件完成。焦点小组以英文数字录制,并由研究人员转录逐字。转录物进入NVIVO? 11和数据进行了使用归纳专题分析进行分析.Key调查结果四月和2014年11月在2014年10月间在布里斯班市之间进行了非洲难民,其中一个有五个索马里难民,一个有五个刚果难民,其中一个有三个难民社区健康来自南苏丹,利比里亚和厄立特里亚的领导者,以及来自乌干达,布隆迪和南苏丹的三位难民社区卫生领导者。通过编码过程出现了11个子主题,导致四个总体主题:卫生系统差异,导航澳大利亚卫生系统,沟通障碍和保健行为。关于访问药品和药房服务,本研究表明,重新破坏难民对卫生服务的期望与澳大利亚卫生系统的现实之间存在差距。获得的访问障碍被确定的语言障碍,翻译和口译服务的问题,缺乏影响医疗保健行为的专业沟通和文化信仰。结论这项探索性研究已为进一步研究进一步研究障碍,以便进一步研究用于重新难民的药品和药房服务。调查结果可能适用于更广泛的人口。

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