Community-based asylum seekers’ use of primary health care services in Melbourne

Correa-Velez, Ignacio, Johnston, Vanessa, Kirk, Joan, & Ferdinand, Angeline (2008) Community-based asylum seekers’ use of primary health care services in Melbourne. Medical Journal of Australia, 188(6), pp. 344-348.

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Objective: To investigate primary health care service utilisation and health presentations among asylum seekers living in Melbourne.

Design and setting: Retrospective audit of files of people who attended three Melbourne asylum-seeker health clinics between 1 July 2005 and 30 June 2006.

Main outcome measures: Rates of reasons for the encounter, diagnostic tests or investigations required, treatments prescribed and referrals.

Results: Data were collected from 998 consultations corresponding to 341 people. Eighty-eight per cent of visits involved people with no Medicare access, owing to their visa status. The most common reasons for the encounter were general and unspecified symptoms or problems (rate, 59.9 per 100 encounters; 95% CI, 55–65), followed by musculoskeletal conditions (27.1; 95% CI, 24–30), and psychological problems (26.5; 95% CI, 23–30). The rate of referrals was 18.3 per 100 encounters (95% CI, 16–21).

Conclusions: The three clinics providing services to asylum seekers in Melbourne are delivering care to a considerable number of people with complex health needs. A substantial number of asylum seekers present to clinics with psychological and social problems. Most cannot access government-subsidised health care. This must be addressed urgently by policy change at the federal and state and territory levels.

Impact and interest:

17 citations in Scopus
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13 citations in Web of Science®

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ID Code: 55103
Item Type: Journal Article
Refereed: Yes
Keywords: Asylum seekers, Primary health care, Health services, Health presentations, Health service utilisation
ISSN: 0025-729X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Deposited On: 25 Nov 2012 22:45
Last Modified: 24 Apr 2013 01:06

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