Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations Through the Use of Health Literacy and Community Engagement Strategies Proceedings of a Workshop (2017) / Chapter Skim
Currently Skimming:
2 Issues and Challenges in Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations
2 Issues and Challenges in Facilitating Health Communication with Immigrant, Refugee, and Migrant Populations
Pages 5-16
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 5... ...
Perea, former member of the County of Fresno Board of Supervisors -- to describe the work they do with these populations and identify some of the biggest challenges and opportunities. Geltman explained that he has worked with refugee and immigrant communities for his entire career, including in his current position as medical director of the Massachusetts statewide health screening program for all refugees entering the country from overseas and in his prior position with the Cambridge (Massachusetts)
|
From page 6... ...
Most states now have a defined public health system for conducting additional health screens once refugees enter the United States, and they offer, via a network of community organizations, housing services, English language instruction, and job placement services, he said. While health screening is a public health function, it can serve as what Geltman called "an excellent bridge for primary care." Financial supports for health care through automatic Medicaid enrollment of refugees typically end after 8 months, added Geltman, though coverage now lasts for 1 year in states that accepted Medicaid expansion under the Patient Protection and Affordable Care Act (ACA)
|
From page 7... ...
He then recounted how an issue arose in Fresno County when the ACA came into being. Prior to that time, Perea said, Fresno County paid approximately $20 million annually to the local privatized health system to provide health care for everyone in the county, including undocumented individuals.
|
From page 8... ...
CHALLENGES DEALING WITH THE HEALTH CARE SYSTEM After noting that immigrant, refugee, and migrant populations have different legal status that affects their access to health care, Fernandez asked the panelists to speak about the common challenges the health care system faces in providing care for these populations. Geltman replied that language proficiency and limited health literacy are major challenges for providing appropriate care.
|
From page 9... ...
Without a healthy workforce, that industry would suffer, as would the American hospitality and construction industries, said Perea. Returning to the subject Caballero raised regarding increased immigration enforcement, Fernandez noted that Zuckerberg San Francisco General and the San Francisco Department of Public Health, in response to changes in immigration policy, have started a "You are safe here" campaign featuring prominent posters placed throughout the hospital and its affiliated clinics.
|
From page 10... ...
BUILDING TRUSTED RELATIONSHIPS Federal funding is available to establish what are called mutual assistance associations, which Geltman explained are small community agencies designed to support local refugee populations. It is important, he said, for clinicians and public health practitioners to establish relationships with those associations as one means for creating a trusted bond with the communities they serve.
|
From page 11... ...
For example, in a study he conducted on oral health, there were some aspects in which health literacy played some role and others for which health literacy had no bearing on outcomes. The extent to which health literacy matters, he said, has much to do with social capital and community supports.
|
From page 12... ...
After hearing this presentation, Geltman returned to Massachusetts and broke down the standard information contained in dense American Academy of Pediatric information sheets into simple bulleted lists for his patients, who came from 50-some countries and a variety of ethnic and religious backgrounds. However, when he gave these new information sheets to families whose first language was not English, they did not like them.
|
From page 13... ...
Geltman replied that he has been fortunate to work for the past 11 years in Cambridge, Massachusetts, where the community is sensitive to these issues and tries to go out of its way to include groups that are marginalized elsewhere. He also noted Massachusetts, like the rest of New England, has centralized its public health services at the state level and contracts with nonprofit community health centers to provide many of these services.
|
From page 14... ...
Jennifer Dillaha, medical director for immunizations and medical advisor for health literacy and communication at the Arkansas Department of Health, noted that Arkansas has a large population of migrant Pacific Islanders who are in the country legally but not eligible for Medicaid and are having difficulty navigating health care and obtaining needed care. Her observation is that the faith-based community of these Pacific Islanders could be important partners for bridging the health literacy and access to care gaps, but that her state has found it difficult to connect to that faithbased community.
|
From page 15... ...
However, he added that he is "not a big fan of just saying this community goes to church or temple or the mosque and therefore we should use that for a public health agenda. There is no evidence to suggest that that is going to be better than any other approach unless you have a specific targeted practice that you are trying to promote and have access to that community in a very culturally appropriate manner." Laurie Francis, senior director of clinical operations and quality at the Oregon Primary Care Association, first reminded the workshop that the federally qualified health centers started as centers of community health focused on social and economic issues.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.