the patient-centered medical home for refugee children in rhode island以病人为中心的医疗回家在罗德岛的难民的孩子.pdfVIP
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the patient-centered medical home for refugee children in rhode island以病人为中心的医疗回家在罗德岛的难民的孩子
Hindawi Publishing Corporation
International Journal of Population Research
Volume 2012, Article ID 394725, 6 pages
doi:10.1155/2012/394725
Review Article
The Patient-Centered Medical Home for
Refugee Children in Rhode Island
Tecla Mtui Temu, Lisa Ratanaprasatporn, Linda Ratanaprasatporn,
Delma-Jean Watts, and Carol Lewis
Department of Pediatrics, Refugee Health Clinic, Hasbro Children’s Hospital and Brown University, Providence, RI 02903, USA
Correspondence should be addressed to Tecla Mtui Temu, tecla temu@
Received 15 June 2011; Revised 8 November 2011; Accepted 24 November 2011
Academic Editor: Cherylynn Bassani
Copyright © 2012 Tecla Mtui Temu et al. This is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Purpose. To describe a “medical home” for pediatric refugees and its ability to provide culturally competent care, to partner with
and train medical interpreters, and to improve health screening and follow-up adherence rates of pediatric refugees immigrating to
Rhode Island. Methods. A retrospective chart review of refugees was performed. Background information, initial laboratory data,
whether patients completed the recommended follow-ups scheduled at 1, 3, 6, and 12 months, and completion of tuberculosis
treatment were recorded. Results. Since its initiation, 104 refugee children have attended the clinic ranging in age from 5 months
to 18 years. Since the initiation of the medical home for refugee children in 2007, initial screening rates have gone up to 99-100%
compared to a low of 41% in 2003–2006 prior to the establishment of the medical home. There was a 43% reduction in missed
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