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.pdf

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 ap

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