Abstract
OBJECTIVE: To explore roles of family physicians and family practice nurses who provided care to Kosovar refugees at Greenwood, NS. DESIGN: Qualitative study based on individual interviews with family physicians and family practice nurses. SETTING: Family practices in Halifax, NS. PARTICIPANTS: Six family practice nurses, four physician faculty members, four community-based family physicians, and two family medicine residents were interviewed. Participants were purposefully chosen from the roster of service providers. METHOD: All interviews were conducted by one of the researchers and were semistructured. Interviews lasted approximately 30 minutes and were immediately transcribed. Key words and phrases were identified and compared with subsequent interviews until saturation was achieved. MAIN FINDINGS: Data yielded four analytical categories: the clinical encounter, expectation and experience, role and team functioning, and response. Participants reported how providing care in the context of a refugee camp was both similar to and different from their daily activities in family practice, as were their working relationships with other health care professionals. CONCLUSION: Primary care for refugees during complex health emergencies is often underreported in the literature. Yet family practice physicians and nurses recounted that they had the requisite skills to provide care in such a context.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Acheson D. Health, humanitarian relief, and survival in former Yugoslavia. BMJ. 1993 Jul 3;307(6895):44–48. doi: 10.1136/bmj.307.6895.44. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Agovino T. Caring for ethnic Albanians in Macedonia's refugee camps. Lancet. 1999 May 15;353(9165):1701–1703. doi: 10.1016/S0140-6736(99)04433-5. [DOI] [PubMed] [Google Scholar]
- Black M. E. Collapsing health care in Serbia and Montenegro. BMJ. 1993 Oct 30;307(6912):1135–1137. doi: 10.1136/bmj.307.6912.1135. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Clinton-Davis L., Fassil Y. Health and social problems of refugees. Soc Sci Med. 1992 Aug;35(4):507–513. doi: 10.1016/0277-9536(92)90343-o. [DOI] [PubMed] [Google Scholar]
- Geiger H. J., Cook-Deegan R. M. The role of physicians in conflicts and humanitarian crises. Case studies from the field missions of Physicians for Human Rights, 1988 to 1993. JAMA. 1993 Aug 4;270(5):616–620. [PubMed] [Google Scholar]
- Goldstein R. D., Wampler N. S., Wise P. H. War experiences and distress symptoms of Bosnian children. Pediatrics. 1997 Nov;100(5):873–878. doi: 10.1542/peds.100.5.873. [DOI] [PubMed] [Google Scholar]
- Joffe H. I., Joffe C. F., Brodaty H. Ageing Jewish Holocaust survivors: anxieties in dealing with health professionals. Med J Aust. 1996 Nov 4;165(9):517–520. doi: 10.5694/j.1326-5377.1996.tb138622.x. [DOI] [PubMed] [Google Scholar]
- Loretti A. Armed conflicts, health and health services in Africa. An epidemiological framework of reference. Med Confl Surviv. 1997 Jul-Sep;13(3):219–228. doi: 10.1080/13623699708409342. [DOI] [PubMed] [Google Scholar]
- Muecke M. A. New paradigms for refugee health problems. Soc Sci Med. 1992 Aug;35(4):515–523. doi: 10.1016/0277-9536(92)90344-p. [DOI] [PubMed] [Google Scholar]
- Palinkas L. A. Health under stress: Asian and Central American refugees and those left behind. Introduction. Soc Sci Med. 1995 Jun;40(12):1591–1596. doi: 10.1016/0277-9536(94)00343-r. [DOI] [PubMed] [Google Scholar]
- Rumbaugh J. R. Operation Pacific Haven: humanitarian medical support for Kurdish evacuees. Mil Med. 1998 May;163(5):269–271. [PubMed] [Google Scholar]
- Summerfield D. The social, cultural and political dimensions of contemporary war. Med Confl Surviv. 1997 Jan-Mar;13(1):3–25. doi: 10.1080/13623699708409311. [DOI] [PubMed] [Google Scholar]
- Toole M. J., Galson S., Brady W. Are war and public health compatible? Lancet. 1993 May 8;341(8854):1193–1196. doi: 10.1016/0140-6736(93)91013-c. [DOI] [PubMed] [Google Scholar]
- Toole M. J., Waldman R. J. Refugees and displaced persons. War, hunger, and public health. JAMA. 1993 Aug 4;270(5):600–605. [PubMed] [Google Scholar]
- Toole M. J., Waldman R. J. The public health aspects of complex emergencies and refugee situations. Annu Rev Public Health. 1997;18:283–312. doi: 10.1146/annurev.publhealth.18.1.283. [DOI] [PubMed] [Google Scholar]
- Weinstein H. M., Dansky L., Iacopino V. Torture and war trauma survivors in primary care practice. West J Med. 1996 Sep;165(3):112–118. [PMC free article] [PubMed] [Google Scholar]