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

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

Document type: Journal Article
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IRMA ID 10488xPUB12
NHMRC Grant No. 380845
Title Community-based asylum seekers' use of primary health care services in Melbourne
Author Correa-Velez, Ignacio
Johnston, Vanessa
Kirk, Joanne
Ferdinand, Angeline
Journal Name Medical Journal of Australia
Publication Date 2008
Volume Number 188
Issue Number 6
ISSN 0025-729X   (check CDU catalogue open catalogue search in new window)
Start Page 344
End Page 348
Total Pages 5
Place of Publication Australia
Publisher Australasian Medical Publishing Company
Field of Research 1117 - Public Health and Health Services
HERDC Category C1 - Journal Article (DEST)
Abstract 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.

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).

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.
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