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Enhanced Transitions of Care for Medically Complex Refugees.

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  • 1Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Washington, Box 359780, Seattle, WA, 98104, USA. jacksonc@uw.edu.

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A pilot program successfully managed chronic health needs for medically complex refugees arriving in Seattle. This initiative ensured safe and cost-effective care transitions for vulnerable populations.

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Area of Science:

  • Public Health
  • Healthcare Management
  • Refugee Health

Background:

  • The U.S. Refugee Admissions Program resettled 261,091 refugees between 2015-2019.
  • Chronically ill refugees previously faced emergency room visits upon arrival.
  • A pilot program was developed to proactively manage complex health needs of arriving refugees.

Purpose of the Study:

  • To design and implement a system for anticipating, assessing, and managing chronic health conditions in refugees.
  • To ensure safe and effective care transitions for sick and medically complex refugees.
  • To provide a model for the safe and cost-effective relocation of refugees with complex illnesses.

Main Methods:

  • Collaboration between academic internal medicine/pediatrics clinics, the Washington State Refugee Health Program, and Resettlement Agencies.
  • Identification of medically complex refugees through overseas or post-arrival evaluations.
  • Referral and subsequent care provision for selected complex cases.

Main Results:

  • 2,947 medically complex refugees' biodata were reviewed.
  • 561 refugees (19%) were referred for evaluation.
  • 257 refugees (46% of referrals) received necessary care.

Conclusions:

  • Safe transitions of care are crucial in medical systems.
  • This Seattle-based program demonstrates an innovative approach to refugee healthcare.
  • The system facilitates safe and cost-effective relocation for refugees with complex medical needs.