Pub Date : 2018-04-11DOI: 10.18297/rgh/vol1/iss2/1/
R. Carrico
learning on issues impacting refugee health and health issues as they are relevant to our global society. Clearly, 2017 was a year where many challenges and changes occurred in how care could be provided for the newly arriving refugees resettling in the United States and around the world. Although these numbers decreased, their complexity continued and care was often provided without the resources that had become the foundation for the federal resettlement program in communities across the US. This issue of the Journal will highlight a variety of approaches and new discoveries of value for communities, healthcare providers, and support services as they continue to provide assistance for refugees as they resettle.
{"title":"Letter from the Editor-in-Chief: Journal of Refugee & Global Health Volume 1\u0000 Issue 2","authors":"R. Carrico","doi":"10.18297/rgh/vol1/iss2/1/","DOIUrl":"https://doi.org/10.18297/rgh/vol1/iss2/1/","url":null,"abstract":"learning on issues impacting refugee health and health issues as they are relevant to our global society. Clearly, 2017 was a year where many challenges and changes occurred in how care could be provided for the newly arriving refugees resettling in the United States and around the world. Although these numbers decreased, their complexity continued and care was often provided without the resources that had become the foundation for the federal resettlement program in communities across the US. This issue of the Journal will highlight a variety of approaches and new discoveries of value for communities, healthcare providers, and support services as they continue to provide assistance for refugees as they resettle.","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114897480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-11DOI: 10.18297/RGH/VOL1/ISS2/7/
R. Carrico
In this video, Dr. Ruth Carrico, Director of the Global Health Center Travel Clinic and Refugee Health Programs: • Describes the University of Louisville refugee-centered medical home care model • Introduces a novel element, the Global Health Navigator, and their roles and responsibilities in the care of the refugee population • Reviews the competencies and training components important for this new role • Uses case scenarios to demonstrate the value of Global Health Navigators in refugee care UofL Journal of Refugee and Global Health YouTube Channel
{"title":"Global Health Navigators: A new component in a refugee-centered medical home model\u0000 of care","authors":"R. Carrico","doi":"10.18297/RGH/VOL1/ISS2/7/","DOIUrl":"https://doi.org/10.18297/RGH/VOL1/ISS2/7/","url":null,"abstract":"In this video, Dr. Ruth Carrico, Director of the Global Health Center Travel Clinic and Refugee Health Programs: • Describes the University of Louisville refugee-centered medical home care model • Introduces a novel element, the Global Health Navigator, and their roles and responsibilities in the care of the refugee population • Reviews the competencies and training components important for this new role • Uses case scenarios to demonstrate the value of Global Health Navigators in refugee care UofL Journal of Refugee and Global Health YouTube Channel","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"321 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122735492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-19DOI: 10.18297/RGH/VOL1/ISS1/2/
R. Carrico, T. Wiemken, Rahel S. Bosson, William A. Mattingly, Rebecca Ford, Sarah Van Heiden, S. Kotey, J. Ramirez
Objectives: Refugees resettling in the United States bring with them a number of health conditions, the majority chronic. These health conditions may impact their ability to be successful with disease self-management and employment, and acculturate and thrive in their new communities. Knowledge of health conditions present in individual refugee populations can be of benefit to healthcare providers in the community and public health. The objective of this manuscript is to describe the state of health among refugees newly arriving in the US and resettling in Kentucky during 2016. Methods: Using data from the domestic health screens, immunization clinics, and the Centers for Disease Control and Prevention Electronic Disease Notification, a database entitled Arriving Refugee Informatics Surveillance and Epidemiology (ARIVE) was developed and the Research Electronic Data Capture (REDCap) system used as the platform. Results: A total of 1495 adult and pediatric refugees were screened during January-June 2016 in Louisville, Lexington, Owensboro, and Bowling Green, Kentucky and data entered into ARIVE. Results from those domestic health screenings identified dental abnormalities (60%), obesity (23%), decreased visual acuity (14%), hyperlipidemia (14%), and elevated blood lead levels in child refugees (12%). Latent tuberculosis infection was identified in 13% and more than 32% had evidence of at least one intestinal parasite. Conditions of social importance included tobacco use among 16%. Mental health issues were evident as 15% had a positive Refugee Health Screener (RHS-15) result and more than 13% indicated they had witnessed or experienced torture. Conclusions: This analysis shows that the main health conditions facing refugees after arriving in the US are chronic conditions that require long-term medical management and support services. Upon review of these results, a systematic approach to solving the problem of long-term followup needs to be established for refugees in order to address and decrease the impact of chronic health conditions. Using information from this Kentucky assessment may promote interest in a national refugee health database as a means of developing population-based and populationspecific interventions to improve overall health. DOI: 10.18297/rgh/vol1/iss1/2 Website: https://ir.library.louisville.edu/rgh
{"title":"Health Profiles of Newly Arriving Refugees In Kentucky, 2016: Data from the\u0000 University of Louisville Global Health Program","authors":"R. Carrico, T. Wiemken, Rahel S. Bosson, William A. Mattingly, Rebecca Ford, Sarah Van Heiden, S. Kotey, J. Ramirez","doi":"10.18297/RGH/VOL1/ISS1/2/","DOIUrl":"https://doi.org/10.18297/RGH/VOL1/ISS1/2/","url":null,"abstract":"Objectives: Refugees resettling in the United States bring with them a number of health conditions, the majority chronic. These health conditions may impact their ability to be successful with disease self-management and employment, and acculturate and thrive in their new communities. Knowledge of health conditions present in individual refugee populations can be of benefit to healthcare providers in the community and public health. The objective of this manuscript is to describe the state of health among refugees newly arriving in the US and resettling in Kentucky during 2016. Methods: Using data from the domestic health screens, immunization clinics, and the Centers for Disease Control and Prevention Electronic Disease Notification, a database entitled Arriving Refugee Informatics Surveillance and Epidemiology (ARIVE) was developed and the Research Electronic Data Capture (REDCap) system used as the platform. Results: A total of 1495 adult and pediatric refugees were screened during January-June 2016 in Louisville, Lexington, Owensboro, and Bowling Green, Kentucky and data entered into ARIVE. Results from those domestic health screenings identified dental abnormalities (60%), obesity (23%), decreased visual acuity (14%), hyperlipidemia (14%), and elevated blood lead levels in child refugees (12%). Latent tuberculosis infection was identified in 13% and more than 32% had evidence of at least one intestinal parasite. Conditions of social importance included tobacco use among 16%. Mental health issues were evident as 15% had a positive Refugee Health Screener (RHS-15) result and more than 13% indicated they had witnessed or experienced torture. Conclusions: This analysis shows that the main health conditions facing refugees after arriving in the US are chronic conditions that require long-term medical management and support services. Upon review of these results, a systematic approach to solving the problem of long-term followup needs to be established for refugees in order to address and decrease the impact of chronic health conditions. Using information from this Kentucky assessment may promote interest in a national refugee health database as a means of developing population-based and populationspecific interventions to improve overall health. DOI: 10.18297/rgh/vol1/iss1/2 Website: https://ir.library.louisville.edu/rgh","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134474406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-01DOI: 10.18297/RGH/VOL1/ISS1/5/
R. Carrico, C. Mitchell, Dawn Balcom, L. Goss, A. Persaud, K. Mutsch, T. Wiemken, Rahel S. Bosson, J. Ramirez
Abstract of research collected by the University of Louisville Global Health Center and the Kentucky Office for Refugees.
路易斯维尔大学全球健康中心和肯塔基州难民办公室收集的研究摘要。
{"title":"Use of Emergency Department for Care Access by Refugees Resettling in Kentucky,\u0000 2015: Findings from the University of Louisville Global Health Center","authors":"R. Carrico, C. Mitchell, Dawn Balcom, L. Goss, A. Persaud, K. Mutsch, T. Wiemken, Rahel S. Bosson, J. Ramirez","doi":"10.18297/RGH/VOL1/ISS1/5/","DOIUrl":"https://doi.org/10.18297/RGH/VOL1/ISS1/5/","url":null,"abstract":"Abstract of research collected by the University of Louisville Global Health Center and the Kentucky Office for Refugees.","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"301 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121270083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-01DOI: 10.18297/rgh/vol1/iss1/7/
Rahel S. Bosson, R. Carrico
In this University of Louisville Grand Rounds lecture, Drs. Rahel Bosson and Ruth Carrico give an overview of the real struggle of the refugee population and provide an update of the current state of refugee health in Kentucky. They also provide an overview of the Global Health Initiative at University of Louisville, which includes the follow programs: HIV/AIDs, Refugee Health and Immunization, Vaccine and International Travel and Global Health Research Support. The talk concludes looking to the future with a comprehensive Global Health Center composed of improving refugee orientation and EMR, healthcare worker education, developing guidelines, and bettering our surveillance and epidemiology surrounding global health populations. DOI: 10.18297/rgh/vol1/iss1/7/ Website: https://www.louisville.edu/rgh Affiliations: University of Louisville Division of Infectious Diseases, Louisville: (RMC, RSB)
{"title":"Refugee Health and the Kentucky Global Health Center","authors":"Rahel S. Bosson, R. Carrico","doi":"10.18297/rgh/vol1/iss1/7/","DOIUrl":"https://doi.org/10.18297/rgh/vol1/iss1/7/","url":null,"abstract":"In this University of Louisville Grand Rounds lecture, Drs. Rahel Bosson and Ruth Carrico give an overview of the real struggle of the refugee population and provide an update of the current state of refugee health in Kentucky. They also provide an overview of the Global Health Initiative at University of Louisville, which includes the follow programs: HIV/AIDs, Refugee Health and Immunization, Vaccine and International Travel and Global Health Research Support. The talk concludes looking to the future with a comprehensive Global Health Center composed of improving refugee orientation and EMR, healthcare worker education, developing guidelines, and bettering our surveillance and epidemiology surrounding global health populations. DOI: 10.18297/rgh/vol1/iss1/7/ Website: https://www.louisville.edu/rgh Affiliations: University of Louisville Division of Infectious Diseases, Louisville: (RMC, RSB)","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128809828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-01DOI: 10.18297/RGH/VOL1/ISS1/3/
Rahel S. Bosson, R. Carrico, Anupama Raghuram, P. Peyrani, William A. Mattingly, Rebecca Ford, S. Furmanek, J. Ramirez
Refugees arrive to the United States with a full spectrum of health conditions, many of which involve intense case management requiring significant financial investments and use of healthcare resources. Kentucky receives more than 3,000 new refugees each year and ranked 10th in the nation for numbers of new arrivals resettled during 2015. These refugees arrive from diverse countries representing different cultures and speaking different languages. In addition, they arrive with diverse health conditions and medical needs. The aims of this paper are to share experiences from the University of Louisville Global Health Center regarding conceptualization, implementation and evaluation of a new care model. This model focuses on the complexities of caring for refugees from diverse populations and backgrounds. The foundation for this model aligns with the patient-centered medical home approach outlined by the Agency for Healthcare Research and Quality. Recognizing the need for a new paradigm for care, a refugee-centered medical home model was designed and implemented as an ideal approach.
{"title":"Refugee-Centered Medical Home: A New Approach To Care at the University of\u0000 Louisville Global Health Center","authors":"Rahel S. Bosson, R. Carrico, Anupama Raghuram, P. Peyrani, William A. Mattingly, Rebecca Ford, S. Furmanek, J. Ramirez","doi":"10.18297/RGH/VOL1/ISS1/3/","DOIUrl":"https://doi.org/10.18297/RGH/VOL1/ISS1/3/","url":null,"abstract":"Refugees arrive to the United States with a full spectrum of health conditions, many of which involve intense case management requiring significant financial investments and use of healthcare resources. Kentucky receives more than 3,000 new refugees each year and ranked 10th in the nation for numbers of new arrivals resettled during 2015. These refugees arrive from diverse countries representing different cultures and speaking different languages. In addition, they arrive with diverse health conditions and medical needs. The aims of this paper are to share experiences from the University of Louisville Global Health Center regarding conceptualization, implementation and evaluation of a new care model. This model focuses on the complexities of caring for refugees from diverse populations and backgrounds. The foundation for this model aligns with the patient-centered medical home approach outlined by the Agency for Healthcare Research and Quality. Recognizing the need for a new paradigm for care, a refugee-centered medical home model was designed and implemented as an ideal approach.","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130346734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-01DOI: 10.18297/RGH/VOL1/ISS1/1/
R. Carrico
We welcome you to the inaugural issue of the University of Louisville Journal of Refugee and Global Health. The 21st century continues to see increasing interest in the health of the world’s populations. This interest may be spurred by the impact of societal changes and political influences on health conditions affecting us globally. Addressing health on a global platform requires embracing a holistic approach, creating a robust environment of learning. Key to success is support and involvement of a full array of professions and disciplines. This environment must promote rapid exchange of ideas, approaches, research, education, and outcomes on a platform of interprofessional collaboration.
{"title":"A New Journal and New Opportunities","authors":"R. Carrico","doi":"10.18297/RGH/VOL1/ISS1/1/","DOIUrl":"https://doi.org/10.18297/RGH/VOL1/ISS1/1/","url":null,"abstract":"We welcome you to the inaugural issue of the University of Louisville Journal of Refugee and Global Health. The 21st century continues to see increasing interest in the health of the world’s populations. This interest may be spurred by the impact of societal changes and political influences on health conditions affecting us globally. Addressing health on a global platform requires embracing a holistic approach, creating a robust environment of learning. Key to success is support and involvement of a full array of professions and disciplines. This environment must promote rapid exchange of ideas, approaches, research, education, and outcomes on a platform of interprofessional collaboration.","PeriodicalId":198307,"journal":{"name":"Journal of Refugee & Global Health","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127214736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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