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Community-based care for refugees to overcome health disparities

Refugees are a growing and dynamic global population that require theories, programmes and policies to improve community-based integration and health care. Although many gender, cultural and system barriers persist, countries must innovate to support migration flow, universal care coverage, trauma-informed approaches and health equity for refugees.

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  1. International Organization of Migration. World migration report 2022. IOM (2022).

  2. Greenaway, C., Fabreau, G. & Pottie, K. The war in Ukraine and refugee health care: considerations for health care providers in Canada. CMAJ 194, E911–E915 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hogan, D. R., Stevens, G. A., Hosseinpoor, A. R. & Boerma, T. Monitoring universal health coverage within the Sustainable Development Goals: development and baseline data for an index of essential health services. Lancet Glob. Health 6, e152–e168 (2018).

    Article  PubMed  Google Scholar 

  4. Legido-Quigley, H. et al. Health care is not universal if undocumented migrants are excluded. BMJ 366, 14160 (2019).

    Google Scholar 

  5. Gruner, D. et al. An undergraduate medical education framework for refugee and migrant health: curriculum development and conceptual approaches. BMC Med. Educ. 22, 374 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Pottie, K. et al. Evidence-based clinical guidelines for immigrants and refugees. CMAJ 183, E824–E925 (2011).

    Article  PubMed  PubMed Central  Google Scholar 

  7. World Health Organization. Draft comprehensive mental health action plan 2013–2020. WHO (2013).

  8. Kirmayer, L. J. et al. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ 183, E959–E967 (2011).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Cornish, P. A. et al. Meeting the mental health needs of today’s college student: reinventing services through Stepped Care 2.0. Psychol. Serv. 14, 428–442 (2017).

    Article  PubMed  Google Scholar 

  10. Magwood, O. et al. Mental health screening approaches for resettling refugees and asylum seekers: a scoping review. Int. J. Environ. Res. Public Health 19, 3549 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Kevin Pottie.

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The authors declare no competing interests.

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Public health guidance on screening and vaccination for infectious diseases in newly arrived migrants within the EU/EEA:

The 1951 Refugee Convention:

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Pottie, K., Gruner, D. Community-based care for refugees to overcome health disparities. Nat Rev Dis Primers 9, 16 (2023).

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