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Table 2 Intervention Optional activities

From: The OPTIMISE project: protocol for a mixed methods, pragmatic, quasi-experimental trial to improve primary care delivery to refugees in Australia

Activity Description
Cultural awareness Practice staff demonstrate cultural awareness and sensitivity to refugee issues, including an understanding of the refugee experience.
Communication skills GPs and practice nurses have appropriate communication skills (They are sensitive to the needs of refugees and take time to explain care to patients so they can make informed decisions by understanding what is happening as part of their care).
Business practices practice staff are knowledgeable about and use business practices (including longer appointments, booking appointment with specific GP, Medicare billing, etc.) to support conduct of refugee health assessments
Information sharing Practice has in place clear processes for sharing relevant patient information with other services. Practice staff use these processes consistently when receiving patient information and obtaining patient information.
Follow up on referrals Practice staff refer clients to appropriate services and check whether the client attended the service. (If the problem is urgent or clinically significant this follow up may be with the receiving service, otherwise, follow-up will occur when patient re-attends the clinic)
Clinical matters Practices may also identify other areas related to the clinical care of refugees. GPs and practice nurses may choose to learn more about the diagnosis and management of specific refugee health issues, e.g. refugee catch-up immunisation, mental health, paediatric health, infectious diseases.