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Health Care and Immigrant Populations in the US

Health Care and Immigrant Populations in the US. Seattle Washington. Alan J Chun, MD Medical Director. International Community Health Services. My background. Family Practice residency Interest in International Health 4 th year medical student FP elective in Northern Thailand

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Health Care and Immigrant Populations in the US

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  1. Health Care and Immigrant Populations in the US Seattle Washington Alan J Chun, MD Medical Director International Community Health Services

  2. My background • Family Practice residency • Interest in International Health • 4th year medical student FP elective in Northern Thailand • 3rd year resident FP elective in Pohnpei, Federated States of Micronesia • 11 years practice at Community Health Center in Hawaii • Native Hawaiian/Pacific Islander population • 8 years practice at International Community Health Services

  3. International CommunityHealth Services • Serves the Asian and Pacific Island immigrant non-English speaking population in Seattle/King County • Two clinical sites with medical and dental services • 8 FP physicians, 5 FP physician assistants, 3 FP nurse practitioners, 5 dentists, 2 dental hygienists, 1 acupuncturist • 50 % of providers are bilingual

  4. health careneeds • Basic Health Education: Preventive health screening, chronic disease management • Infectious Diseases: TB, Hepatitis B and C, H. pylori assc. GI disorders • Medical Conditions: Diabetes mellitus, stroke, thyroid diseases, thalassemia, nasopharyngeal cancer • Mental health: Post-traumatic stress disorder, depression, somatization • Dental health: Caries, gingivitis, periodontitis

  5. cultural and language differences • Interpretation/Translation • Coordination of care with outside health and social service providers • Lack of knowledge about government and health care system • Traditional healing practices: herbal and OTC patent treatments, coin rubbing, cupping, spiritual healers

  6. community healthcenter practice • Population and public health approach with medical practice • Community oriented primary care • Outreach, population disease management, health education, disease prevention • Disadvantaged populations

  7. how different frominternational health? • More resources • More technology, but still limited access due to lack of insurance or interpretation • More institutionalized social services, but more social isolation and fragmentation of family structure

  8. what dailypractice is like? • Always deal with differences in language, culture, health knowledge, health practice • Use an interpreter for almost every visit • Practice my Cantonese

  9. the end

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