title: Understanding quality use of medicines in refugee communities in Australian primary care: a qualitative study.
abstract: BACKGROUND
  Although refugee health issues are increasingly experienced in primary health care, few studies have explored the quality use of medicines in refugee communities even though access to and quality use of medicines is a key component of care delivery.
  
  
  OBJECTIVE
  To identify strategies to support the quality use of medicines in refugee communities.
  
  
  METHODS
  Qualitative study with primary healthcare providers and refugee health leaders in Brisbane, Australia.
  
  
  METHODS
  Semi-structured interviews were conducted with refugee health leaders, pharmacists, practice nurses, and GPs. Data were recorded and transcribed. Thematic analysis was used to identify key barriers and facilitators for the quality use of medicines.
  
  
  RESULTS
  Five barriers, including communication and language barriers, limited health literacy and financial cost, and four facilitators, including better coordination between healthcare providers and improved healthcare provider training, were identified. This study provides a rich exploration relating to medication use and examines the engagement between pharmacists and refugees, highlighting some communication concerns. It recognises the supportive role of the practice nurse and offers practical strategies for improving community knowledge about safe medicines use.
  
  
  CONCLUSIONS
  This preliminary study builds on previous studies investigating refugee health access and health literacy. It offers new understandings towards enhancing quality use of medicines in refugee communities and practical insights to assist the targeting of resources for future interventions.
authors.affiliation: Discipline of General Practice, University of Queensland, Brisbane, Australia.
authors.forename: Margaret
authors.initials: M
authors.lastname: Kay
authors.affiliation: Discipline of General Practice, University of Queensland, Brisbane, Australia.
authors.forename: Shanika
authors.initials: S
authors.lastname: Wijayanayaka
authors.affiliation: Addensbrooke's Hospital, Cambridge, UK.
authors.forename: Harriet
authors.initials: H
authors.lastname: Cook
authors.affiliation: School of Pharmacy, University of Queensland, Woolloongabba, Australia.
authors.forename: Samantha
authors.initials: S
authors.lastname: Hollingworth
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D003144:Communication Barriers; D003157:Community Pharmacy Services / Q000458:organization & administration* / Q000592:standards; D054521:Cultural Competency; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy / Q000458:organization & administration*; D006282:Health Personnel; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D008297:Male; D011320:Primary Health Care / Q000458:organization & administration / Q000592:standards; D036301:Qualitative Research; D012036:Refugees; D012959:Socioeconomic Factors
keywords: Australia; delivery of health care; medicines optimisation; pharmacists; practice nurses; quality use of medicines; refugees