Continuity of Care

The domestic medical screening allows clinicians to identify individuals who may require additional or specialty care. From 1999 to 2016, 19,280 referrals were given to Somali patients (Table 5) [42]. Referrals to dental care and primary care providers (including pediatrics) were the most common, followed by ophthalmology/optometry and public health nursing [42]. Most often, referrals to public health nursing were related to the management of LTBI [42].

Table 5: Clinical Referrals among Somali Refugees to Minnesota, 1999–2016

Clinical Referrals among Somali Refugees to Minnesota, 1999–2016
Referral* Males (n=9,768) Females (n=9,512) Overall (n=19,280)
N (%) N (%) N (%)
Dentist 5,007 (51%) 5,182 (54%) 10,189 (53%)
Primary Care 4,790 (49%) 5,015 (53%) 9,805 (51%)
Public Health Nurse 885 (9%) 700 (7%) 1,585 (8%)
Ophthalmology/Optometry 704 (7%) 801 (8%) 1,505 (8%)
Obstetrics/Gynecology n/a 393 (4%) n/a
Gastroenterology 104 (1%) 79 (1%) 183 (1%)
Infectious Disease 65 (1%) 51 (1%) 116 (1%)
Audiology (Hearing) 60 (1%) 55 (1%) 115 (1%)
Mental Health 34 (<1%) 34 (<1%) 68 (<1%)

Source: Minnesota Department of Health [42]
*Patients may receive more than one referral

Reference

  1. Minnesota Department of Health. Domestic Medical Screening Data, 1999–2016 (unpublished data). 2017.