Co-Creating Asset and Place-Based Approaches to Tackling Refugee and Migrant Health Exclusion

难民，寻求庇护者和移民（R/AS/M）在整个移民和重新安置过程中，以及（通常）在移民后的生活过程中，处于不同但系统性的不利地位（EHRC，2016）（Allsopp，Sigona和Phillimore，2014; BMA，2021; Kemmak，Nargesi和Saniee，2021）。获得保健的机会不平等（身体和精神）和有意义地获得国民保健服务/综合保健服务的能力，虽然是消除健康劣势的根本，但只是改善这些人群福祉结果的一个因素。上述群体健康状况不佳是由于在健康的社会决定因素（SDOH）中获得服务和机会不平等造成的，包括：语言障碍、住宿、就业、教育、频繁（通常是被迫）流动、贫困和歧视（Castañeda等人，2015; Davies，2006; Marmot等人，2020年）。这些排斥是如此之深，以至于多重不利的经历是常见的，并且已经发现在整个生命过程中持续存在，对于某些个体在特定的生命阶段呈指数级恶化，或者由于拥有“受保护的特征”而导致（阿尔德里奇等人，2018; Borhade和Dey，2018; Dagilyte等人，二零二二年;移民观察站，2020年）在此背景下，我们的创新共同创建的跨学科研究提案，汇集了来自学术界，政策专业，社区发展，医疗保健等广泛利益相关者的专业知识（一线医生、公共卫生专员和综合护理系统[ICS]）、法定和地方政府部门、民间社会机构和创意人员;主要研究目标是（通过了解R/AS/M移民社区在不同的SDOH如何影响福祉方面的经验，并通过扩展可转移到更广泛的人群）：为跨学科的医疗保健干预措施制定基于证据的概念框架，使社区资产能够有效整合;反过来支持由信息通信服务系统及其主要合作伙伴在当地和区域提供的具有成本效益、可获得、可扩展的服务。

Refugees, asylum seekers and migrants (R/AS/Ms) are varyingly yet systematically disadvantaged (EHRC, 2016) throughout their migration and resettlement journeys, as well as (typically) across the post-migration life-course (Allsopp, Sigona and Phillimore, 2014; BMA, 2021; Kemmak, Nargesi and Saniee, 2021). Inequitable access to health-care (physical and mental) and the ability to meaningfully access NHS/integrated care services, whilst fundamental to counteracting health disadvantage, is but one element in relation to improving wellbeing outcomes for these populations.Poor health experienced by the above groups result from inequitable access to services and opportunities across the social determinants of health (SDOH) including: language barriers, accommodation, employment, education, frequent (often enforced) movement, poverty, and discrimination (Castañeda et al., 2015; Davies, 2006; Marmot et al., 2020). So deep are these exclusions that experience of multiple disadvantage is common, and has been found to persist across the life-course, worsening exponentially for some individuals at particular life-stages, or resulting from possession of 'protected characteristics' (Aldridge et al., 2018; Borhade and Dey, 2018; Dagilyte et al., 2022; The Migration Observatory, 2020)Against this backdrop, our innovative co-created interdisciplinary research proposal which draws together expertise from a broad range of stakeholders from academia, policy professions, community development, healthcare (front-line practitioners, public health commissioners and Integrated Care Systems [ICS]), statutory and local government sectors, civil society agencies and creatives; has been designed.The key research aim (framed through understanding the experiences of R/AS/M migrant communities in relation to how diverse SDOHs impact wellbeing, and which by extension is transferable to wider populations) is: to generate an evidence-based conceptual framework for transdisciplinary interventions in health care that allow community assets to be efficiently integrated; in turn supporting cost-efficient, accessible, scalable services, delivered locally and regionally by ICSs and their key partners.