Enquête sur l’offre active pour les services auxiliaires de santé du Nord-Est de l’Ontario

Abstract

Au Canada, il existe peu de données décrivant les services auxiliaires de santé en français disponibles dans les communautés francophones en situation minoritaire. L’objectif de cette étude était d’examiner l’accès aux services d’orthophonie, de physiothérapie et d’ergothérapie en français dans le Nord-Est de l’Ontario. Un outil mesurant la disponibilité et l’offre active des services a été créé et validé. Ce dernier a été distribué aux personnes fournissant les services et aux personnes les utilisant afin de déterminer leurs perceptions concernant l’offre de ces services en français, ainsi que l’accessibilité aux services auxiliaires de santé en français. Les résultats ont montré un manque de services en français dans cette région.

An Institutional Ethnographic Analysis of the Organization of French Healthcare and Disability Services for Francophones in Canada

“…Health services that do not have Francophone professionals will rely on referring French-speaking patients to other bilingual service providers rather than solving the problem by hiring Francophone providers (Farmanova et al, 2018). Limited referrals and continuity of care also contribute to Francophones feeling uncomfortable using the healthcare system (Bélanger et al, 2018). For example, Canadian…”

“…An active offer can include asking what language a patient wants to communicate in, bilingual name tags and signage, bilingual telehealth care, and advertisements displaying how to utilize French services within the health institution (de Moissac & Bowen, 2017). If a healthcare institution does have an active offer in place, they are organized in a way that recognizes minority-language populations; if they do not, it can perpetuate a monolingual healthcare system (Bélanger et al, 2018).…”

“…Therefore, when an institution does not clearly offer bilingual services, it will create communication barriers between patients and healthcare professionals, leading to health problems for the patient and an ineffective healthcare system. Only Francophones who are willing and able to overlook not having an active offer of bilingual service can utilize French services (Bélanger et al, 2018;Farmanova et al, 2018;Giguère & Conway, 2014).…”

An Institutional Ethnographic Analysis of the Organization of French Healthcare and Disability Services for Francophones in Canada

“…There have been many critiques of these laws mainly being that they are far-sighted and do not actually outline a particular purpose for the use of official languages (Bélanger et al, 2018;Drolet et al, 2015). Since healthcare is the responsibility of Provincial and Territorial governments, the Canadian Charter of Rights and Freedoms and the Official Languages Act cannot be as influential on healthcare institutions as is needed to necessitate services in minority languages (de Moissac et al, 2012).…”

“…Language problems also create more work for Francophone healthcare professionals and students. Specifically, there is a demonstrated lack of French-speaking healthcare professionals and an inability to hire these workers throughout the healthcare institution (Bélanger et al, 2018;de Moissac & Bowen, 2017;Drolet et al, 2015). There is less availability of resources to explain diagnoses and treatments because minority languages such as French are more so used in social contexts (Drolet et al, 2015).…”