Health equity: evidence-based guidelines, e-learning and physician advocacy for migrant populations in Canada

Pottie, Kevin; Gruner, Doug

doi:10.1142/9781783268894_0009

Cited by 2 publications

(6 citation statements)

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“…Additional factors include risk of isolation, discrimination, deterioration in health, and economic productivity [15]. …”

Section: Discussionmentioning

confidence: 99%

“…Similar to the literature, disadvantaged persons affected by mass migration were described as subjected to political and health system exclusion, subgroups of migrant populations at risk of health inequities, and local populations that face competition from newly arriving migrant populations. Additional factors include risk of isolation, discrimination, deterioration in health, and economic productivity [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Without foresight, both low income migrants and non-migrants living in the receiving communities may suffer from inadequate systems. Integrating the HEIA tool within health system policy planning could support more equitable health service provision and strengthen the overall healthcare system [ 15 , 17 , 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Health equity was identified as a policy priority for responsive health systems [ 15 , 19 ]. Often, health needs of migrants are poorly understood, communication between health care providers and migrant clients remains poor, and health systems are not prepared to respond adequately [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Scoping, data identification, and data analysis is vital for developing effective health system policy. Data are also needed to prevent unintended harms [ 15 ] and to judge the benefits outweigh harms of new policies.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Building Responsive Health Systems to Help Communities Affected by Migration: An International Delphi Consensus

Pottie

Hui

Rahman

et al. 2017

IJERPH

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Persons affected by migration require health systems that are responsive and adaptable to the needs of both disadvantaged migrants and non-migrant populations. The objective of this study is to support health systems for populations affected by migration. Materials and Methods: An international Delphi consensus process was used to identify policy approaches to improve health systems for populations affected by migration. Participants were leading migrant health experts from Americas, Europe, Middle East, Asia, and Australasia. We calculated average ranking scores and qualitatively analyzed open-ended questions. Results: Participants identified the following key areas as priorities for policy development: health inequities, system discrimination, migrant related health data, disadvantaged migrant sub-groups, and considerations for disadvantaged non-migrant populations. Highly ranked items to improve health systems were: Health Equity Impact Assessment, evidence based guidelines, and the International Organization for Migration annual reports. Discussion: Policy makers need tools, data and resources to address health systems challenges. Policies need to avoid preventable deaths of migrants and barriers to basic health services.

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“…Additional factors include risk of isolation, discrimination, deterioration in health, and economic productivity [15]. …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Building Responsive Health Systems to Help Communities Affected by Migration: An International Delphi Consensus

Pottie

Hui

Rahman

et al. 2017

IJERPH

Self Cite

View full text Add to dashboard Cite

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Determinants of Implementation of a Clinical Practice Guideline for Homeless Health

Magwood

Hanemaayer

Saad

et al. 2020

IJERPH

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Clinical practice guidelines can improve the clinical and social care for marginalized populations, thereby improving health equity. The aim of this study is to identify determinants of guideline implementation from the perspective of patients and practitioner stakeholders for a homeless health guideline. We completed a mixed-method study to identify determinants of equitable implementation of homeless health guidelines, focusing on the Grading of Recommendations Assessment, Development and Evaluation Feasibility, Acceptability, Cost, and Equity Survey (GRADE-FACE) health equity implementation outcomes. The study included a survey and framework analysis. Eighty-eight stakeholders, including practitioners and 16 persons with lived experience of homelessness, participated in the study. Most participants favourably rated the drafted recommendations’ priority status, feasibility, acceptability, cost, equity impact, and intent-to-implement. Qualitative analysis uncovered stakeholder concerns and perceptions regarding “fragmented services”. Practitioners were reluctant to care for persons with lived experience of homelessness, suggesting that associated social stigma serves as a barrier for this population to access healthcare. Participants called for improved “training of practitioners” to increase knowledge of patient needs and preferences. We identified several knowledge translation strategies that may improve implementation of guidelines for marginalized populations. Such strategies should be considered by other guideline development groups who aim to improve health outcomes in the context of limited and fragmented resources, stigma, and need for advocacy.

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Health equity: evidence-based guidelines, e-learning and physician advocacy for migrant populations in Canada

Cited by 2 publications

References 0 publications

Building Responsive Health Systems to Help Communities Affected by Migration: An International Delphi Consensus

Building Responsive Health Systems to Help Communities Affected by Migration: An International Delphi Consensus

Determinants of Implementation of a Clinical Practice Guideline for Homeless Health

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