Health Inequity and “Restoring Fairness” Through the Canadian Refugee Health Policy Reforms: A Literature Review

Antonipillai, Valentina; Baumann, Andrea; Hunter, Andrea; Wahoush, Olive; O’Shea, Timothy J.

doi:10.1007/s10903-016-0486-z

Cited by 12 publications

(17 citation statements)

References 16 publications

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“…All participants in our study were unanimous on the need to reverse the 2012 IFHP as a major step. In fact, the federal government announced a more inclusive IFHP policy that went into effect on April 1, 2016 (Antonipillai et al 2016). According to the new legislation, all humanitarian migrants have dental care benefits that cover the costs for basic and urgent dental treatment.…”

Section: Discussionmentioning

confidence: 99%

Oral healthcare experiences of humanitarian migrants in Montreal, Canada

Keboa

Hovey

Nicolau

et al. 2019

Can J Public Health

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Objective To understand the oral healthcare experiences of humanitarian migrants in Montreal and their perceptions of ways to improve access to oral healthcare. Methods We used focused ethnography informed by a public health model of the dental care process. The adapted McGill Illness Narrative Interview (MINI) guided interviews of a purposeful sample of humanitarian migrants who received or needed dental care in Montreal. Each interview (50-60 min) was audio-recorded for verbatim transcription. Observation of dental care episodes occurred during mobile dental clinics in underserved communities over the same period (2015-2016). Data analysis combined deductive codes from the theoretical frameworks and inductive codes from interview transcripts and field notes to inform themes. Results We interviewed 25 participants (13 refugees and 12 asylum seekers) from 10 countries, who had been in Canada for a range of 1 month to 5 years. The dental care experiences of participants included delayed consultation, proximity to dental clinics, quality care, limited treatment choices, high cost, and long waiting times. A more inclusive healthcare policy, lower fees, integration of dental care into public insurance, and creation of community dental clinics were proposed strategies to improve access to dental care. Conclusion Humanitarian migrants in this study experienced inadequate oral healthcare. Their lived experiences help us to identify gaps in the provision of oral healthcare services, and suggestions of participants have great potential to improve access to oral healthcare. Résumé Objectif Comprendre les expériences de soins buccodentaires de migrants pour raison humanitaire à Montréal et leurs perceptions des moyens d'améliorer l'accès aux soins buccodentaires. Méthode Nous avons utilisé l'ethnographie ciblée éclairée par un modèle de santé publique du processus des soins dentaires. La version adaptée de l'outil McGill Illness Narrative Interview (MINI) a guidé les entrevues auprès d'un échantillon intentionnel de migrants pour raison humanitaire ayant reçu ou ayant eu besoin de soins dentaires à Montréal. Chaque entrevue (50 à 60 min) a été enregistrée, puis transcrite mot pour mot. Une observation d'épisodes de soins dentaires a eu lieu sur la même période (2015-2016) lors de cliniques dentaires mobiles dans des collectivités mal desservies. L'analyse des données a combiné les codes déductifs des cadres théoriques et les codes inductifs des transcriptions d'entrevues et des notes de terrain pour éclairer les thèmes. Résultats Nous avons interviewé 25 participants (13 réfugiés et 12 demandeurs d'asile) de 10 pays qui étaient au Canada depuis 1 mois à 5 ans. Le report de consultations, la proximité des cliniques dentaires, la qualité des soins, les options de traitement limitées, les coûts élevés et les longs délais d'attente ont été mentionnés parmi les expériences de soins dentaires vécues par les participants. Pour améliorer l'accès aux soins dentaires, il a été proposé d'élargir la population visée par les politiques ...

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Section: Discussionmentioning

confidence: 99%

Oral healthcare experiences of humanitarian migrants in Montreal, Canada

Keboa

Hovey

Nicolau

et al. 2019

Can J Public Health

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“…36,37 Many provinces have a 3-month waiting period before new, landed immigrants are eligible for provincial health coverage 38 causing delays in seeking or accessing health services. 22,[39][40][41] Findings are likely shaped by what services are publicly covered, as family doctor and psychiatrist services are available free of charge for individuals with provincial insurance in all provinces, but services from clinical counsellors, psychologists, or social workers may be more accessible through team-based primary care. This may also explain our observation that among people who received consultations, the percentage of people who saw a psychiatrist was highest among recent immigrants.…”

Section: Discussionmentioning

confidence: 99%

Primary Care and Access to Mental Health Consultations among Immigrants and Nonimmigrants with Mood or Anxiety Disorders: Soins de première ligne et accès aux consultations en santé mentale chez les immigrants et les non-immigrants souffrant de troubles de l’humeur ou anxieux

et al. 2020

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Objective: To examine the association between usual place of primary care and mental health consultation among those with self-reported mood or anxiety disorders. We also describe access to mental health services among people who are recent immigrants, longer-term immigrants, and nonimmigrants and determine whether the association with place of primary care differs by immigration group. Methods: We used data from the Canadian Community Health Survey (2015 to 2016) to identify a representative sample of individuals with self-reported mood or anxiety disorders. We used logistic regression, with models stratified by immigration group (recent, longer-term, nonimmigrant), to examine the association between usual place of primary care and receiving a mental health consultation in the previous 12 months. Results: Higher percentages of recent and longer-term immigrants see a doctor in solo practice, and a higher percentage of recent immigrants use walk-in clinics as a usual place of care. Compared with people whose usual place of care was a community health center or interdisciplinary team, adjusted odds of a mental health consultation were significantly lower for people whose usual place of care was a solo practice doctor’s office (AOR = 0.71; 95% CI, 0.62 to 0.82), a walk-in clinic (AOR = 0.75; 95% CI, 0.66 to 0.85), outpatient clinic/other place (AOR = 0.72 95% CI, 0.59 to 0.88), and lowest among people reporting no usual place other than the emergency room (AOR = 0.59; 95% CI, 0.51 to 0.67). Differences in access to mental health consultations by usual place of primary care were greatest among immigrants, especially recent immigrants. Conclusions: People with mood or anxiety disorders who have access to team-based primary care are more likely to report mental health consultations, and this is especially true for immigrants. Expanded access to team-based primary health care may help reduce barriers to mental health services, especially among immigrants.

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“…in Canada were subjected to health examinations before arrival. In 2016, thousands of Syrian refugees, especially supported by Canadian citizens, gained access to health services with the implementation of the Interim Federal Health Program (23). In Ontario, the place where most Syrian refugees live, a health system is publicly and universally financed by the Ontario Health Insurance Plan.…”

Section: Discussionmentioning

confidence: 99%

Public Hospital Utilization among Syrian Refugees in Turkey

2018

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Refugee's health has become an increasingly important policy concern in Turkey. The aim of this record-based study was to present the size and economic dimension of services provided to refugees in public hospitals throughout the country and explain the legal status related to health insurance. The legal regulations and data on utilization of hospitals were obtained from the Ministry of Health. The results showed that all refugees used preventive and emergency services free of charge and also registered refugees had the right to use public primary and secondary health services for free. According to utilization data, number of births was 103347, deaths 3460, operations 260212, emergency and outpatients 8.849518, and inpatients 252470 in 2014 to 2015. Total health spending for the public hospitals was approximately $ 338392896 in the same years. It can be suggested that the role and capacity of preventive health services and primary health services provided by family physicians should be increased in order to reduce the work load in public hospitals caused by the Syrian patients.

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Health Inequity and “Restoring Fairness” Through the Canadian Refugee Health Policy Reforms: A Literature Review

Cited by 12 publications

References 16 publications

Oral healthcare experiences of humanitarian migrants in Montreal, Canada

Oral healthcare experiences of humanitarian migrants in Montreal, Canada

Primary Care and Access to Mental Health Consultations among Immigrants and Nonimmigrants with Mood or Anxiety Disorders: Soins de première ligne et accès aux consultations en santé mentale chez les immigrants et les non-immigrants souffrant de troubles de l’humeur ou anxieux

Public Hospital Utilization among Syrian Refugees in Turkey

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