Evidence map›Paper›PMID 24426806›Full record

ArticlePaediatrics & child health2013

Uninsured immigrant and refugee children presenting to Canadian paediatric emergency departments: Disparities in help-seeking and service delivery.

Cécile Rousseau, Audrey Laurin-Lamothe, Joanna Anneke Rummens, Francesca Meloni, Nicolas Steinmetz, Fernando Alvarez

Abstract read
In one paragraph

Article in Paediatrics & child health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cécile RousseauMcGill University, L'Équipe de recherche et d'intervention transculturelles, Centre de santé et de services sociaux de la Montagne, Montreal, Quebec;
Audrey Laurin-LamotheMcGill University, L'Équipe de recherche et d'intervention transculturelles, Centre de santé et de services sociaux de la Montagne, Montreal, Quebec;
Joanna Anneke RummensThe Hospital for Sick Children, Learning Institute & Research Institute, Psychiatry, University of Toronto, Toronto, Ontario;
Francesca MeloniMcGill University, L'Équipe de recherche et d'intervention transculturelles, Centre de santé et de services sociaux de la Montagne, Montreal, Quebec;
Nicolas SteinmetzMcGill University, Department of Public Health;
Fernando AlvarezMontreal University, Centre hospitalier universitaire Ste-Justine, Montreal, Quebec.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAccess to health care for medically uninsured immigrant and refugee children is a public health concern due to the consequences of delayed or substandard care for child development and health.

objectiveTo explore possible differences in help-seeking and service delivery across migratory statuses, institutions and provinces.

methodsA review was undertaken of 2035 emergency files of immigrant, refugee and undocumented children without provincial health care coverage who sought care at three major paediatric hospitals in Montreal (Quebec) and Toronto (Ontario) during 2008 and 2009.

resultsRefugee claimant children with Interim Federal Health Program benefits consulted for less urgent problems than the overall hospital population, except in one hospital that had a multicultural paediatric ambulatory clinic. Undocumented children and new permanent resident immigrant children within the three-month waiting period for provincial health care coverage were over-represented in the very urgent triage category and presented more often for injuries, trauma and mental health problems than did refugee claimant children. DISCUSSION/

conclusionsWide interhospital differences suggest that the predicament of limited access to health care of these groups of vulnerable medically uninsured children needs to be addressed through further research to inform policies and develop training.

Indexed as

EmergencyMigrationPaediatricRefugee

Identifiers

PMID24426806
PMCPMC3885101

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.