Evidence map›Paper›PMID 24452576›Full record

ArticleCanadian family physician Medecin de famille canadien2014

Improving delivery of primary care for vulnerable migrants: Delphi consensus to prioritize innovative practice strategies.

Kevin Pottie, Ricardo Batista, Maureen Mayhew, Lorena Mota, Karen Grant

Open access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 7% of its field
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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  9. Refugee and migrants' involvement in participatory spaces in a US practice-based research network study: Responding to unanticipated priorities.Health expectations : an international journal of public participation in health care and health policy · 2023
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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

5 authors at 1 institution in 1 country.

Kevin PottieUniversity of Ottawa, Family Medicine, 75 Bruyère St, Ottawa, ON K1S 0P6. kpottie@uottawa.ca.
Ricardo Batista
Maureen Mayhew
Lorena Mota
Karen Grant
Bruyère · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify and prioritize innovative strategies to address the health concerns of vulnerable migrant populations.

designModified Delphi consensus process.

settingCanada.

participantsForty-one primary care practitioners, including family physicians and nurse practitioners, who provided care for migrant populations.

methodsWe used a modified Delphi consensus process to identify and prioritize innovative strategies that could potentially improve the delivery of primary health care for vulnerable migrants. Forty-one primary care practitioners from various centres across Canada who cared for migrant populations proposed strategies and participated in the consensus process. MAIN

findingsThe response rate was 93% for the first round. The 3 most highly ranked practice strategies to address delivery challenges for migrants were language interpretation, comprehensive interdisciplinary care, and evidence-based guidelines. Training and mentorship for practitioners, intersectoral collaboration, and immigrant community engagement ranked fourth, fifth, and sixth, respectively, as strategies to address delivery challenges. These strategies aligned with strategies coming out of the United States, Europe, and Australia, with the exception of the proposed evidence-based guidelines.

conclusionPrimary health care practices across Canada now need to evolve to address the challenges inherent in caring for vulnerable migrants. The selected strategies provide guidance for practices and health systems interested in improving health care delivery for migrant populations.

Indexed as

Emigrants and ImmigrantsRefugeesVulnerable PopulationsAdultCanadaConsensusDelivery of Health CareDelphi TechniqueFemaleHumansMaleMiddle AgedPrimary Health CareQuality Improvement

Identifiers

PMID24452576
PMCPMC3994840
OpenAlexW2145992339

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.