Evidence map›Paper›PMID 29479260›Full record

ArticlePaediatrics & child health2017

The gap between coverage and care-what can Canadian paediatricians do about access to health services for refugee claimant children?

N Rink, F Muttalib, G Morantz, L Chase, J Cleveland, C Rousseau, P Li

Open access · bronzeAbstract read
In one paragraph

Article in Paediatrics & child health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Oral Health Status of Refugee Children in Montreal.Journal of immigrant and minority health · 2019
    Article
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

7 authors at 4 institutions in 2 countries.

N RinkDepartment of Paediatrics, The Montreal Children's Hospital, McGill University, Montreal, Quebec.
F MuttalibDepartment of Paediatrics, The Montreal Children's Hospital, McGill University, Montreal, Quebec.
G MorantzDepartment of Paediatrics, The Montreal Children's Hospital, McGill University, Montreal, Quebec.
L ChaseSchool of Oriental and African Studies, University of London, London, UK.
J ClevelandCSSS de la Montagne - Centre de recherche et de formation, Montreal, Quebec.
C RousseauDivision of Social and Cultural Psychiatry, McGill University, Montreal, Quebec.
P LiDepartment of Paediatrics, The Montreal Children's Hospital, McGill University, Montreal, Quebec.
McGill University · CAMontreal Children's Hospital · CACentre de Santé et de Services Sociaux de la Montagne · CAUniversity of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn June 2012, the government of Canada severely restricted the scope of the Interim Federal Health Program that had hitherto provided coverage for the health care needs of refugee claimants. The Quebec government decided to supplement coverage via the provincial health program. Despite this, we hypothesized that refugee claimant children in Montreal would continue to experience significant difficulties in accessing basic health care.

objectives(1) Report the narrative experiences of refugee claimant families who were denied health care services in Montreal following June 2012, (2) describe the predominant barriers to accessing health care services and understanding their impact using thematic analysis and (3) derive concrete recommendations for child health care providers to improve access to care for refugee claimant children.

methodsEleven parents recruited from two sites in Montreal participated in semi-structured interviews designed to elicit a narrative account of their experiences seeking health care. Interviews were recorded, transcribed, coded using NVivo software and subjected to thematic analysis.

resultsThematic analysis of the data revealed five themes concerning barriers to health care access: lack of continuous health coverage, health care administrators/providers' lack of understanding of Interim Federal Health Program coverage, refusal of services or fees charged, refugee claimants' lack of understanding about health care rights and services and language barriers, and four themes concerning the impact of denial of care episodes: potential for adverse health outcomes, psychological distress, financial burden and social stigma.

conclusionWe propose eight action points for advocacy by Canadian paediatricians to improve access to health care for refugee claimant children in their communities and institutions.

Indexed as

Access to health careAsylum seekerChildrenRefugees

Identifiers

PMID29479260
PMCPMC5804631
OpenAlexW2766327216

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.