Evidence map›Paper›PMID 39370496›Full record

ArticleMedicine, health care, and philosophy2024

Healthcare providers' advocacy approaches and ethical challenges in delivering healthcare to undocumented migrants: a scoping review.

Fayez Abdulrazeq, Julian März, Nikola Biller-Andorno, Chris Gastmans

Abstract readScoping Review
In one paragraph

Article in Medicine, health care, and philosophy, 2024. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

4 authors.

Fayez AbdulrazeqInstitute of Biomedical Ethics and History of Medicine, Faculty of Medicine, University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland. fayez.abdulrazeq@ibme.uzh.ch.ORCID http://orcid.org/0000-0003-3131-2042
Julian MärzInstitute of Biomedical Ethics and History of Medicine, Faculty of Medicine, University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-7394-4617
Nikola Biller-AndornoInstitute of Biomedical Ethics and History of Medicine, Faculty of Medicine, University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-7661-1324
Chris GastmansCentre for Biomedical Ethics and Law, Faculty of Medicine, KU Leuven, Kapucijnenvoer 7, 3000, Louvain, Belgium.ORCID http://orcid.org/0000-0002-5522-0639

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Delivering healthcare to undocumented migrants presents a complex challenge for healthcare providers. Integrating advocacy efforts into their daily practices can be ambiguous in practical terms, stemming from the intricate task of addressing the health needs of this population while simultaneously advocating for their health rights within the constraints imposed on them. This study seeks to consolidate findings from literature regarding the advocacy approaches employed by healthcare providers and the correlated ethical challenges. We conducted a scoping review of qualitative literature by systematically searching four databases-PubMed/Medline, Embase, Cinahl, and Cochrane Library. For developing our search strategy, we employed the PICO (Population, Intervention, Comparison, Outcome) scheme. Our analysis followed the qualitative content analysis approach proposed by Graneheim and Lundman. 30 studies were included, revealing a cumulative total of 915 healthcare providers who were interviewed. A total of 30 themes emerged comprising 14 advocacy approaches and 16 ethical challenges. Healthcare providers made a deliberate choice to engage in advocacy, responding to injustices experienced by undocumented migrants. The spectrum of advocacy initiatives varied, encompassing voluntary participation in healthcare provision, empathetic understanding, and healthcare-focused strategies. We also identified numerous correlated ethical challenges, necessitating healthcare providers to strike a balance between their eagerness to assist and their professional competence, respect the autonomy of undocumented migrants, and establish trust with them. These findings not only offer practical guidance for healthcare providers to enhance accessibility to healthcare services for undocumented migrant patients but also foster awareness of the ethical challenges that may arise in their advocacy roles.

Indexed as

Delivery of Health CareHealth PersonnelTransients and MigrantsHealth Services AccessibilityHumansPatient AdvocacyUndocumented ImmigrantsEthical challengesHealth advocacyHealthcare providersUndocumented migrants

Identifiers

PMID39370496
PMCPMC11519158

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.