Evidence map›Paper›PMID 39990039›Full record

ArticlePaediatrics & child health2024

Health insurance for all children in Quebec? Ethical reflections on the implementation of PL 83.

Annie Liv, Patricia Li, Ryoa Chung, Samir Shaheen-Hussain, Saleem Razack, Joanne Liu, Gaucher Nathalie

Abstract read
In one paragraph

Article in Paediatrics & child health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Annie LivFaculty of medicine, Université de Montréal, Clinical Ethics Unit, Montréal, Canada.ORCID https://orcid.org/0000-0003-1588-2467
Patricia LiDepartment of Pediatrics, McGill University, Montréal, Canada.
Ryoa ChungDepartment of Philosophy, Université de Montréal, Montréal, Canada.
Samir Shaheen-HussainDepartment of Pediatrics, McGill University, Montréal, Canada.
Saleem RazackDivision of Critical Care, Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Joanne LiuDepartment of Pediatrics, McGill University, Montréal, Canada.
Gaucher NathaliePediatric Emergency Medicine, Department of Pediatrics, Faculty of Medicine, Université de Montréal, Montréal, Canada.ORCID https://orcid.org/0000-0002-5997-2627

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The adoption of Projet de loi 83 (PL83) in 2021 aimed to grant previously uninsured migrant children in Quebec access to provincial public health insurance. Three years later, health professionals continue to encounter children who should be eligible for provincial insurance through PL83 but remain uninsured and who face various structural barriers that contribute to this limited access (language, administrative navigation, and access to information). This commentary, based on the conceptual framework of the ethics of care, considers autonomy as the ability to make one's own choices with support from others. Contrary to a conception of autonomy as self-sufficiency, the ethics of care encourages the design of policies and implementation measures capable of helping vulnerable individuals overcome barriers. In the case of access to healthcare for migrant children, we suggest presumptive eligibility and raising awareness among all key stakeholders who interact with parents, from admission and administrative staff to physicians.

Indexed as

Access to healthcareEthics of careMigrantsPL83QuébecUninsured children

Identifiers

PMID39990039
PMCPMC11840254

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.