Evidence map›Paper›PMID 42404989›Full record

ArticleCanadian liver journal2026

Health care providers' perspectives on barriers and enablers to providing hepatitis C screening and treatment for immigrants in Canada: A theory-informed qualitative study.

Sameh Mortazhejri, Christina Greenaway, Curtis Cooper, Smita Pakhale, Justin Presseau, Jeremy M Grimshaw, Andrea M Patey

Abstract read
In one paragraph

Article in Canadian liver journal, 2026. 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.

Sameh MortazhejriCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Christina GreenawayDivision of Infectious Diseases, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Curtis CooperCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Smita PakhaleCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Justin PresseauCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Jeremy M GrimshawCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Andrea M PateyDepartment of Medicine, Quality and Safety, IWK Health, Halifax, Nova Scotia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Canada has committed to eliminating hepatitis C virus (HCV) by 2030. Despite highly effective treatments, screening and treatment uptake remains suboptimal. Immigrants from HCV-endemic countries account for 35% of HCV cases and face distinct barriers to care. This study explored health care providers' perspectives on barriers and facilitators to providing HCV screening and treatment among immigrant populations. Methods: We conducted a qualitative descriptive study guided by the Theoretical Domains Framework (TDF). Semi-structured interviews were performed with health care providers in two Canadian cities. Transcripts were independently coded by two researchers, and key themes were identified. Results: Twelve health care providers (7 female, 5 male) were interviewed, including eight family doctors, two infectious disease specialists, one nurse, and one social worker. Participants identified multiple barriers including limited familiarity with immigrants' specific clinical guidelines, low confidence in managing HCV, and difficulty addressing culturally sensitive issues. Providers perceived patient-related barriers, such as stigma, limited awareness, and competing life priorities, as factors that may hinder engagement with HCV care. Language and communication challenges frequently interfered with care. System-level issues, including fragmented services, long wait times, and shortages of family physicians, further constrained access. Conclusion: This study underscores the complex barriers health care providers face in delivering HCV care to immigrant populations in Canada. While some challenges reflect broader health care system gaps, they are compounded for immigrants by linguistic and cultural differences. Strengthening provider capacity, improving system coordination, and embedding culturally and linguistically responsive approaches are essential to advancing HCV elimination.

Indexed as

barriershealth care providershepatitis Cimmigrantsimplementation sciencequalitative researchTheoretical Domains Framework

Identifiers

PMID42404989
PMCPMC13331615

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.