Notice bibliographique
Résumé
There are multiple barriers that prevent immigrant and refugee children, youth and families from accessing or receiving quality health care in Canada. A barrier to health care is anything that restricts the use of health services by making it more difficult for some individuals to access, use or benefit from care. Barriers vary among provinces and territories. Broadly, however, they include a complex array of political, social and health system-related rules and requirements, as well as factors relating to the culture of the patient, the family and the health care provider. Being aware of barriers to health care can help health professionals to be more sensitive to the challenges faced by their patients. Health care providers can also take steps to reduce or overcome some of these barriers to improve quality of care. Here are some simple things that health professionals can do: How to provide culturally competent care. Health issues that are more common in newcomers. Availability of local community resources and how to help patients connect with them. Health care coverage eligibility for immigrants and refugees, including the Interim Federal Health Program for refugees and provincial coverage, if available. Policies at local hospitals or clinics concerning eligibility and emergency care can vary – find out what they are. Circulate clear guidelines for staff regarding care entitlements of different groups. Educate newcomer patients about their eligibility for health care coverage based on immigration/refugee status. Inform them about free local public health services (eg, immunizations). Help educate patients about navigating the Canadian health system. Connect patients with a regular primary care provider (or a community health centre for those who are uninsured) and support services (eg, social work, transportation, interpreters, financial aid, settlement services, legal agencies). Ask about your patient’s immigration or refugee status and know which health care services or benefits they are (or are not) entitled to. Register with Mediavie Blue Cross, which administers the Interim Federal Health program. Check a newcomer patient’s coverage at each visit. Improve the rate and completion of payment, eg, by identifying one person in your practice to learn and manage the process. Be clear to newcomer patients that patient information is confidential. Provide flexible appointment times to accommodate mental health needs or irregular work schedules. Provide printed reminders and use tracking systems to improve patient attendance and monitor access to care. Encourage positive and stable relations with all clinic staff. Offer preventive services; emphasize the benefits of continuity of care, prevention and screening. Understand the importance of interpreters, how best to work with them, how to arrange for services in advance and appropriate alternatives. Avoid using children in families as interpreters. Advocate for interpretive services in your community. Be aware that eliciting information about sensitive issues from young newcomers may require several consultations. Learn about the family’s dynamics and sociocultural perceptions of illness. Provide health promotional materials in multiple languages, many of which are available online. Provide a letter for newcomer families that explains a child’s diagnoses or needs, if applicable. This can help the family when seeking support services or urgent care. Use an interprofessional team approach, including referrals to appropriate community organizations. Pool local interest in newcomer patients and information about providing care. Please visit the Canadian Paediatric Society’s Caring for Kids New to Canada website (www.kidsnewtocanada.ca) for more information and resources on serving this population.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,011 | 0,026 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,012 | 0,006 |
| Communication savante | 0,010 | 0,009 |
| Science ouverte | 0,003 | 0,015 |
| Intégrité de la recherche | 0,006 | 0,014 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,022 | 0,004 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».