Open AccessKnowledge of Healthcare Coverage for Refugee Claimants: Results from a Survey of Health Service Providers in Montreal
Author(s) -
Mónica RuizCasares,
Janet Cleveland,
Youssef Oulhote,
Catherine Dunkley-Hickin,
Cécile Rousseau
Publication year - 2016
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0146798
Subject(s) - refugee , health care , interim , family medicine , medicine , confusion , service provider , nursing , service (business) , psychology , political science , business , marketing , law , psychoanalysis
Following changes to the Interim Federal Health (IFH) program in Canada in 2012, this study investigates health service providers’ knowledge of the healthcare coverage for refugee claimants living in Quebec. An online questionnaire was completed by 1,772 staff and physicians from five hospitals and two primary care centres in Montreal. Low levels of knowledge and significant associations between knowledge and occupational group, age, and contact with refugees were documented. Social workers, respondents aged 40–49 years, and those who reported previous contact with refugee claimants seeking healthcare were significantly more likely to have 2 or more correct responses. Rapid and multiple changes to the complex IFH policy have generated a high level of confusion among healthcare providers. Simplification of the system and a knowledge transfer strategy aimed at improving healthcare delivery for IFH patients are urgently needed, proposing easy avenues to access rapidly updated information and emphasizing ethical and clinical issues.