Natives and Newcomers

2017 ◽  
Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet
Keyword(s):  
Access To Health Care ◽  
Equal Access ◽  
Policy Recommendations ◽  
Global Response ◽  
Public And Private ◽  
Global Migration ◽  
Access To Health ◽  
Shared Humanity ◽  
Migration Crisis ◽  
Norm Change

Using the 2015 Ebola epidemic and the global migrant crisis as examples, this chapter suggests that following a period of norm change, there is reason to be optimistic about the potential for solidarity between newcomers and natives for the sake of health. In health our shared humanity and vulnerability are evident. The Ebola epidemic in 2014 illustrates both how a slow global response to the disease resulted in the deaths of over 11,000 people and how a willingness on the part of nations and individuals to act in solidarity with the victims of Ebola brought an end to the epidemic. Responses to the recent global migration crisis, including a mix of public and private sponsorship of refugees in Canada, are also examined in this chapter. This chapter suggests policy recommendations to ensure that newcomers have their health needs met and indicates that equal access to health care for newcomers and natives is critical and will be facilitated by cultural competency and nonexclusionary health policy.

scholarly journals Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care

2021 ◽  
Author(s):  
Cécile Rousseau ◽  
Joanna Anneke Rummens ◽  
Rochelle L. Frounfelker ◽  
Monica Ruiz Casares Yebenes ◽  
Janet Cleveland
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Vulnerable Populations ◽  
Access To Health Care ◽  
Health Care Personnel ◽  
System Level ◽  
Equal Access ◽  
Access To Health ◽  
Refugee Claimants ◽  
Canadian Health

AbstractHealth care personnel attitudes toward refugee claimant entitlement to health care are influenced by multilevel factors including institutional and societal culture. Although individual attitudes may be modified through training, macro- and meso-issues require system-level interventions. This paper analyzes the role of individual-, institutional-, and city-level factors in shaping attitudes toward refugee claimants’ access to health care among Canadian health care personnel. A total of 4207 health care personnel in 16 institutions located in Montreal and Toronto completed an online survey on attitudes regarding health care access for refugee claimants. We used multilevel logistic regression analysis to identify individual-, institutional-, and city-level predictors of endorsing access to care. Participants who had prior contact with refugee claimants had greater odds of endorsing access to care than those who did not (OR 1.13; 95% CI 1.05, 1.21). Attitudes varied with occupation: social workers had the highest probability of endorsing equal access to health care (.83; 95% CI .77, .89) followed by physicians (.77; 95% CI .71, .82). An estimated 7.97% of the individual variation in endorsement of equal access to health care was attributable to differences between institutions, but this association was no longer statistically significant after adjusting for city residence. Results indicate that the contexts in which health care professionals live and work are important when understanding opinions on access to health care for vulnerable populations. They suggest that institutional interventions promoting a collective mission to care for vulnerable populations may improve access to health care for precarious status migrants.

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