scholarly journals Refugee Health: A Gender Comparison in Health Care Access

2021 ◽  
Author(s):  
Kate Dadey

Research suggests that Canada's newly arrived immigrant and refugee communities tend to be healthier than the domestic population, and that their health declines over time. Studies examining immigrant and refugee health primarily focus on how barriers associated with language, the settlement experience, culture, and systemic processes impede the utilization of health services among refugee men and women respectively. However, without the benefit of a gender comparison, such studies fail to identify the variation in health needs and differences in health-seeking between refugee men and women, and are thus limited in their capacity to improve service utilization. Drawing from exiting literature on refugee health status pre-migration and during resettlement, this paper implicates the role of health care reform processes in exploring the gender differences in access and health-seeking. A postcolonial feminist epistemology is advanced as a means to include the voices of refugees and other marginalized groups in future research and practice in order to encourage substantive change.

2021 ◽  
Author(s):  
Kate Dadey

Research suggests that Canada's newly arrived immigrant and refugee communities tend to be healthier than the domestic population, and that their health declines over time. Studies examining immigrant and refugee health primarily focus on how barriers associated with language, the settlement experience, culture, and systemic processes impede the utilization of health services among refugee men and women respectively. However, without the benefit of a gender comparison, such studies fail to identify the variation in health needs and differences in health-seeking between refugee men and women, and are thus limited in their capacity to improve service utilization. Drawing from exiting literature on refugee health status pre-migration and during resettlement, this paper implicates the role of health care reform processes in exploring the gender differences in access and health-seeking. A postcolonial feminist epistemology is advanced as a means to include the voices of refugees and other marginalized groups in future research and practice in order to encourage substantive change.


2009 ◽  
Vol 7 (2) ◽  
pp. 16-31 ◽  
Author(s):  
Seiji Yamada ◽  
Ann Pobutsky

Increasing numbers of people from the Federated States of Micronesia and the Republic of the Marshall Islands are presenting for clinical and public health services across the U.S., especially in Hawaii. We review the impact of historical and contemporary relationships between the U.S. and these Freely Associated States on the health status and health care access of these migrants. We draw upon both epidemiological evidence and clinical experience to suggest measures to assure health care access and appropriate clinical care for these populations. We also point to potential public health measures, and indicate directions for future research.


2018 ◽  
Vol 5 (1) ◽  
pp. 35-41
Author(s):  
Linda E. Weinberger ◽  
Shoba Sreenivasan ◽  
Daniel E. Smee ◽  
James McGuire ◽  
Thomas Garrick

Author(s):  
Cara C. Lewis ◽  
Enola K. Proctor ◽  
Ross C. Brownson

The National Institutes of Health, the Agency for Healthcare Research and Quality, the CDC, and a number of private foundations have expressed the need for advancing the science of dissemination and implementation. Interest in dissemination and implementation research is present in many countries. Improving health care requires not only effective programs and interventions, but also effective strategies to move them into community based settings of care. But before discrete strategies can be tested for effectiveness, comparative effectiveness, or cost effectiveness, context and outcome constructs must be identified and defined in such a way that enables their manipulation and measurement. Measurement is underdeveloped, with few psychometrically strong measures and very little attention paid to their pragmatic nature. A variety of tools are needed to capture health care access and quality, and no measurement issues are more pressing than those for dissemination and implementation science.


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