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Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care
Health 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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429477/ https://www.ncbi.nlm.nih.gov/pubmed/34522190 http://dx.doi.org/10.1007/s12134-021-00892-4 |
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author | Rousseau, Cécile Rummens, Joanna Anneke Frounfelker, Rochelle L. Yebenes, Monica Ruiz Casares Cleveland, Janet |
author_facet | Rousseau, Cécile Rummens, Joanna Anneke Frounfelker, Rochelle L. Yebenes, Monica Ruiz Casares Cleveland, Janet |
author_sort | Rousseau, Cécile |
collection | PubMed |
description | Health 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. |
format | Online Article Text |
id | pubmed-8429477 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
spelling | pubmed-84294772021-09-10 Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care Rousseau, Cécile Rummens, Joanna Anneke Frounfelker, Rochelle L. Yebenes, Monica Ruiz Casares Cleveland, Janet J Int Migr Integr Article Health 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. Springer Netherlands 2021-09-10 2022 /pmc/articles/PMC8429477/ /pubmed/34522190 http://dx.doi.org/10.1007/s12134-021-00892-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Rousseau, Cécile Rummens, Joanna Anneke Frounfelker, Rochelle L. Yebenes, Monica Ruiz Casares Cleveland, Janet Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care |
title | Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care |
title_full | Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care |
title_fullStr | Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care |
title_full_unstemmed | Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care |
title_short | Canadian Health Personnel Attitudes Toward Refugee Claimants’ Entitlement to Health Care |
title_sort | canadian health personnel attitudes toward refugee claimants’ entitlement to health care |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429477/ https://www.ncbi.nlm.nih.gov/pubmed/34522190 http://dx.doi.org/10.1007/s12134-021-00892-4 |
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