Ryerson University,Toronto.
Environics Analytics,Toronto.
Can J Aging. 2019 Jun;38(2):193-209. doi: 10.1017/S0714980818000648. Epub 2019 Feb 19.
ABSTRACTAging and immigration have significantly shaped the population composition in Canada, where immigrants make up increasingly large proportions of the older adult population. This scoping review examines the existing knowledge surrounding older immigrants' access to, and utilization of, primary care physicians, who play a pivotal role in the delivery of primary care, preventive care, and mental health care. We applied Arksey and O'Malley's five-stage framework to search databases for Canadian-based, peer-reviewed English-language articles on the topic and examined 31 articles in detail. Three focus areas emerged: access and utilization of primary care, health promotion and cancer screening, and utilization of mental health services. Older immigrants face intertwining access barriers related to health literacy, language, culture, health beliefs, spatial inequality, and structural circumstances. The review provides a thorough understanding of the status of access to care among older immigrants in Canada, and yields policy implications to address their unmet health needs.
摘要
老龄化和移民对加拿大的人口结构产生了重大影响，移民在老年人口中的比例越来越大。本范围综述考察了有关老年移民获得和利用初级保健医生的现有知识，初级保健医生在提供初级保健、预防保健和心理健康保健方面发挥着关键作用。我们应用 Arksey 和 O'Malley 的五阶段框架，在加拿大的同行评议的英文文献数据库中搜索了关于该主题的文章，并详细研究了 31 篇文章。三个重点领域出现：初级保健的获得和利用、健康促进和癌症筛查以及心理健康服务的利用。老年移民面临着与健康素养、语言、文化、健康信念、空间不平等和结构环境交织在一起的获得医疗保健的障碍。本综述全面了解了加拿大老年移民获得医疗服务的状况，并提出了政策建议，以解决他们未满足的健康需求。
