School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.
BMC Health Serv Res. 2020 Apr 17;20(1):321. doi: 10.1186/s12913-020-05180-y.
In Canada's increasing immigrant population, a phenomenon called the "healthy immigrant effect" has arisen in which health declines after four years of settling. Access to healthcare is an important consideration. There is strong evidence that immigrants lack confidence and knowledge for navigating health services. The aim of this study was to develop and pilot test the Accessing Canadian Healthcare for Immigrants: Empowerment, Voice & Enablement (ACHIEVE) program.
The study employed an exploratory sequential mixed methods design. A qualitative study was completed. Program content was developed based on a scoping review and refined in a formative evaluation. Then, a pilot test of the program measured participants' perceived efficacy in improving confidence in healthcare navigation, program satisfaction, and learning in individual sessions.
Researchers found significantly higher rates of health navigation and an increase in knowledge about the Canadian health system post-program.
Results provide promising evidence that ACHIEVE may improve confidence in healthcare access among immigrants, demonstrating potential for dispersion on a larger scale.
在加拿大不断增长的移民人口中，出现了一种被称为“健康移民效应”的现象，即在定居四年后健康状况下降。获得医疗保健是一个重要的考虑因素。有强有力的证据表明，移民缺乏信心和知识来驾驭医疗服务。本研究旨在开发和试点测试“为移民提供加拿大医疗保健：赋权、发声和授权”（ACHIEVE）计划。
该研究采用探索性顺序混合方法设计。进行了一项定性研究。根据范围综述制定了项目内容，并在形成性评估中进行了改进。然后，对该计划进行了试点测试，以衡量参与者在改善对医疗保健导航的信心、对项目的满意度以及在个别课程中的学习方面的感知效果。
研究人员发现，健康导航的比例显著提高，并且对加拿大医疗系统的了解也有所增加。
结果提供了有希望的证据，表明 ACHIEVE 可能会提高移民对医疗保健的信心，表明在更大范围内传播的潜力。
