Department of Palliative Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of Palliative Care, Department of Supportive Care, Princess Margaret Hospital, University Health Network, Toronto, Ontario, Canada.
J Palliat Med. 2021 Apr;24(4):635-638. doi: 10.1089/jpm.2020.0422. Epub 2020 Nov 16.
Refugees are a highly vulnerable marginalized population with unique medical and psychosocial needs. Unfortunately, the Interim Federal Health Program (IFHP) in Canada partially covers the medical needs of refugee claimants but does not include hospice or home-based palliative care. This report describes the case of a refugee claimant cancer patient who was admitted to an inpatient tertiary cancer center medical oncology ward in Ontario, Canada, for ∼11 months due to insufficient community-based palliative care resources available for patients covered by the IFHP. This case report highlights the differences in palliative care coverage between the provincial health care coverage, Ontario Health Insurance Plan, and federal health care coverage for refugees, IFHP, from a practical point of view, how this can affect the palliative care available for patients and their families, and the impact on the Canadian health care system.
难民是一个高度脆弱的边缘化群体，他们有独特的医疗和心理社会需求。不幸的是，加拿大的临时联邦卫生计划（IFHP）部分覆盖了难民申请人的医疗需求，但不包括临终关怀或家庭为基础的姑息治疗。本报告描述了一名难民申请人癌症患者的案例，由于 IFHP 覆盖的患者可获得的社区姑息治疗资源不足，该患者在加拿大安大略省的一家三级癌症中心住院肿瘤科病房接受了约 11 个月的治疗。从实际角度出发，本案例报告强调了省级医疗保险、安大略省医疗保险计划和联邦医疗保险（IFHP）对难民的姑息治疗覆盖范围之间的差异，以及这将如何影响患者及其家属可获得的姑息治疗，以及对加拿大医疗保健系统的影响。
