Faculty of Nursing, University of Alberta, Canada.
J Pediatr Nurs. 2024 Jul-Aug;77:e602-e615. doi: 10.1016/j.pedn.2024.05.029. Epub 2024 May 31.
Migrant children face numerous challenges when settling in their new home. One of the challenges that exists is difficulties accessing health care, with many barriers existing and few facilitators to ease access. The goal of this paper is to analyze previous literature related to migrants' access to access to health care in Canada to better understand the barriers they face, and the factors that help them access services, or the facilitators.
Arksey and O'Malley's stages in scoping reviews was employed to search CINAHL, PubMed, Sociological Abstract, SocIndex, Scopus, Cochrane Library, Ovid MEDLINE(R), and Ovid Embase from 1997 to February 2020.
A total of 26 Canadian studies met the inclusion criteria.
The review revealed the following barriers: language and culture barriers, low socioeconomic status, lack of health insurance, transportation, shortage of social support, lack of knowledge, fear of service providers/authorities, and discrimination. The facilitators for accessing health care for this population included outreach, benefit and assistance programs, cultural training, strengthening education, and various services.
The abundance of barriers to health care access and the existence of few facilitators may worsen migrant children's health, however further research is required to understand the impact.
There is a need to increase the understanding of migrant children's experiences with accessing health care services in order to inform policy, educate providers, and improve access and health outcomes.
移民儿童在新家中定居时面临诸多挑战。其中一个挑战是难以获得医疗保健，存在许多障碍，很少有促进因素来帮助他们获得医疗服务。本文的目的是分析之前有关移民在加拿大获得医疗保健的文献，以更好地了解他们所面临的障碍，以及帮助他们获得服务的因素，即促进因素。
采用阿特赛克和奥马利的范围审查阶段，于 1997 年至 2020 年 2 月期间在 CINAHL、PubMed、社会学摘要、社会索引、Scopus、考科兰图书馆、Ovid MEDLINE（R）和 Ovid Embase 中进行搜索。
共有 26 项加拿大研究符合纳入标准。
综述揭示了以下障碍：语言和文化障碍、社会经济地位低、缺乏医疗保险、交通、社会支持短缺、缺乏知识、对服务提供者/当局的恐惧和歧视。该人群获得医疗保健的促进因素包括外展服务、福利和援助计划、文化培训、加强教育以及各种服务。
大量的医疗保健获取障碍和很少的促进因素可能会使移民儿童的健康状况恶化，但需要进一步研究来了解其影响。
需要更多地了解移民儿童获得医疗保健服务的体验，以便为政策提供信息、教育服务提供者，并改善获取和健康结果。
