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Transition in care interventions for Refugee, Immigrant and other Migrant (RIM) populations: a health equity-oriented scoping review.

作者信息

Liu Amy, Yazdani Yasaman, Elias Manahel, Patel Krisha, Budzi Divine, Saad Ammar, Pottie Kevin

机构信息

Department of Interdisciplinary Medical Sciences, Western University, London, ON, Canada.

Department of Epidemiology and Biostatistics, Western University, London, ON, Canada.

出版信息

Global Health. 2025 Apr 30;21(1):25. doi: 10.1186/s12992-025-01114-7.


DOI:10.1186/s12992-025-01114-7
PMID:40307839
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12044719/
Abstract

BACKGROUND: Transition in care involves the transfer of responsibility for aspects of patient and public health care among providers, institutions, and health and social sectors. Indeed, health systems increasingly require individuals to interact with a number of providers, in a number of health settings, and across multiple points of time. Refugees, immigrants, and migrant (RIM) individuals face several precarious transitions, language and cultural barriers, and unfamiliarity with public health systems, which may result in health inequities. A greater understanding of the interventions that facilitate effective transitions in care for RIM populations is needed to improve health outcomes in this vulnerable group. METHODS: This health equity-oriented scoping review aimed to report the characteristics of Transition in Care (TiC) interventions for RIM populations and identify which equity-relevant characteristics of RIM populations were targeted by these interventions. We searched MEDLINE, Embase, and Scopus for eligible studies published in English from the year 2000 onward. Two independent reviewers screened search records and extracted relevant data from included studies. We used a public health and health equity lens to identify the social determinants of health that were addressed by TiC interventions. RESULTS: Our systematic search identified a total of 42 studies, evaluating the impact of 38 unique interventions or public health programs. The delivery of interventions involved various healthcare sectors and professionals. Additionally, some programs enlisted non-medical personnel to provide health-related education and support. The most promising programs for health outcomes involved health navigation or providing public health education for RIM populations. The most common equity-relevant characteristics considered in these studies were language, cultural background, and education level. CONCLUSION: This novel scoping review reveals a diverse range of public health interventions that are being implemented to improve national and international transitions in care for RIM populations, with the most promising from healthcare navigation and health education. Future research should target transitions to digital health technologies, public health, hospital-to-home, and pediatric to adult care gaps to ensure smoother transitions in care for equity-deserving populations navigating new healthcare systems.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e0/12044719/edae1b8512f3/12992_2025_1114_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e0/12044719/f76272d66d40/12992_2025_1114_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e0/12044719/edae1b8512f3/12992_2025_1114_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e0/12044719/f76272d66d40/12992_2025_1114_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e0/12044719/edae1b8512f3/12992_2025_1114_Fig2_HTML.jpg

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[1]
Transition in care interventions for Refugee, Immigrant and other Migrant (RIM) populations: a health equity-oriented scoping review.

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[7]
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本文引用的文献

[1]
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Sante Publique. 2023-8-10

[2]
Community-based care for refugees to overcome health disparities.

Nat Rev Dis Primers. 2023-3-30

[3]
Improving Syrian refugees' knowledge of medications and adherence following a randomized control trial assessing the effect of a medication management review service.

PLoS One. 2022

[4]
Understanding the Role of Caseworker-Cultural Mediators in Addressing Healthcare Inequities for Patients with Limited-English Proficiency: a Qualitative Study.

J Gen Intern Med. 2023-4

[5]
Utilization of healthcare by immigrants in Canada: a cross-sectional analysis of the Canadian Community Health Survey.

BMC Prim Care. 2022-4-6

[6]
Effects of Different Transitional Care Strategies on Outcomes after Hospital Discharge-Trust Matters, Too.

Jt Comm J Qual Patient Saf. 2022-1

[7]
Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches.

Health Expect. 2022-10

[8]
OPTIMISE: a pragmatic stepped wedge cluster randomised trial of an intervention to improve primary care for refugees in Australia.

Med J Aust. 2021-11-1

[9]
Development of a culturally and linguistically sensitive virtual reality educational platform to improve vaccine acceptance within a refugee population: the SHIFA community engagement-public health innovation programme.

BMJ Open. 2021-9-14

[10]
Response to language barriers with patients from refugee background in general practice in Australia: findings from the OPTIMISE study.

BMC Health Serv Res. 2021-9-6

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