Asbaghi Yasamin, Goertzen Sonya, Houldsworth Anastasia, Monnin Caroline, Choukou Mohamed-Amine
Department of Occupational Therapy, University of Manitoba, Winnipeg, Canada.
Neil John Maclean Library, University of Manitoba, Winnipeg, Canada.
J Immigr Minor Health. 2025 Jun 30. doi: 10.1007/s10903-025-01717-7.
Access to healthcare in Canada is evolving alongside eHealth tools. Despite a growing immigrant population, there's limited research on their usage of eHealthcare. Occupational therapists in Canada are increasingly involved in supporting and advocating for the accessibility of immigrants to the eHealthcare system.To provide an overview of services, barriers, and facilitators within the eHealth navigation experience by immigrants to Canada from the available published literature. A scoping review was conducted to gather academically published and grey literature, available between 2013 and 2024, that pertains to immigrants' use of eHealth in Canada. An initial search took place in 2023 and was updated in 2024, yielding 296 articles. Thirteen (13) manuscripts were included in the scoping review. Analysis of the results revealed three themes within the literature addressing immigrants' navigation of eHealth tools: the impact of COVID-19 on mental health, social determinants of eHealth, and online information-seeking behaviours. The analysis of the outcomes from the included studies revealed critical gaps in Canada's health system that challenge immigrants' access to eHealth services and recommendations to address these gaps. Collaboration among stakeholders is essential to develop tailored interventions and policies, with occupational therapists positioned to play a crucial role in helping to achieve equitable access to eHealth for immigrants in Canada. More research is needed to inform the creation and integration of culturally sensitive and linguistically accessible eHealth tools in Canada, tailored to meet the needs of immigrants in terms of their cultural background, context, and language.
在加拿大，医疗保健的获取方式正随着电子健康工具不断发展。尽管移民人口不断增加，但关于他们使用电子医疗保健的研究却很有限。加拿大的职业治疗师越来越多地参与到支持和倡导移民获取电子医疗保健系统的工作中。通过现有已发表文献概述加拿大移民在电子健康导航体验中的服务、障碍和促进因素。进行了一项范围综述，以收集2013年至2024年间学术发表的文献和灰色文献，这些文献与加拿大移民使用电子健康有关。2023年进行了初步搜索，并于2024年更新，共获得296篇文章。范围综述纳入了13篇手稿。对结果的分析揭示了文献中关于移民使用电子健康工具的三个主题：新冠疫情对心理健康的影响、电子健康的社会决定因素以及在线信息寻求行为。对纳入研究结果的分析揭示了加拿大卫生系统中存在的关键差距，这些差距对移民获取电子健康服务构成挑战，并提出了弥补这些差距的建议。利益相关者之间的合作对于制定量身定制的干预措施和政策至关重要，职业治疗师在帮助加拿大移民公平获取电子健康方面将发挥关键作用。需要更多研究为在加拿大创建和整合具有文化敏感性和语言可及性的电子健康工具提供信息，这些工具应根据移民的文化背景、环境和语言需求进行量身定制。
