title: Knowledge of Healthcare Coverage for Refugee Claimants: Results from a Survey of Health Service Providers in Montreal.
abstract: Following changes to the Interim Federal Health (IFH) program in Canada in 2012, this study investigates health service providers' knowledge of the healthcare coverage for refugee claimants living in Quebec. An online questionnaire was completed by 1,772 staff and physicians from five hospitals and two primary care centres in Montreal. Low levels of knowledge and significant associations between knowledge and occupational group, age, and contact with refugees were documented. Social workers, respondents aged 40-49 years, and those who reported previous contact with refugee claimants seeking healthcare were significantly more likely to have 2 or more correct responses. Rapid and multiple changes to the complex IFH policy have generated a high level of confusion among healthcare providers. Simplification of the system and a knowledge transfer strategy aimed at improving healthcare delivery for IFH patients are urgently needed, proposing easy avenues to access rapidly updated information and emphasizing ethical and clinical issues.
authors.affiliation: Department of Psychiatry, McGill University, Montreal, Quebec, Canada.|SHERPA-Institut Universitaire, Centre intégré universitaire de santé et de services sociaux du Centre-Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
authors.forename: Mónica
authors.initials: M
authors.lastname: Ruiz-Casares
authors.affiliation: SHERPA-Institut Universitaire, Centre intégré universitaire de santé et de services sociaux du Centre-Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
authors.forename: Janet
authors.initials: J
authors.lastname: Cleveland
authors.affiliation: Harvard School of Public Health, Cambridge, Massachusetts, United States of America.
authors.forename: Youssef
authors.initials: Y
authors.lastname: Oulhote
authors.affiliation: Center for Clinical Epidemiology and Community Studies, Jewish General Hospital, Montreal, Quebec, Canada.
authors.forename: Catherine
authors.initials: C
authors.lastname: Dunkley-Hickin
authors.affiliation: Department of Psychiatry, McGill University, Montreal, Quebec, Canada.|SHERPA-Institut Universitaire, Centre intégré universitaire de santé et de services sociaux du Centre-Ouest-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
authors.forename: Cécile
authors.initials: C
authors.lastname: Rousseau
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D057220:Health Literacy; D006282:Health Personnel; D006801:Humans; D019458:Insurance Coverage; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D011792:Quebec; D012036:Refugees; D011795:Surveys and Questionnaires