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Erschienen in: Journal of Immigrant and Minority Health 1/2018

02.09.2016 | Review Paper

Health Inequity and “Restoring Fairness” Through the Canadian Refugee Health Policy Reforms: A Literature Review

verfasst von: Valentina Antonipillai, Andrea Baumann, Andrea Hunter, Olive Wahoush, Timothy O’Shea

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 1/2018

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Abstract

Refugees and refugee claimants experience increased health needs upon arrival in Canada. The Federal Government funded the Interim Federal Health Program (IFHP) since 1957, ensuring comprehensive healthcare insurance for all refugees and refugee claimants seeking protection in Canada. Over the past 4 years, the Canadian government implemented restrictions to essential healthcare services through retrenchments to the IFHP. This paper will review the IFHP, in conjunction with other immigration policies, to explore the issues associated with providing inequitable access to healthcare for refugee populations. It will examine changes made to the IFHP in 2012 and in response to the federal court decision in 2014. Findings of the review indicate that the retrenchments to the 2012 IFHP instigated health outcome disparities, social exclusion and increased costs for vulnerable refugee populations. The 2014 reforms reinstated some services; however the policy continued to produce inequitable healthcare access for some refugees and refugee claimants.
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Literatur
3.
Zurück zum Zitat United Nations High Commissioner for Refugees:War’s Human Cost Global Trends. Geneva; 2014. United Nations High Commissioner for Refugees:War’s Human Cost Global Trends. Geneva; 2014.
4.
Zurück zum Zitat United Nations High Commissioner of Refugees. Asylum trends in industrialized countries. Oxford: Oxford University Press; 2003. United Nations High Commissioner of Refugees. Asylum trends in industrialized countries. Oxford: Oxford University Press; 2003.
5.
Zurück zum Zitat Dauvergne C. International human rights in Canadian immigration law—the case of the immigration and refugee board of Canada. Indiana J Glob Leg Stud. 2012;19(1):305–26.CrossRef Dauvergne C. International human rights in Canadian immigration law—the case of the immigration and refugee board of Canada. Indiana J Glob Leg Stud. 2012;19(1):305–26.CrossRef
9.
Zurück zum Zitat Seeking Solutions Symposium: Access to health care for the uninsured in Canada. Toronto, 2013. Seeking Solutions Symposium: Access to health care for the uninsured in Canada. Toronto, 2013.
12.
Zurück zum Zitat Canadian Doctors for Refugee Care v. Canada (Attorney General). 2014 FC 651. Canadian Doctors for Refugee Care v. Canada (Attorney General). 2014 FC 651.
13.
Zurück zum Zitat United Nations High Commissioner for Refugees: Convention and Protocol Relating to the Status of Refugees. Geneva; 2010. United Nations High Commissioner for Refugees: Convention and Protocol Relating to the Status of Refugees. Geneva; 2010.
14.
Zurück zum Zitat Immigration and Refugee Protection Act [Canada]. S. C. 2001, c.27, 77. Immigration and Refugee Protection Act [Canada]. S. C. 2001, c.27, 77.
15.
Zurück zum Zitat Casswell DG. Singh v. Minister of employment and immigration. Alta L Rev. 1985;24:356. Casswell DG. Singh v. Minister of employment and immigration. Alta L Rev. 1985;24:356.
16.
Zurück zum Zitat Manjikian L. Refugee narratives in montreal: negotiating everyday social exclusion and inclusion. Montreal: McGill University; 2013. p. 1–333. Manjikian L. Refugee narratives in montreal: negotiating everyday social exclusion and inclusion. Montreal: McGill University; 2013. p. 1–333.
17.
Zurück zum Zitat Bhuyan R, Osborne B, Sajedeh Z, Tarshis S. Unprotected, unrecognized: Canadian immigration policy and violence against women, 2008–2013. Toronto: Migrant Mothers Project; 2014. Bhuyan R, Osborne B, Sajedeh Z, Tarshis S. Unprotected, unrecognized: Canadian immigration policy and violence against women, 2008–2013. Toronto: Migrant Mothers Project; 2014.
18.
Zurück zum Zitat Jackson S. ‘Citizenship Theatre’: refugee claimants, security, and performing citizenship at the immigration and refugee board. Hamilton: McMaster University; 2013. p. 1–25. Jackson S. ‘Citizenship Theatre’: refugee claimants, security, and performing citizenship at the immigration and refugee board. Hamilton: McMaster University; 2013. p. 1–25.
22.
Zurück zum Zitat Goldring L, Bernstein C, Bernhard J. Institutionalizing precarious migratory status in Canada. Citizsh Stud. 2009;13(3):239–65.CrossRef Goldring L, Bernstein C, Bernhard J. Institutionalizing precarious migratory status in Canada. Citizsh Stud. 2009;13(3):239–65.CrossRef
23.
Zurück zum Zitat Cleveland J, Rousseau C. Mental health impact of detention and temporary status for refugee claimants under Bill C-31. Can Med Assoc J. 2012;184(15):1663–4.CrossRef Cleveland J, Rousseau C. Mental health impact of detention and temporary status for refugee claimants under Bill C-31. Can Med Assoc J. 2012;184(15):1663–4.CrossRef
24.
Zurück zum Zitat Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in Western countries: a systematic review. Lancet. 2005;365(9467):1309–14.CrossRefPubMed Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in Western countries: a systematic review. Lancet. 2005;365(9467):1309–14.CrossRefPubMed
25.
Zurück zum Zitat Ryan DA, Kelly FE, Kelly BD. Mental health among persons awaiting an asylum outcome in Western countries. Int J Ment Health. 2009;38(3):88–111.CrossRef Ryan DA, Kelly FE, Kelly BD. Mental health among persons awaiting an asylum outcome in Western countries. Int J Ment Health. 2009;38(3):88–111.CrossRef
26.
Zurück zum Zitat Besier M. The health of immigrants and refugees in Canada. Can J Public Health. 2005;96(2):530–44. Besier M. The health of immigrants and refugees in Canada. Can J Public Health. 2005;96(2):530–44.
27.
28.
Zurück zum Zitat Miedema B, Hamilton R, Easley J. Climbing the walls. Can Fam Phys. 2008;54(3):335–6. Miedema B, Hamilton R, Easley J. Climbing the walls. Can Fam Phys. 2008;54(3):335–6.
29.
Zurück zum Zitat Barnes S. The real cost of cutting the interim federal health program. Toronto: Wellesley Institute; 2013. p. 1–19. Barnes S. The real cost of cutting the interim federal health program. Toronto: Wellesley Institute; 2013. p. 1–19.
30.
Zurück zum Zitat Sheikh H, Rashid M, Berger P, Hulme J. Refugee health providing the best possible care in the face of crippling cuts. Can Fam Phys. 2013;59(6):605–6. Sheikh H, Rashid M, Berger P, Hulme J. Refugee health providing the best possible care in the face of crippling cuts. Can Fam Phys. 2013;59(6):605–6.
33.
Zurück zum Zitat Raza D, Rashid M, Redwood-Campbell L, Rouleau K, Berger P. A moral duty why Canada’s cuts to refugee health must be reversed. Can Fam Phys. 2012;58(7):728–9. Raza D, Rashid M, Redwood-Campbell L, Rouleau K, Berger P. A moral duty why Canada’s cuts to refugee health must be reversed. Can Fam Phys. 2012;58(7):728–9.
35.
Zurück zum Zitat Eggertson L. Doctors promise protests along with court challenge to refugee health cuts. Can Med Assoc J. 2013;185(7):E275–6.CrossRef Eggertson L. Doctors promise protests along with court challenge to refugee health cuts. Can Med Assoc J. 2013;185(7):E275–6.CrossRef
38.
Zurück zum Zitat Wahoush EO. Equitable health-care access: the experiences of refugee and refugee claimant mothers with an ill preschooler. Can J Nurs Res. 2009;41(3):186–206.PubMed Wahoush EO. Equitable health-care access: the experiences of refugee and refugee claimant mothers with an ill preschooler. Can J Nurs Res. 2009;41(3):186–206.PubMed
39.
Zurück zum Zitat Newbold B. Linking immigrant settlement, health, housing and homelessness in Canada. Canadian Issues/ThèmesCanadiens (Newcomer’s experiences of housing and homelessness in Canada). Montréal: Association for Canadian Studies; 2010. p. 8–15. Newbold B. Linking immigrant settlement, health, housing and homelessness in Canada. Canadian Issues/ThèmesCanadiens (Newcomer’s experiences of housing and homelessness in Canada). Montréal: Association for Canadian Studies; 2010. p. 8–15.
40.
Zurück zum Zitat Berman H, Girón ERI, Marroquín AP. A narrative study of refugee women who have experienced violence in the context of war. Can j Nurs Res. 2009;41(1):144–65.PubMed Berman H, Girón ERI, Marroquín AP. A narrative study of refugee women who have experienced violence in the context of war. Can j Nurs Res. 2009;41(1):144–65.PubMed
41.
Zurück zum Zitat Olsen C, El-Bialy R, Mckelvie M, Rauman P, Brunger F. “Other” troubles: deconstructing perceptions and changing responses to refugees in Canada. J Immigr Minor Health. 2014;. doi:10.1007/s10903-014-9983-0. Olsen C, El-Bialy R, Mckelvie M, Rauman P, Brunger F. “Other” troubles: deconstructing perceptions and changing responses to refugees in Canada. J Immigr Minor Health. 2014;. doi:10.​1007/​s10903-014-9983-0.
46.
Zurück zum Zitat Fowler N. Providing primary health care to immigrants and refugees: the North Hamilton experience. CMAJ. 1998;159:388–91.PubMedPubMedCentral Fowler N. Providing primary health care to immigrants and refugees: the North Hamilton experience. CMAJ. 1998;159:388–91.PubMedPubMedCentral
48.
Zurück zum Zitat Redditt VJ, Janakiram P, Graziano D, Rashid M. Health status of newly arrived refugees in Toronto, Ont Part 1: infectious diseases. Can Fam Phys. 2015;61(7):e303–9. Redditt VJ, Janakiram P, Graziano D, Rashid M. Health status of newly arrived refugees in Toronto, Ont Part 1: infectious diseases. Can Fam Phys. 2015;61(7):e303–9.
50.
Zurück zum Zitat Basok T. Refugee policy: globalization, radical challenge, or state control? Stud Political Econ. 1996;50:133–66.CrossRef Basok T. Refugee policy: globalization, radical challenge, or state control? Stud Political Econ. 1996;50:133–66.CrossRef
52.
Zurück zum Zitat Redditt VJ, Graziano D, Janakiram P, Rashid M. Health status of newly arrived refugees in Toronto, Ont Part 2: chronic diseases. Can Fam Phys. 2015;61(7):e310–5. Redditt VJ, Graziano D, Janakiram P, Rashid M. Health status of newly arrived refugees in Toronto, Ont Part 2: chronic diseases. Can Fam Phys. 2015;61(7):e310–5.
60.
Zurück zum Zitat Loescher G. Introduction. In: Loescher G, Monahan L, editors. Refugees and international relations. New York: Oxford University Press; 1989. p. 1–33. Loescher G. Introduction. In: Loescher G, Monahan L, editors. Refugees and international relations. New York: Oxford University Press; 1989. p. 1–33.
61.
Zurück zum Zitat Ghosh B. Managing migration: towards the missing regime. Chapter 5 in migration without borders: essays on the free movement of people, edited by Antoine Pécoud and Paul de Guchteneire. Paris: UNESCO Publishing; 2007. p. 97–118. Ghosh B. Managing migration: towards the missing regime. Chapter 5 in migration without borders: essays on the free movement of people, edited by Antoine Pécoud and Paul de Guchteneire. Paris: UNESCO Publishing; 2007. p. 97–118.
Metadaten
Titel
Health Inequity and “Restoring Fairness” Through the Canadian Refugee Health Policy Reforms: A Literature Review
verfasst von
Valentina Antonipillai
Andrea Baumann
Andrea Hunter
Olive Wahoush
Timothy O’Shea
Publikationsdatum
02.09.2016
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 1/2018
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-016-0486-z

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