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- Title
Access to Prenatal Care for Pregnant Refugee Women in Toronto, Ontario, Canada: An Audit Study.
- Authors
Stewart, Emily W.; Souza, Leanne R. De; Yudin, Mark H.
- Abstract
We assessed whether eligible refugee claimants faced barriers to accessing prenatal care in the context of changes to Canadian health care policy that generated multiple categories of refugee health care eligibility. Methods. Prenatal care providers in Toronto were contacted twice using standardized scripts to book appointments for a pregnant non-refugee and refugee claimant, both eligible for prenatal care. Primary outcome: unequivocal offer of appointment. Secondary outcome: reasons for refusal of prenatal care. Results. There was a statistically significantly lower rate of offering prenatal care (34%) to refugee claimants compared with non-refugees (95%) (p <.001). Lack of knowledge, confusion about policies, time-consuming administrative requirements, and slow reimbursement processes were cited as reasons for refusal of care. Conclusions. Our results highlighted barriers to accessing prenatal care for refugee women. There are important future policy implications when considering the numerous changes to refugee health care policy in the last five years.
- Subjects
CANADA; AUDITING; CHI-squared test; HEALTH facility administration; HEALTH services accessibility; HEALTH status indicators; MEDICAL appointments; HEALTH policy; PRENATAL care; PROFESSIONS; PSYCHOLOGY of refugees; STATISTICS; SURVEYS; TIME; WOMEN'S health; HEALTH insurance reimbursement; DATA analysis; SOCIOECONOMIC factors; PATIENT refusal of treatment; DATA analysis software; ONE-way analysis of variance
- Publication
Journal of Health Care for the Poor & Underserved, 2018, Vol 29, Issue 2, p687
- ISSN
1049-2089
- Publication type
Article
- DOI
10.1353/hpu.2018.0052