Interim Federal Health Program: Survey of use of supplemental benefits by paediatric health care providers.

IFHP Interim Federal Health Program Refugee

Journal

Paediatrics & child health
ISSN: 1205-7088
Titre abrégé: Paediatr Child Health
Pays: England
ID NLM: 9815960

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 07 03 2022
accepted: 07 02 2023
pmc-release: 24 04 2024
medline: 25 9 2023
pubmed: 25 9 2023
entrez: 25 9 2023
Statut: epublish

Résumé

The Interim Federal Health Program (IFHP) provides temporary healthcare coverage to refugees and refugee claimants. Previous research demonstrates that paediatric healthcare providers poorly utilize the IFHP, with low registration rates and limited understanding of the program. The objective of this study was to examine paediatric provider use of IFHP-covered supplemental benefits, and their experience with trying to access these benefits. A one-time survey was administered via the Canadian Paediatric Surveillance Program in February 2020. Of those who had provided care to IFHP-eligible patients, descriptive tables and statistics were created looking at provider demographics, and experience using the IFHP supplemental benefits. A multinomial logistic regression was built to look at provider characteristics associated with trying to access supplemental benefits. Of the 2,753 physicians surveyed, there were 1,006 respondents (general paediatricians and subspecialists). Of the respondents, 526 had recently provided care to IFHP-eligible patients. Just over 30% of those who had recently provided care did not access supplemental benefits as they did not know they were covered by the IFHP. Of those who had tried to access supplemental benefits, over 80% described their experience as difficult, or very difficult. Paediatric providers have a poor understanding of IFHP-covered supplemental benefits, which is cited as a reason for not trying to access supplemental benefits. Of those who do try to access these benefits, they describe the process as difficult. Efforts should be made to improve provider knowledge and streamline the process to improve access to healthcare for refugee children and youth.

Identifiants

pubmed: 37744757
doi: 10.1093/pch/pxad011
pii: pxad011
pmc: PMC10517246
doi:

Types de publication

Journal Article

Langues

eng

Pagination

344-348

Informations de copyright

© The Author(s) 2023. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Déclaration de conflit d'intérêts

MR was the co-founder of the Canadian Doctors for Refugee Care, a group that advocated for access to health care for refugees from 2012-2016. The group is no longer active. There are no other conflicts of interest.

Références

CMAJ. 2011 Sep 6;183(12):E824-925
pubmed: 20530168
Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110262
pubmed: 32705994
Can Fam Physician. 2021 Aug;67(8):575-581
pubmed: 34385202
Paediatr Child Health. 2021 Aug 16;27(1):19-24
pubmed: 35273668

Auteurs

Caroline Leps (C)

Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Ontario.

Jessica Monteiro (J)

McGill University, Montreal Children's Hospital, Pediatrics, Montreal, Quebec.

Tony Barozzino (T)

Women and Children's Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Ashna Bowry (A)

Department of Family and Community Medicine, St Michael's Hospital, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Meb Rashid (M)

Department of Family and Community Medicine, Crossroads Clinic, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.

Michael Sgro (M)

Women and Children's Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

Shazeen Suleman (S)

Women and Children's Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
MAP Centre for Urban Health Solutions, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.

Classifications MeSH