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Review

Development of guidelines for recently arrived immigrants and refugees to Canada: Delphi consensus on selecting preventable and treatable conditions

Helena Swinkels, Kevin Pottie, Peter Tugwell, Meb Rashid and Lavanya Narasiah
CMAJ September 06, 2011 183 (12) E928-E932; DOI: https://doi.org/10.1503/cmaj.090290
Helena Swinkels
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  • For correspondence: helena.swinkels@fraserhealth.ca
Kevin Pottie
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Peter Tugwell
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Meb Rashid
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Lavanya Narasiah
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  • Résumé

    Development of guidelines for recently arrived immigrants and refugees to Canada: Delphi consensus on selecting preventable and treatable conditions

    Helena Swinkels MD MHSc, Kevin Pottie MD MClSc, Peter Tugwell MD MSc, Meb Rashid MD, Lavanya Narasiah MD MSc; for the Canadian Collaboration for Immigrant and Refugee Health (CCIRH)

    Résumé

    Contexte : Pour que des lignes directrices soient pertinentes, que les utilisateurs les adoptent et que le temps, les ressources et le savoir-faire nécessaires en vue de leur élaboration soient utilisés à bon escient, il faut établir des priorités. Les deux composantes cruciales de ce processus sont l’engagement des intervenants et l’application d’une marche à suivre rigoureuse pour la formulation de recommandations.

    Méthodes : Nous avons utilisé une version modifiée de la technique de Delphi pour sélectionner 20 maladies prioritaires en vue de l’élaboration de lignes directrices. Des médecins canadiens en soins primaires appelés à soigner des immigrants et des réfugiés ont utilisé des critères qui soulignent les disparités en matière de santé afin de relever les lacunes dans les soins cliniques.

    Résultats : On a retenu neuf maladies infectieuses, de même que quatre maladies mentales, trois problèmes de santé maternelle et infantile, les caries dentaires et la maladie parodontale, l’anémie ferriprive, le diabète et le dépistage des maladies oculaires.

    Interprétation : La médecine à l’intention des immigrants et des réfugiés couvre le spectre complet des soins primaires. Bien que les maladies infectieuses continuent d’occuper une place prépondérante, nous observons à présent que les maladies mentales et chroniques ont pris plus d’importance chez les immigrants et les réfugiés récemment arrivés.

    Affiliations : From the Department of Family Practice (Swinkels), University of British Columbia, Vancouver, BC ; Fraser Health Authority (Swinkels), Surrey, BC; the Department of Family Medicine and C.T. Lamont Centre for Primary Health Care Research (Pottie), Elisabeth Bruyère Research Institute, Ottawa, Ont.; Centre for Global Health, Institute of Population Health and Department of Epidemiology and Community Medicine (Pottie, Tugwell), University of Ottawa, Ottawa, Ont.; the Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; St. Joseph’s Health Centre (Rashid), Toronto, Ont.; PRAIDA Clinic site Côtes-des-Neiges, CSSS de la Montagne (Narasiah), Montréal, Que.

    Correspondance : Dr Helena Swinkels, Suite C200, 9801 King George Highway, Surrey BC  V3T 4H5; helena.swinkels{at}fraserhealth.ca

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    Canadian Medical Association Journal: 183 (12)
    CMAJ
    Vol. 183, Issue 12
    6 Sep 2011
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    Development of guidelines for recently arrived immigrants and refugees to Canada: Delphi consensus on selecting preventable and treatable conditions
    Helena Swinkels, Kevin Pottie, Peter Tugwell, Meb Rashid, Lavanya Narasiah
    CMAJ Sep 2011, 183 (12) E928-E932; DOI: 10.1503/cmaj.090290

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    Development of guidelines for recently arrived immigrants and refugees to Canada: Delphi consensus on selecting preventable and treatable conditions
    Helena Swinkels, Kevin Pottie, Peter Tugwell, Meb Rashid, Lavanya Narasiah
    CMAJ Sep 2011, 183 (12) E928-E932; DOI: 10.1503/cmaj.090290
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