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This article discusses the networking and partnership approach of improving access to public health and social services, with an interest in informing best practices for official language populations in a minority context. The case of Canada’s official language minority residing in the province of Quebec and its Community Health and Social Services Network (CHSSN) is explored. Elements that support or inhibit partnership functioning, including innovative community-based participatory...
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Abstract Objectives: The increase in substance use and addictions within the Canadian population, illustrated by the current opioid crisis and exacerbated by the COVID-19 pandemic, urges the investigation of populations who may be particularly vulnerable to developing problematic substance use. Official language minority communities in Canada, both understudied and underserved, may be one such population. Methods: Through its tripartite design using scoping literature review, interview, and...
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Cette étude, menée sous l’impulsion du Collectif LGBTQ* du Manitoba, est la première à sonder les besoins de la communauté LGBTQ2S d’expression française au Manitoba (désormais la « Communauté »). L’objectif était de brosser le portrait de la situation actuelle de ses membres de 18 ans et plus quant à 1) leur profil sociodémographique et ethnoculturel; 2) leurs besoins en matière de soutiens sociaux et de soins de santé; 3) leurs perceptions de discrimination ou de stigmatisation, tant par...
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The intersecting identities of those identifying with multiple minorities, such as 2SLGBTQ + and ethnolinguistic minorities, bring individuals to have unique experiences, especially concerning health and wellness. This topic is particularly poorly understood among French-speaking official language minority 2SLGBTQ + populations in Canada. Hence, this study was conducted to generate insights into their needs and experiences, through the lens of intersectionality. This quantitative...
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Background There is ample evidence of ethnic and linguistic segregation in the Canadian labour market. However, it is unknown if there is equitable representation of visible and linguistic minorities in nursing professions. Methods We cross-tabulated aggregate data from Statistics Canada’s 2006 Census. Analyses examined the distribution of visible and linguistic minorities, including visible minority sub-groups, among health managers, head nurses, registered nurses, licensed nurses and...
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Purpose: Cardiovascular disease (CVD) is the leading cause of mortality globally. Telephone-delivered interventions targeting cardiovascular risk factors are gaining popularity. This study is an evaluation of FrancoForme, a cardiovascular risk factor reduction program for the primary and secondary prevention of CVD among French-speaking patients of Eastern Ontario. Methods: This study reports on changes in cardiovascular risk factors, weekly exercise levels, and psychosocial...
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Parmi les programmes et les services de santé offerts à la population de la région de Sudbury, il en est un qui mérite une mention particulière tant par l’efficacité de son organisation que par la qualité du « caring » qu’on y exerce et c’est le Programme régional des soins palliatifs.
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Background: Research considering the impact of language on health care utilization is limited. We conducted a population-based study to: (1) investigate the association between residents’ preferred language and hospital-based health care utilization; and (2) determine whether this association is modified by dementia, a condition which can exacerbate communication barriers. Methods: We used administrative databases to establish a retrospective cohort study of home care recipients...
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Abstract Background The COVID-19 pandemic disproportionately affected frail individuals, especially those living in long-term care (LTC) homes. This study examined the role of linguistic factors on COVID-19 related outcomes in LTC homes. Methods We performed a population-based, retrospective cohort study of residents living in LTC homes in Ontario, Canada who were diagnosed with COVID-19 between March 31, 2020 and March 31, 2021. Resident language, obtained from LTC assessments, was used to...
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Dans cet article, nous présentons une synthèse de plusieurs analyses récentes réalisées par notre groupe de recherche à partir de données administratives de santé pour mesurer la qualité et la sécurité des services de santé offerts aux francophones et allophones en Ontario, Canada. Les résultats de nos analyses démontrent que les Ontariennes et les Ontariens qui reçoivent des soins dans leur principale langue d’usage ont généralement de meilleurs résultats cliniques comparés à ceux qui...
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Introduction As the world’s linguistic diversity continues to increase at an unprecedented rate, a growing proportion of patients will be at risk of experiencing language barriers in primary care settings. We sought to examine whether patient–family physician language concordance in a primary care setting is associated with lower rates of hospital-based healthcare utilisation and mortality. Methods We conducted a population-based retrospective cohort study of 497 227 home care recipients...
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Objective Research examining the impact of language barriers on patient safety is limited. We conducted a population-based study to determine whether patients whose primary language is not English are more likely to experience harm when admitted to hospitals in Ontario, Canada. Methods We used linked administrative health records to establish a retrospective cohort of home care recipients (from 2010 to 2015) who were subsequently admitted to hospital. Patient language (obtained from home...
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Background Patients who live in minority language situations are generally more likely to experience poor health outcomes, including harmful events. The delivery of healthcare services in a language-concordant environment has been shown to mitigate the risk of poor health outcomes related to chronic disease management in primary care. However, data assessing the impact of language-concordance on the risk of in-hospital harm are lacking. We conducted a population-based study to determine...
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Importance Patients who live in minority language communities often receive health care services of lower quality and safety compared with patients who speak the majority language. Yet the outcomes associated with care provided by physicians who speak a patient’s primary language remain unknown. Objective To examine patient-physician language concordance and the risk of major adverse cardiovascular events (MACEs) among patients with hypertension. Design, Setting, and Participants This...
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Background Appropriate use of medication is a key indicator of the quality of care provided in long-term care (LTC). The objective of this study was to determine whether resident-facility language concordance/discordance is associated with the odds of potentially inappropriate prescribing of antipsychotics (PIP-AP) in LTC. Methods We conducted a population-based, retrospective cohort study of LTC residents in Ontario, Canada from 2010 to 2019. We obtained resident language from standardized...
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