CMAJ
Volume 183, Issue 12, 2011, Pages E928-E932

Development of guidelines for recently arrived immigrants and refugees to Canada: Delphi consensus on selecting preventable and treatable conditions (Review) (Open Access)

Swinkels H.* , Pottie K. , Tugwell P. , Rashid M. , Narasiah L.
  • a Department of Family Practice (Swinkels), University of British Columbia, Vancouver, BC, Canada, Fraser Health Authority, Surrey, BC, Canada
  • b Department of Family Medicine, C.T. Lamont Centre for Primary Health Care Research, Elisabeth Bruyère Research Institute, Ottawa, ON, Canada, Institute of Population Health, Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada
  • c Institute of Population Health, Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada, Department of Medicine, University of Ottawa, Ottawa, ON, Canada
  • d St. Joseph's Health Centre, Toronto, ON, Canada
  • e PRAIDA Clinic Site Côtes-des-Neiges, CSSS de la Montagne, Montréal, QC, Canada

Abstract

Background: Setting priorities is critical to ensure guidelines are relevant and acceptable to users, and that time, resources and expertise are used cost-effectively in their development. Stakeholder engagement and the use of an explicit procedure for developing recommendations are critical components in this process. Methods: We used a modified Delphi consensus process to select 20 high-priority conditions for guideline development. Canadian primary care practitioners who care for immigrants and refugees used criteria that emphasize inequities in health to identify clinical care gaps. Results: Nine infectious diseases were selected, as well as four mental health conditions, three maternal and child health issues, caries and periodontal disease, iron-deficiency anemia, diabetes and vision screening. Interpretation: Immigrant and refugee medicine covers the full spectrum of primary care, and although infectious disease continues to be an important area of concern, we are now seeing mental health and chronic diseases as key considerations for recently arriving immigrants and refugees. © 2011 Canadian Medical Association or its licensors.

Author Keywords

[No Keywords available]

Index Keywords

abuse immigrant depression vision test refugee primary medical care anxiety disorder Human immunodeficiency virus infection iron deficiency anemia human diabetes mellitus chickenpox Malaria periodontal disease mental disease Domestic Violence male Canada female tuberculosis Review adjustment disorder Contraception dental caries Syphilis evidence based medicine adult uterine cervix cancer maternal disease posttraumatic stress disorder pertussis Haemophilus infection childhood disease mumps infection rubella hepatitis B poliomyelitis diphtheria measles acquired immune deficiency syndrome practice guideline intestine parasite tetanus hepatitis C
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-80052520909&doi=10.1503%2fcmaj.090290&partnerID=40&md5=03618d3c4cf67a5f8c88194d4a834a13
DOI: 10.1503/cmaj.090290
ISSN: 08203946
Cited by: 24
Original Language: English