Development of guidelines for recently arrived immigrants and refugees to Canada: Delphi consensus on selecting preventable and treatable conditions - 13/09/11
, Kevin Pottie, MD MClSc c, d, Peter Tugwell, MD MSc d, e, Meb Rashid, MD f, Lavanya Narasiah, MD MSc gfor the Canadian Collaboration for Immigrant and RefugeeHealth (CCIRH)
Contributors: All authors contributed to conception and refinement of the study design and to analysis and interpretation of the data. Helena Swinkels drafted the initial manuscript, and all other authors provided critical revisions. All authors approved the final manuscript submitted for publication.
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.
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| This article has been peer reviewed. Competing interests: Lavanya Narasiah received speaker fees from GlaxoSmithKline for a travel health presentation. Peter Tugwell, chair of the CMA Journal Oversight Committee, is a coauthor of this article. He was not involved in the vetting of this article before publication. None declared for the other authors. Funding: The Canadian Collaboration for Immigrant and Refugee Health Steering Committee acknowledges the funding support of the Chronic Disease Branch of the Public Health Agency of Canada, Canadian Institutes of Health Research (Institute of Health Services and Policy Research), the Champlain Local Health Integration Networks, and the Calgary Refugee Program. The views expressed in this report are the views of the authors and do not necessarily reflect those of the funders. |
Vol 183 - N° 12
P. E928-E932 - septembre 2011 Retour au numéro
Article précédent
- Practising medicine in the global village: use of guidelines and virtual networks
- Patricia F. Walker
- Evaluation of evidence-based literature and formulation of recommendations for the clinical preventive guidelines for immigrants and refugees in Canada
- Peter Tugwell, Kevin Pottie, Vivian Welch, Erin Ueffing, Andrea Chambers, John Feightner, for the Canadian Collaboration for Immigrant and Refugee Health (CCIRH)
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