With Ola M. Haïdar, MSc, PhD (c) Public Health, Université de Montréal.
Presentation: In her doctoral research, Ola Haïdar examines variations in the experience of primary health care services of persons according to their vulnerabilities or personal characteristics, the organizational characteristics of the services they received, and also to the characteristics of the places they live in. She proposes that the interaction between these three elements can change the experience of primary health care services. A vulnerable person has a higher risk of adverse health results. Vulnerability can be biological, health, material, social or cultural. A person can have several vulnerabilities at the same time. This research aims to evaluate variations in the experience of primary health care services according to vulnerabilities of persons, and to assess whether the Quebec health care system is equitable for vulnerable groups. The results show that generally, vulnerabilities have an independent positive influence on the experience of primary health care services of persons except cultural vulnerability. In Quebec, immigrants or culturally vulnerable persons are less likely to express a positive appreciation of their experience of primary health care services comparatively to native persons. However, the addition of a second vulnerability usually positively reinforces the effect of the first vulnerability. The simultaneous presence of health vulnerability modifies the negative influence of cultural vulnerability. Immigrants having a chronic disease or an additional health vulnerability are more likely to express a positive evaluation of their experience of primary health care services than immigrants who don’t have a chronic disease. The results also indicate that Quebec health care system is equitable for vulnerable persons, while additional efforts can lead to adapt the system and correct the negative influence of cultural vulnerability.
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