Objective To understand the oral healthcare experiences of humanitarian migrants in Montreal and their perceptions of ways to improve access to oral healthcare. Methods We used focused ethnography informed by a public health model of the dental care process. The adapted McGill Illness Narrative Interview (MINI) guided interviews of a purposeful sample of humanitarian migrants who received or needed dental care in Montreal. Each interview (50-60 min) was audio-recorded for verbatim transcription. Observation of dental care episodes occurred during mobile dental clinics in underserved communities over the same period (2015-2016). Data analysis combined deductive codes from the theoretical frameworks and inductive codes from interview transcripts and field notes to inform themes. Results We interviewed 25 participants (13 refugees and 12 asylum seekers) from 10 countries, who had been in Canada for a range of 1 month to 5 years. The dental care experiences of participants included delayed consultation, proximity to dental clinics, quality care, limited treatment choices, high cost, and long waiting times. A more inclusive healthcare policy, lower fees, integration of dental care into public insurance, and creation of community dental clinics were proposed strategies to improve access to dental care. Conclusion Humanitarian migrants in this study experienced inadequate oral healthcare. Their lived experiences help us to identify gaps in the provision of oral healthcare services, and suggestions of participants have great potential to improve access to oral healthcare. Résumé Objectif Comprendre les expériences de soins buccodentaires de migrants pour raison humanitaire à Montréal et leurs perceptions des moyens d'améliorer l'accès aux soins buccodentaires. Méthode Nous avons utilisé l'ethnographie ciblée éclairée par un modèle de santé publique du processus des soins dentaires. La version adaptée de l'outil McGill Illness Narrative Interview (MINI) a guidé les entrevues auprès d'un échantillon intentionnel de migrants pour raison humanitaire ayant reçu ou ayant eu besoin de soins dentaires à Montréal. Chaque entrevue (50 à 60 min) a été enregistrée, puis transcrite mot pour mot. Une observation d'épisodes de soins dentaires a eu lieu sur la même période (2015-2016) lors de cliniques dentaires mobiles dans des collectivités mal desservies. L'analyse des données a combiné les codes déductifs des cadres théoriques et les codes inductifs des transcriptions d'entrevues et des notes de terrain pour éclairer les thèmes. Résultats Nous avons interviewé 25 participants (13 réfugiés et 12 demandeurs d'asile) de 10 pays qui étaient au Canada depuis 1 mois à 5 ans. Le report de consultations, la proximité des cliniques dentaires, la qualité des soins, les options de traitement limitées, les coûts élevés et les longs délais d'attente ont été mentionnés parmi les expériences de soins dentaires vécues par les participants. Pour améliorer l'accès aux soins dentaires, il a été proposé d'élargir la population visée par les politiques ...

The intention of this article is to demonstrate how Indigenous and allied health promotion researchers learned to work together through a process of Two-Eyed Seeing. This process was first introduced as a philosophical hermeneutic research project on diabetes prevention within an Indigenous community in Quebec Canada. We, as a research team, became aware that hermeneutics and the principles of Haudenosaunee decision making were characteristic of Two-Eyed Seeing. This article describes our experiences while working with each other. Our learning from these interactions emphasized the relational aspects needed to ensure that we became a highly functional research team while working together and becoming Two-Eyed Seeing partners.

This study investigated Knowledge Transfer Statement: The findings of the present study may assist health care professionals interacting regularly with sufferers of chronic pain to gain a deeper understanding of the chronic pain experience and how to best support these patients.

In this article we provide a reconceptualization of patient-centered health care practice through a collaborative person-centered model for enhanced patient safety. Twenty-one participants were selected and interviewed from the internationally diverse population of individuals attending the Chicago Patient Safety Workshop (CPSW) sponsored by Consumers Advancing Patient Safety (CAPS). Analysis of the participant transcripts revealed three findings related to patient experience: the impact and meaning of communication and relationship within the health care setting, trust and expectation for the patient and family with the health care provider, and the meaning and application of patient-centeredness. Researchers concluded that successful planning toward enhanced patient-centered care requires multiple perspectives, including the voices of the patient and family members who have experienced the trauma of preventable medical error. Collaborative initiatives such as the CPSW and CAPS offer a positive way forward for enhanced patient safety and quality of care.