Des personnes uniques avant tout : une grille d’analyse critique pour mieux prendre en compte la diversité des besoins dans le cadre des actions sur les déterminants sociaux de la santé

Touati, Nassera; Garakani, Tatiana; Charest, Éric; Proteau-Dupont, Émilie

doi:10.4000/ethiquepublique.3733

Cited by 3 publications

(1 citation statement)

References 47 publications

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“…They emphasised the importance of multilevel and multisectoral approaches, coupled with community participation and collaboration with community organisations, to promote social protections and foster equity [42,43]. The creation of mutually beneficial partnerships with the community sector and the population is presented as integral part of the public health apparatus in Québec, despite interventions seldom being adapted to their local context and involving community actors in practice [44,45]. This could have been improved in the context of COVID-19, as collaboration appears to be critical for reaching vulnerable populations in health crises [46].…”

Section: Discussionmentioning

confidence: 99%

Considering Social Inequalities in Health in Large-Scale Testing for Covid-19 in Montreal: A Qualitative Case Study

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Considering Social Inequalities in Health in Large-Scale Testing for Covid-19 in Montreal: A Qualitative Case Study

et al. 2021

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Responding to Increasing Health and Social Needs of Unprotected Unaccompanied Minors in Paris in the Context of COVID-19: A Mixed Methods Case Study

Gautier

Wakap

Verrier

et al. 2022

Journal of Immigrant & Refugee Studies

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Considering social inequalities in health in large-scale testing for COVID-19 in Montréal: a qualitative case study

et al. 2022

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Background Evidence continues to demonstrate that certain marginalised populations are disproportionately affected by COVID-19. While many studies document the impacts of COVID-19 on social inequalities in health, none has examined how public health responses to the pandemic have unfolded to address these inequities in Canada. The purpose of our study was to assess how social inequalities in health were considered in the design and planning of large-scale COVID-19 testing programs in Montréal (Québec, Canada). Methods Part of the multicountry study HoSPiCOVID, this article reports on a qualitative case study of large-scale testing for COVID-19 in Montréal. We conducted semi-structured interviews with 19 stakeholders involved in planning large-scale testing or working with vulnerable populations during the pandemic. We developed interview guides and a codebook using existing literature on policy design and planning, and analysed data deductively and inductively using thematic analysis in NVivo. Results Our findings suggest that large-scale COVID-19 testing in Montréal did not initially consider social inequalities in health in its design and planning phases. Considering the sense of urgency brought by the pandemic, participants noted the challenges linked to the uptake of an intersectoral approach and of a unified vision of social inequalities in health. However, adaptations were gradually made to large-scale testing to improve its accessibility, acceptability, and availability. Actors from the community sector, among others, played an important role in supporting the health sector to address the needs of specific subgroups of the population. Conclusions These findings contribute to the reflections on the lessons learned from COVID-19, highlighting that public health programs must tackle structural barriers to accessing healthcare services during health crises. This will be necessary to ensure that pandemic preparedness and response, including large-scale testing, do not further increase social inequalities in health.

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Des personnes uniques avant tout : une grille d’analyse critique pour mieux prendre en compte la diversité des besoins dans le cadre des actions sur les déterminants sociaux de la santé

Cited by 3 publications

References 47 publications

Considering Social Inequalities in Health in Large-Scale Testing for Covid-19 in Montreal: A Qualitative Case Study

Considering Social Inequalities in Health in Large-Scale Testing for Covid-19 in Montreal: A Qualitative Case Study

Responding to Increasing Health and Social Needs of Unprotected Unaccompanied Minors in Paris in the Context of COVID-19: A Mixed Methods Case Study

Considering social inequalities in health in large-scale testing for COVID-19 in Montréal: a qualitative case study

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