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The scientific method refers to a body of techniques for investigating phenomena, acquiring new knowledge, or correcting and integrating previous knowledge.
Step 1 – What Are The Potential Health Problems?
- Why does it occur (risk factors)?
- How do immigrants and refugees differ from the Canadian population?
- Is it useful for practitioners?
- Is it important?
- What actions might be most feasible for primary care practitioners?
- Does doing this cost more than that?
- If I do this here what happens over there?
- Will immigrants accept it?
- Will practitioner use it?
What Accounts for the Health Inequities for Migrant Populations?
Step 2 – What Criteria Could Help Select the Conditions Most in Need of Guidelines?4
- Importance (burden of Illness)
- Usefulness (intervention works)
- Disparity (unjust outcomes)
Step 3 – What Screening and Interventions Are Most Effective: Developing a Logic Model
Step 4 – What Criteria Could Help you to Develop Recommendations: The Grade Approach
- Balancing Desirable and Undesirable Effects
- Quality of the Evidence
- Values and Patient Preferences
- Cost (Resource Allocation)
[Reference] GRADE Working Group: The Grades of Recommendation, Assessment, Development, and Evaluation
Step 5 – What Supports Improve the Implementation of Interventions for Disadvantaged Populations?6
High quality care is of utmost importance for vulnerable populations. Evidence-based guidelines can improve the qaulity of patient care, reduce costs and other patient harms, and significantly impact health policies. When such recommendations do not exist it will be important to call on the skills and commitment of teams of medical scholars.
The CCIRH project is one example of scholarly work; work that has led to more appropriate effective clinical practices, and more evidence-based health policies for immigrants and refugees.
Duration: 59 seconds
Examples of the Impact of the CCIRH Evidence Reviews
CCIRH guidelines focus attention on serology tests for potentially life threatening parasites (strongyloides and schistosoma) and reassure clinicians that other worms and parasites will be self limiting once the refugee has left the endemic region, thus reducing the burden and cost of routine stool testing.
Post Traumatic Stress Disorder (PTSD)
CCIRH Guidelines focus clinician attention on importance of empathy, reassurance and advocacy as key elements of the PTSD recovery process. And highlight how routine trauma screening and pushing for disclosure of traumatic events for well-functioning individuals could be harmful.