Pushing for Equity, Pulling at Heartstrings
Perinatal Care Access for Uninsured Migrants
Bibliographic Data
| ID | 21834857 |
|---|---|
| Authors | Jos Porter (McGill University), Jill Hanley (0000-0002-7987-9235, McGill University, corresponding author), Lindsay Larios (0000-0002-8756-8453, University of Manitoba), Patrick Cloos (0000-0003-1508-1168, Université de Montréal), Lili Azari (McGill University) |
| Year | 2025 |
| Volume | 40 |
| Issue | 5 |
| Pages | 303-316 |
| Publication date | 2025-07-04 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Social Work in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1937-190X • E-ISSN: 1937-1918 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/19371918.2025.2479537 |
| PMID | 40118534 |
| OpenAlex | W4408721793 |
| Language | EN |
| References cited | 37 |
Despite widely accepted clinical care guidelines, uninsured pregnant migrants in Canada face health inequalities and there are ethical implications of denying them publicly-funded care. Uninsured migrants face multiple barriers (financial, systemic, and cultural) to their perinatal care access, which can negatively impact their health and psychosocial outcomes, as well as those of their families. Drawing on interviews with 10 uninsured migrant women in Montreal, Canada, we explore the factors that enabled their access to perinatal care. Our findings underline the importance of health professionals' ability to exercise discretion to volunteer their time, reduce their fees, or "go the extra mile" to ensure care. On the part of the pregnant migrants themselves, individual factors such as resourcefulness, patient proficiency, and social location may enable their care access. This individualization of the access to care is both ethically and politically problematic, and we discuss the role of social workers in addressing the needs of this population
Business · Demographic economics · Economics · Family medicine · Health equity · Political science · Public health · Employment and Welfare Studies · Law · Medicine · Migration and Labor Dynamics · Migration, Health and Trauma · Nursing · Psychology
Undocumented Migrants in Canada
Street-Level Bureaucracy
A Venue-Based Method for Sampling Hard-to-Reach Populations
A Concept Analysis of Person-Centered Care
Patient-centred access to health care
Unmet healthcare needs among migrants without medical insurance in Montreal, Canada
Emergency Room Visits by Uninsured Child and Adult Residents in Ontario, Canada
Access to Health Care for Undocumented Migrant Children and Pregnant Women
Part of Being Canadian Is Having Access to Healthcare”
The Problematization of Migrant Maternity
Dealing with Law in Migration Control
Street-level bureaucrats as strategy shapers in social and health service delivery
Health Care Access for Refugees and Immigrants with Precarious Status
Pregnant and undocumented
Acculturative Stress Among Documented and Undocumented Latino Immigrants in the United States
Someone's rooting for you
International migration to Canada
Health workers' perceptions of access to care for children and pregnant women with precarious immigration status
Institutionalizing precarious migratory status in Canada
Bound between care and control
| Highly cited | No |
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