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Migrant Healthcare Guidelines: A Systematic Quality Assessment
Eric Nwachukwu Agbata1,2, Paulina Fuentes Padilla3,4, Ifeoma Nwando Agbata5
1Faculty of Health and Psychology, Master of Public Health (MPH) programme, University of Roehampton, London, UK. eric.agbata@roehampton-online.ac.uk.
Journal of Immigrant and Minority Health
|May 23, 2018
Summary
Migrant healthcare guidelines (MHGs) were reviewed for quality. Many MHGs showed deficiencies in development rigor and applicability, indicating a need for improvement in creating future health guidelines for migrants.
Area of Science:
- Public Health
- Health Policy
- Migration Studies
Background:
- International migration necessitates tailored healthcare guidelines.
- A growing number of migrant healthcare guidelines (MHGs) are available.
- The quality of these MHGs requires systematic evaluation.
Purpose of the Study:
- To systematically review the quality of migrant healthcare guidelines (MHGs) published between 2006 and 2016.
- To identify strengths and weaknesses in the development and content of existing MHGs.
Main Methods:
- Systematic review of MHGs using databases like PubMed, MEDLINE, CINHAL, and PsychINFO.
- Quality assessment of 32 included MHGs using the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument.
- Independent review by three experts with assessment of six AGREE II domains and overall quality.
Main Results:
- MHGs scored well in "scope and purpose" (85%) and "clarity of presentation" (86%).
- Significant deficiencies were found in "rigour of development" (34%), "applicability" (40%), "stakeholder involvement" (51%), and "editorial independence" (27%).
- Only 15 out of 32 MHGs were "recommended" or "recommended with modifications".
Conclusions:
- Current MHGs exhibit critical deficiencies in key areas, particularly development rigor and applicability.
- Improvements are needed in stakeholder involvement and editorial independence for future MHGs.
- The findings highlight the need for enhanced quality in developing health guidelines for migrant populations.
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