Amélioration des services pour les migrants à statut précaire: perceptions des prestataires de soins quant à leurs capacités de prise en charge

Migrants with precarious status (refugees, asylum seekers, and undocumented migrants) are recognized as a vulnerable group requiring increased social and health services; however, providing care for them can present challenges for service providers. Among other issues, systemic barriers can complicate service delivery, thereby compromising quality and leading to provider burnout. Yet, the COVID-19 pandemic prompted structural changes within care systems to better address the emerging needs of migrants with precarious status. This project therefore aims to explore-against the backdrop of structural change-service providers' perceptions regarding their professional and structural capacity to support migrants with precarious status, with the goal of better understanding the conditions necessary to improve service quality for this population. Using qualitative methods, semi-structured interviews were conducted with managers (n=23) and frontline workers (n=11) serving this population in the Greater Montreal area. A deductive-inductive analysis will be performed, drawing on the conceptual frameworks of system responsiveness and the learning organization, to understand the factors and mechanisms contributing to the sustainable adaptation of services. The project seeks to improve clinical and organizational practices regarding service delivery for migrants with precarious status. Recommendations will be developed for the public and community organizations already involved in the project, as well as for other stakeholders working with this population.