Critical Illness in Migrant Workers in the Windsor-Essex Region: A Descriptive Analysis

Alex Zhou, Abdelhady Osman, Genesis Flores, Dhuvaraha Srikrishnaraj, Jayashree Mohanty, Retage Al Bader, Amy Llancari, Aya El-Hashemi, Manahel Elias, Kanza Mirza, Maureen Muldoon, Ryan Palazzolo, Farwa Zaib, Indryas Woldie and Caroline Hamm ()
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Alex Zhou: Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada
Abdelhady Osman: Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada
Genesis Flores: Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada
Dhuvaraha Srikrishnaraj: Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada
Jayashree Mohanty: School of Social Work, University of Windsor, Windsor, ON N9A 0C5, Canada
Retage Al Bader: Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada
Amy Llancari: Department of Biological Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada
Aya El-Hashemi: Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada
Manahel Elias: Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada
Kanza Mirza: Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada
Maureen Muldoon: Faculty of Arts, Humanities and Social Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada
Ryan Palazzolo: Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada
Farwa Zaib: Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada
Indryas Woldie: Department of Biomedical Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada
Caroline Hamm: Schulich School of Medicine, Dentistry Windsor Campus, Windsor, ON N9B 3P4, Canada

IJERPH, 2023, vol. 20, issue 16, 1-11

Abstract: Despite their essential role in Canadian agriculture, migrant workers face numerous healthcare barriers. There is a knowledge gap regarding the healthcare experiences of migrant workers with critical illness in the Windsor-Essex region. Our objective was to collect information on the experiences of migrant workers experiencing a critical illness at Windsor Regional Hospital (WRH) between 31 December 2011 and 31 December 2021. We conducted a retrospective chart review and interviews with migrant workers. We identified 14 migrant workers who presented to WRH with a critical illness over these 10 years. Despite occasional barriers regarding access to care, the migrant workers received an appropriate standard of care in Canada. Five of the fourteen patients identified were repatriated to their home countries. The migrant worker patients interviewed expressed satisfaction with the care they received in Canada but identified repatriation as a specific concern to receiving continuity of care. The health and financial burden imposed by critical illness on migrant workers and their employers makes critically ill workers vulnerable to medical repatriation as a unique social determinant of health. Considering the critical role of migrant workers in Canada’s food security, policy changes should be considered to ensure critically ill workers are able to remain until recovery.

Keywords: critical illness; migrant workers; medical repatriation; cancer; Windsor-Essex (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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