Kevin C Pottie

Kevin C Pottie
Western University · Department of Family Medicine

MD MClSc
Ian McWhinney Chair, Digital transformation and health equity with focus on COVID, refugees and homeless populations

About

283
Publications
46,794
Reads
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8,288
Citations
Citations since 2016
156 Research Items
6796 Citations
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Introduction
Kevin Pottie has led a 20-year research program in global health equity. His systematic reviews and guidelines are transforming the clinical approach to refugee care, prevention depresribing During the European refugee health crisis, he worked at WHO and then led the European Migrant health guidelines (ECDC, 2018). He created the Refugee Health e-Learning (www.ccirhken.ca) and member of the Canadian Refugee Health Network. He is a leader at the Cochrane Equity Methods and GRADE Working Group.
Additional affiliations
September 2005 - present
Bruyère Research Institute
Position
  • Clinical Investigator
September 1999 - February 2017
University of Ottawa
Position
  • Professor (Associate)
Description
  • Evidence based systematic review with focus on equity methods
September 1999 - present
University of Ottawa
Position
  • Professor (Associate)
Description
  • Focus on Systematic reviews, Evidence Based Guidelines, Disadvantaged Populations and Equity Methods
Education
September 1998 - May 2001
The University of Western Ontario
Field of study
  • Family Medicine
September 1988 - June 1992
Dalhousie University
Field of study

Publications

Publications (283)
Article
Full-text available
To identify and prioritize innovative strategies to address the health concerns of vulnerable migrant populations. Modified Delphi consensus process. Canada. Forty-one primary care practitioners, including family physicians and nurse practitioners, who provided care for migrant populations. We used a modified Delphi consensus process to identify an...
Article
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T he Canadian Task Force on Preventive Health Care (CTFPHC) was reestablished in 2010 with a mandate to develop and disseminate clinical practice guidelines (CPGs) for primary and preventive care. The CTFPHC uses the GRADE (grading of recommendations, assessment, development, and evaluation) system to rate the quality of its evidence and the streng...
Article
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In the GRADE approach, the strength of a recommendation reflects the extent to which we can be confident that the composite desirable effects of a management strategy outweigh the composite undesirable effects. This article addresses GRADE's approach to determining the direction and strength of a recommendation. The GRADE describes the balance of d...
Article
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Background: The mitigation of unfair and avoidable differences in health is an increasing global priority. Observational studies including cohort, cross-sectional and case-control studies tend to report social determinants of health which could inform evidence syntheses on health equity and social justice. However, the extent of reporting and analy...
Article
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Background International migration, especially forced migration, highlights important medical training needs including cross-cultural communication, human rights, as well as global health competencies for physical and mental healthcare. This paper responds to the call for a ‘trauma informed’ refugee health curriculum framework from medical students...
Preprint
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Introduction The COVID-19 pandemic underlined that guidelines and recommendations must be made more accessible and more understandable to the general public, including adults, parents, and youth, to improve health outcomes. The objective of this study is to the public’s (youth, parents, and adult populations) understanding, usability, satisfaction,...
Article
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Aim The significant increase in international cross-border migrations remains a global public health concern; therefore, the need for migrant-specific evidence-based interventions is critical. We assessed the methodological and reporting quality of systematic reviews (SRs) focused on migrant healthcare interventions. Methods We systematically sear...
Article
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Objectives To evaluate the development and quality of actionable statements that qualify as good practice statements (GPS) reported in COVID-19 guidelines. Design and setting Systematic review . We searched MEDLINE, MedSci, China National Knowledge Infrastructure (CNKI), databases of Grading of Recommendations Assessment, Development and Evaluatio...
Article
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An evidence-based approach is considered the gold standard for health decision-making. Sometimes, a guideline panel might judge the certainty that the desirable effects of an intervention clearly outweigh its undesirable effects as high, but the body of supportive evidence is indirect. In such cases, the application of the Grading of Recommendation...
Article
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The COVID-19 pandemic has negatively impacted the lives and well-being of long-term care home residents. This mixed-method study examined the health equity implications of the COVID-19 lockdown and visitation strategies in long-term care homes in Ontario. We recruited long-term care home residents, their family members and designated caregivers, as...
Article
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Objective To develop a digital communication tool to improve the implementation of up-to-date COVID-19 recommendations. Specifically, to improve patient, caregiver and public understanding of healthcare recommendations on prevention, diagnoses and treatment. Study Design and Setting Multi-stakeholder engagement design. In conjunction with the COVI...
Article
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Following resettlement in high-income countries, many immigrants and refugees experience barriers to accessing primary healthcare. Local non-medical settlement organizations, such as the Local Immigration Partnerships in Canada, that support immigrant integration, may also support access to mental health and healthcare services for immigrant popula...
Article
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Refugees and asylum seekers often face delayed mental health diagnoses, treatment, and care. COVID-19 has exacerbated these issues. Delays in diagnosis and care can reduce the impact of resettlement services and may lead to poor long-term outcomes. This scoping review aims to characterize studies that report on mental health screening for resettlin...
Article
Depressive symptoms and alcohol use in youth doubled in the first year of the COVID‐19 pandemic. The COVID‐19 pandemic has created sustained disruption in society, schools, and universities, including increasing poverty and discrimination. Public health restrictions have caused isolation and reduced social and emotional support. Together, these fac...
Article
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Background Migrant populations in high-income countries have faced myriad health and social inequities during the COVID-19 pandemic. Migrants often work in frontline essential services that expose them to COVID-19. Migrant workers in meat processing plants have endured large COVID-19 outbreaks across multiple countries. Objectives We examine curre...
Article
Objective: To study the prevalence of chronic conditions (ie, anemia, glucose-6-phosphate dehydrogenase [G6PD] deficiency, hepatitis B virus (HBV) and hepatitis C virus (HCV) infection, and tobacco use) in Syrian refugees. Design: Cross-sectional study. Four primary care health clinics received Syrian refugees from December 2015 to April 2016, a...
Article
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Introduction: Pregnant and postpartum women face major psychological stressors that put them at higher risk of developing common mental disorders, such as depression and anxiety. Yet, their limited access to and uptake of traditional mental health care is inequitable, especially during the COVID-19 pandemic. Mobile interventions emerged as a poten...
Article
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Background By 2030, the global population of people older than 60 years is expected to be higher than the number of children under 10 years, resulting in major health and social care system implications worldwide. Without a supportive environment, whether social or built, diminished functional ability may arise in older people. Functional ability c...
Article
Objectives: To propose a taxonomy and framework that identifies and presents actionable statements in guidelines. Study design and setting: We took an iterative approach reviewing case studies of guidelines produced by the World Health Organization and the American Society of Hematology to develop an initial conceptual framework. We then tested...
Preprint
Full-text available
Background: International migration, especially forced migration, highlights important medical training needs including cross-cultural communication, human rights, as well as global health competencies for physical and mental healthcare. This paper responds to the call for a ‘trauma informed’ refugee health curriculum framework from medical student...
Article
Full-text available
Objective: To guide clinicians working in a range of primary care clinical settings on how to provide effective care and support for refugees and newcomers during and after the coronavirus disease 2019 (COVID-19) pandemic. Sources of information: The described approach integrates recommendations from evidence-based clinical guidelines on refugee...
Article
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Objectif: Guider les cliniciens qui travaillent dans divers milieux cliniques de soins primaires quant aux façons de prodiguer des soins et du soutien efficaces aux réfugiés et aux nouveaux arrivants, durant et après la pandémie de la maladie à coronavirus 2019 (COVID-19). Sources d'information: L'approche décrite intègre les recommandations tir...
Article
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Introduction This study reviewed the economic evidence of rapid HIV testing versus conventional HIV testing in low-prevalence high-income countries; evaluated the methodological quality of existing economic evaluations of HIV testing studies; and made recommendations on future economic evaluation directions of HIV testing approaches. Methods A sys...
Article
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Background Homelessness has emerged as a public health priority, with growing numbers of vulnerable populations despite advances in social welfare. In February 2020, the United Nations passed a historic resolution, identifying the need to adopt social-protection systems and ensure access to safe and affordable housing for all. The establishment of...
Article
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The COVID-19 pandemic has had a major impact on the mental health of refugees and migrants. This study aimed to assess refugee clinician perspectives on mental health care during the COVID-19 pandemic, specifically access to and delivery of community mental health care services. We utilized a mixed methods design. We surveyed members of a national...
Article
Background: Social networking platforms offer a wide reach for public health interventions allowing communication with broad audiences using tools that are generally free and straightforward to use and may be combined with other components, such as public health policies. We define interactive social media as activities, practices, or behaviours a...
Article
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Background: A growing number of migrants experience precarious housing situations worldwide, but little is known about their health and housing experiences. The objective of this study was to understand the enablers and barriers of accessing fundamental health and social services for migrants in precarious housing situations. Methods: We conduct...
Chapter
Global mental health explores cultural differences and country-specific conditions, it deals with the epidemiology of mental disorders in different countries, their treatment options, mental health education, the structure of mental health care systems, and human rights issues. Specifically, this chapter focuses on community-based mental health app...
Article
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Background Human Papillomavirus (HPV) is the most common sexually transmitted infection in Canada and around the world. Vaccination is an effective prevention strategy, but uptake is low, especially among newcomers to Canada. We sought to understand newcomers’ knowledge, attitudes, and beliefs (KAB) on HPV and HPV vaccination and their role in HPV...
Article
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The rapidly unfolding Coronavirus Disease of 2019 (COVID-19) pandemic and an ever-increasing volume of relevant literature presents considerable strain for decision makers. Those decision makers are interested in information not only about benefits and harms of interventions but also contextual information such as people’s values and preferences, c...
Article
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Introduction Bien qu’une grande partie de la littérature sur l’itinérance porte principalement sur l’expérience des hommes, les femmes forment plus du quart de la populationdes sans-abri au Canada. Des études ont montré que les femmes en situation d’itinérance sont souvent cachées (c. à.-d. qu’elles sont logées provisoirement) et qu’à la fois le pa...
Article
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Introduction While much of the literature on homelessness is centred on the experience of men, women make up over one-quarter of Canada’s homeless population. Research has shown that women experiencing homelessness are often hidden (i.e. provisionally housed) and have different pathways into homelessness and different needs as compared to men. The...
Article
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“Although the world is full of suffering, it is also full of the overcoming of it [...]
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Background Increasing numbers of primary care practitioners in refugee resettlement countries are providing care to refugees. Access to trained interpreters is a priority for these practitioners, but there are many barriers to the implementation of interpreted consultations in routine care. There is a lack of international, theoretically informed r...
Article
Objective To present a structured approach for assessing stakeholder perceptions and implementing the approach in guideline development. Study Design and Setting This work was carried out by the GRADE Equity and Stakeholder Engagement Project Groups through brainstorming and iterative frameworks, stakeholder engagement, pilot testing, refinement o...
Article
The initial assessment of immigrant and refugee patients, including which health concerns to address and which infectious diseases may benefit from early screening, may present challenges to clinicians. Evidence-based research suggests certain infectious diseases should be screened for and treated in refugees. Overseas refugee preemptive treatment...
Article
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Migrants are at a higher risk for common mental health problems than the general population but are less likely to seek care. To improve access, the World Health Organization (WHO) recommends the integration of mental health services into primary care. This scoping review aims to provide an overview of the types and characteristics of mental health...
Article
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Clinical practice guidelines can improve the clinical and social care for marginalized populations, thereby improving health equity. The aim of this study is to identify determinants of guideline implementation from the perspective of patients and practitioner stakeholders for a homeless health guideline. We completed a mixed-method study to identi...
Article
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How do refugee youth use social media and Information and Communication Technologies (ICTs)? Is ICT use relevant to refugee health and well-being? We conducted a systematic scoping review to identify current social media use behaviors. We examined impacts of social media and information sharing applications on health, well-being, inclusion, and int...
Article
Objective: To guide family physicians working in a range of primary care clinical settings on how to provide care and support for patients who are vulnerably housed or experiencing homelessness. Sources of information: The approach integrates recommendations from evidence-based clinical guidelines, the views of persons with lived experience of h...
Article
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Objectif: Guider les médecins de famille de divers types de pratique familiale quant à la façon de dispenser des soins et du soutien aux patients logés précairement ou qui vivent l’itinérance. SOURCES D’INFORMATION: L’approche intègre les recommandations tirées des lignes directrices cliniques fondées sur les données probantes, l’opinion des person...
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Background: Medical student demands for competency based homeless health education is increasing. Indeed, humans living homeless is a treatable health and social emergency. This innovation report outlines the initial development of an education framework for homeless health. Methods: A medical student task force and educators conducted a mixed m...
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Background: Without adequate reporting of research, valuable time and resources are wasted. In the same vein, adequate reporting of practice guidelines to optimise patient care is equally important. Our study examines the quality of reporting of published WHO guidelines, over time, using the RIGHT (Reporting Items for Practice Guidelines in HealTh...
Article
Objective To evaluate how and to what extent health equity considerations are assessed in WHO guidelines. Study design and Setting We evaluated WHO guidelines published between January 2014 and May 2019. Health equity considerations were assessed in relation to differences in baseline risk, importance of outcomes for socially disadvantaged populat...
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Culture, tradition, structural violence, and mental health-related stigma play a major role in global mental health for refugees. Our aim was to understand what factors determine the success or failure of community-based psychotherapy for trauma-affected refugees and discuss implications for primary health care programs. Using a systematic realist-...
Article
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This is a protocol for a co‐registered Cochrane and Campbell Review (Methodology). The objectives are as follows: To identify, describe and assess methods for: when to replicate a systematic review; how to replicate a systematic review.
Article
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Background Permanent supportive housing and income assistance are valuable interventions for homeless individuals. Homelessness can reduce physical and social wellbeing, presenting public health risks for infectious diseases, disability, and death. We did a systematic review, meta-analysis, and narrative synthesis to investigate the effectiveness a...
Article
Introduction Coronavirus disease 2019 (COVID-19) is a global pandemic. Governments have implemented combinations of ‘lockdown’ measures of various stringencies, including school and workplace closures, cancellations of public events, and restrictions on internal and external movements. These policy interventions are an attempt to shield high risk i...
Article
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Migration to the European Union (EU)/European Economic Area (EEA) affects the epidemiology of infectious diseases, including tuberculosis (TB), HIV, hepatitis B/C, and parasitic diseases. Some sub-populations of migrants are also considered to be an under-immunised group and thus at risk of vaccine-preventable diseases. Providing high-risk migrants...
Article
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Background Homelessness is one of the most disabling and precarious living conditions. The objective of this Delphi consensus study was to identify priority needs and at-risk population subgroups among homeless and vulnerably housed people to guide the development of a more responsive and person-centred clinical practice guideline. Methods We used...
Article
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Background Individuals who are homeless or vulnerably housed are at an increased risk for mental illness, other morbidities and premature death. Standard case management interventions as well as more intensive models with practitioner support, such as assertive community treatment, critical time interventions, and intensive case management, may imp...
Article
The Joint United Nations Programme on HIV and AIDS (UNAIDS) and the Public Health Agency of Canada wish to reach, test and treat at least 90 percent of undiagnosed people living with HIV. Fourteen percent (9,090 of 63,100) of Canadians living with HIV were unaware of their status by the end of 2016. Evidence about barriers before and after reaching...