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Copyright of Canadian Journal of Program Evaluation is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background and issues: Physicians' perceptions, beliefs and attitudes towards people living in poverty seriously impact the quality of care. In Quebec, there is little training to help family physicians care for people living in poverty. Purpose: This study aims to examine the training needed by medical residents when providing care to people in poverty. Material and method: The study drew on a qualitative research approach, more specifically a research-action using the photovoice method. During the process, a supervising sociologist, a visual anthropologist, a psychologist and a physician oversaw four residents in family medicine. Results: The photovoice process highlighted three challenges playing a role in the relation between residents and people living in poverty: 1) the context of the resident's medical practice; 2) the patient's socio-economic context; and 3) the social distance between the physicians and the people in poverty. Discussion: The photovoice produced a pedagogy of discomfort, i.e. a way of being that could potentially broaden knowledge of the real conditions of people in poverty as a result of the empathy shown by residents/subjects/researchers. Conclusion: The study helped ascertain the three main challenges that influence the relationship between the residents and people living in poverty. According to the residents it further helped identify solutions that were instrumental in resolving issues. [ABSTRACT FROM AUTHOR]

Copyright of Global Health Promotion is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Pédagogie Médicale is the property of EDP Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: This study presents results of a systematic review aimed at mapping and understanding which elements are essential to the success of innovations for the improvement of the healthcare access for vulnerable groups., Method: A mixed systematic literature review was conducted and several databases were studied (Medline, Cinahl, Embase, Social Work, SocIndex). All OECD countries were covered in 10-year period (2005-2015). In total, 26 articles were deemed relevant and were included in the review., Results: The thematic synthesis reveals several categories of innovation such as navigation services, outreach services and clinics offering adapted care. It also highlights key characteristics which contributed to the success of these innovations and improved patient satisfaction, such as social proximity, mastery of context on the part of the worker, interorganizational and interdisciplinary collaboration, respectful care and, finally, sustainability of funding., Conclusion: One of the main lessons learned from this review is that providing health services in a compassionate way is a determinant for access to care among vulnerable groups.