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1. Refugees are in an unfamiliar environment, manifested by differences in culture, differences in language, and differences in health systems
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[19, 28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59]
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Moderate concerns: A total of 6 articles were of high quality, 8 articles were of acceptable quality, and 19 articles were of low quality.
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Minor concerns: data reasonably consistent across studies, with some minor deviations
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No or very minor concerns: explanatory finding: very high data quantity and richness
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No or very minor concerns
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High confidence: It is highly likely that the review finding is a reasonable representation of the phenomenon of interest
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Although there were moderate concerns over the methodology of some low-quality articles, we have high confidence that the coherence, adequacy and relevance of the data represents the phenomenon well.
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2. Information sharing promotes power and autonomy and is important to help refugees navigate a complex health system. A lack of information sharing results in disempowerment and loss in autonomy.
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[28, 29, 31,32,33,34, 38,39,40,41,42, 44, 45, 47,48,49,50,51, 53, 56, 59]
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Moderate concerns: A total of 5 articles were high quality, 4 articles were acceptable quality, and 12 articles were low quality.
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Minor concerns: data reasonably consistent across studies, with some minor deviations
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No or very minor concerns: explanatory finding: very high data quantity and richness
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No or very minor concerns
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High confidence: It is highly likely that the review finding is a reasonable representation of the phenomenon of interest
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Although there were moderate concerns over the methodology of some low-quality articles, we have high confidence that the coherence, adequacy and relevance of the data represents the phenomenon well.
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3. Refugees reclaim power and autonomy through familiar means. At times, they may be successful, but this may perpetuate their unfamiliarity with the health system
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[19, 20, 28, 30,31,32,33,34, 37,38,39,40, 42,43,44,45,46, 48,49,50, 52,53,54,55,56,57,58,59,60]
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Moderate concerns: A total of 6 articles were high quality, 6 articles were acceptable quality, and 17 articles were low quality.
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Minor concerns: data reasonably consistent across studies, with some minor deviations
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No or very minor concerns: explanatory finding: very high data quantity and richness
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No or very minor concerns
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High confidence: It is highly likely that the review finding is a reasonable representation of the phenomenon of interest
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Although there were moderate concerns over the methodology of some low-quality articles, we have high confidence that the coherence, adequacy and relevance of the data represents the phenomenon well.
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4. Refugees face barriers and enablers in accessing health services which are related to the acceptability, accommodation, accessibility, affordability, and the availability of health services
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[19, 20, 28,29,30,31,32,33,34,35, 37,38,39,40,41,42, 44,45,46,47,48,49,50, 52,53,54,55,56,57,58,59,60]
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Moderate concerns: A total of 6 articles were high quality, 8 articles were acceptable quality, and 17 articles were low quality.
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Minor concerns: data reasonably consistent across studies, with some minor deviations
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No or very minor concern: descriptive finding, high quantity in data
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No or very minor concerns
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High confidence: It is highly likely that the review finding is a reasonable representation of the phenomenon of interest
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Although there were moderate concerns over the methodology of some low-quality articles, we have high confidence that the coherence, adequacy and relevance of the data represents the phenomenon well.
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5. Trust and privacy influence all aspects of access and engagement
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[19, 20, 29, 33,34,35, 38, 39, 42, 44, 46, 47, 49, 52,53,54, 56, 60]
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Moderate concerns: A total of 4 articles were high quality, 4 articles were acceptable quality, and 10 articles were low quality.
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Minor concerns: data reasonably consistent across studies, with some minor deviations
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Moderate concerns: descriptive finding: data quantity not sound, but considerably rich
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No or very minor concerns
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Moderate confidence: It is likely that the review finding is a reasonable representation of the phenomenon of interest
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There were moderate concerns over methodology of articles and the adequacy of the data.
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