National Strategy Research Articles

Characteristics and outcomes of people in suicidal crisis at two emergency departments: a service evaluation.

Emergency departments (EDs) provide critical opportunities for nurses to support suicide prevention. This article details a service evaluation that was undertaken to explore the characteristics and outcomes of people in suicidal crisis at two EDs in the East of England during June 2023. Data routinely collected by the ED mental health liaison team were combined with a retrospective case note review of the local NHS mental health trust's electronic patient records. Attendees had a mean age of 35 years and seven months, and were often diagnosed with depression or emotionally unstable personality disorder. Most had a history of self-harm and were currently known to mental health services. Suicide-specific interventions were rarely recorded by nurses and relapse behaviours were prevalent after presentation. Local and national suicide prevention strategies should encourage nurses to address gaps in support, thereby improving patients' experiences in and beyond the ED.

Identification of Key Areas for Ecological Conservation and Restoration based on Multi-source Data and Remote Sensing Time Series Analysis

Abstract. Ecological conservation and restoration of national land space is an important aspect for implementing the national ecological civilization strategy, and an important measure for establishing the national ecological security pattern and coordinating the systematic management of mountains, water, forests, fields, lakes, grass and sand. The identification of key areas for ecological conservation and restoration is a precondition to spatially and temporally laying out ecological conservation and restoration planning, which is crucial for the ecological conservation and restoration of national land space. Therefore, this paper considers Henan Province as the study area and carries the research and practice of identifying key areas for ecological conservation and restoration by integrating multi-source data and remote sensing time series analysis. Firstly, based on the Google Earth Engine (GEE) cloud platform and MOD13A1 data, the Mann-Kendall method is used to analyze the trend of time series NDVI in the study area from 2011 to 2020. Secondly, based on multi-source data such as meteorological, soil, topographic, net primary production (NPP), etc., an ecosystem health analysis and assessment based on ecosystem service trade-off and synergy is used to select ecological source. Finally, based on the results of time series NDVI analysis and ecological source selection, fusion analysis is used to identify key areas for ecological conservation and restoration. The results show that this proposed research framework not only considers the “static” ecosystem services and ecosystem health attributes, but also measures the “dynamic” ecosystem change trends. It can effectively identify key areas for ecological conservation and restoration in national space. The results of the study can provide technical support for the background survey, problem identification, planning and engineering layout of ecological conservation and restoration in the national land space.

Positive or Negative: The Heterogeneities in the Effects of Urban Regeneration on Surrounding Economic Vitality—From the Perspective of Housing Price

Urban regeneration is a sound, sustainable urban development strategy globally. In China, promoting urban regeneration has become the national sustainable urban strategy. Under the resource constraint, it is necessary to understand what benefits different types of urban regeneration projects can contribute to urban development. Much research has contributed to evaluating the benefits of urban regeneration on the project scale. The systematic investigation of their effects on surrounding economic vitality, especially the comparison between different types of projects, is relatively downplayed. This paper aims to evaluate and compare the effects of urban regeneration projects on surrounding economic vitality by calculating the change in housing prices. Chongqing is selected as the case city. Based on the housing transaction data from 2015 to 2021, a staggered difference-in-difference method is employed to capture the results. The finding shows that the overall effects are significantly negative, especially within a 400–800 m radius. Higher investment or better project location relates to stronger negative effects. Moreover, the differences in effects among the three types of urban regeneration projects are clearly revealed from diverse perspectives. It provides a valuable reference for policymakers and urban planners to make urban regeneration planning better by considering comprehensive benefits.

Damping accumulative NDAGM(1,N, α) power model and its applications

PurposeIn this essay, a new NDAGM(1,N,α) power model is recommended to resolve the hassle of the distinction between old and new information, and the complicated nonlinear traits between sequences in real behavior systems.Design/methodology/approachFirstly, the correlation aspect sequence is screened via a grey integrated correlation degree, and the damped cumulative generating operator and power index are introduced to define the new model. Then the non-structural parameters are optimized through the genetic algorithm. Finally, the pattern is utilized for the prediction of China’s natural gas consumption, and in contrast with other models.FindingsBy altering the unknown parameters of the model, theoretical deduction has been carried out on the newly constructed model. It has been discovered that the new model can be interchanged with the traditional grey model, indicating that the model proposed in this article possesses strong compatibility. In the case study, the NDAGM(1,N,α) power model demonstrates superior integrated performance compared to the benchmark models, which indirectly reflects the model’s heightened sensitivity to disparities between new and old information, as well as its ability to handle complex linear issues.Practical implicationsThis paper provides a scientifically valid forecast model for predicting natural gas consumption. The forecast results can offer a theoretical foundation for the formulation of national strategies and related policies regarding natural gas import and export.Originality/valueThe primary contribution of this article is the proposition of a grey multivariate prediction model, which accommodates both new and historical information and is applicable to complex nonlinear scenarios. In addition, the predictive performance of the model has been enhanced by employing a genetic algorithm to search for the optimal power exponent.

Evaluating the Sustainable Development Performance of China’s International Commercial Ports Based on Environmental, Social and Governance Elements

An environmental, social and governance (ESG) evaluation system can focus on the value of enterprises more comprehensively and better scrutinize the development premise of enterprise. As a novel investment concept, both domestic and foreign investors widely acknowledge the significance of ESG. With the implementation of “carbon peak”, “carbon neutral” and other national strategies, an increasing number of transportation enterprises in China’s international commercial ports have started to focus on the role of ESG evaluation. This not only facilitates self-examination and correction within enterprises but also helps in adjusting the strategic direction toward sustainable development. This shift toward ESG evaluation is crucial for promoting environmental sustainability and corporate social responsibility within the transportation industry. In this regard, this study aims to evaluate the sustainable development performance of China’s international commercial ports based on ESG elements. A data envelopment analysis (DEA) is considered to be a non-parametric performance evaluation method that can effectively solve for multi-criteria decision-making units, so this study mainly selects the DEA model for the performance evaluation. This study conducted research to select eight benchmarking companies within the industry and found that efficient units excelled in their ability to complete capacity levels with high quality and quantity at ports. In contrast, less efficient units scored lower in the domain of social responsibility.

Greening the BRICS: How Green Innovation Mitigates Ecological Footprints in Energy-Hungry Economies

The escalating energy consumption seen in the BRICS countries, namely Brazil, Russia, India, China, and South Africa, presents a substantial environmental problem, resulting in the depletion of resources, amplified carbon emissions, and endangering the well-being of ecological systems. The study examines the potential of green innovation to alleviate these adverse effects. By combining green technology with strong institutions and responsible energy consumption, we argue that the BRICS nations can significantly reduce their ecological footprint. This research, encompassing data from 1995 to 2022, employs Driscoll–Kraay and panel quantile regression to analyze the complex interplay of institutional quality, energy consumption, green innovation, and ecological footprints across the BRICS countries. Our findings reveal that green innovation is crucial in mitigating the ecological footprint, particularly when combined with resilient institutional quality and controlled energy use. Conversely, factors like high energy consumption, natural resource rent, and urbanization contribute to an increased ecological footprint. Notably, the study emphasizes the critical role of both institutional quality and renewable energy consumption in effectively reducing the ecological burden within the BRICS nations. These findings suggest that prioritizing investments in green technology and institutional development, even amidst high energy demands, represents a viable strategy for the BRICS nations to achieve sustainable growth and environmental responsibility.

Spatio-Temporal Changes of Arable Land and Their Impacts on Grain Output in the Yangtze River Economic Belt from 1980 to 2020

The “Yangtze River Economic Belt Development Strategy” is one of China’s three major national development strategies. Enhancing the protection and quality of arable land in the Yangtze River Economic Belt (YEB) is pivotal for fostering regional growth. In this study, land use data spanning the years 1980 to 2020 in the YEB were extracted from the national land use database maintained by the Resource and Environment Data Center of the Chinese Academy of Sciences. Employing Geographic Information System (GIS) spatial analysis techniques and arable land change metrics, the study delineated the spatiotemporal characteristics of arable land alterations across the YEB for the period. Additionally, using grain output data at the prefecture level from 2011 to 2020, the paper calculated provincial grain output to analyze the impact of arable land changes over the last four decades on grain output. The findings revealed that: (1) From 1980 to 2020, the total arable land area in the YEB decreased by approximately 41,775 square kilometers, with the most significant decrease occurring in the downstream region. (2) From 1980 to 1990, the primary factor contributing to the decrease in arable land area was the expansion of water bodies, while from 1990 to 2020, the principal reason for the reduction in arable land area was the expansion of construction land. (3) From 1980 to 2020, the decrease in arable land area resulted in a net reduction of approximately 25.12 million tons in total grain output, with the largest decline observed in the downstream regions and the smallest decline in the upstream regions. (4) Consistent with the trends in arable land area reduction, the main reason for the decline in grain output from 1980 to 1990 was the expansion of water bodies encroaching upon arable land, whereas from 2000 to 2010, the primary cause of arable land reduction was the expansion of construction land areas. In conclusion, the research suggested that over the past four decades, the primary driver behind the reduction in arable land within the YEB has been the expansion of construction land areas. Particularly noteworthy was the period from 2000 to 2010, during which the impact of arable land reduction on grain output was most pronounced. This period coincided with the rapid economic development and accelerated urbanization process within the YEB.

Genetic Diversity and Population Structure among Arabian Horse Genealogical Lineages in Bulgaria

The present research aimed to characterize the genetic diversity and relationships among extant Arabian horse sire lines in Bulgaria, using 15 equine microsatellite markers. The evaluation included 537 Arabian horses representing nine sire lines (SAKLAWI I, LATIF, SEANDERICH, IBRAHIM, SHABAB, DJEBEL MOUSA, KUHAILAN AFAS, BAIRACTAR, and SARHAN). The obtained results indicated that within these lines, the mean number of alleles ranged from 4.15 in SARHAN to 5.54 in SAKLAWI I and LATIF. The mean expected heterozygosity (He) ranged from 0.54 in the SEANDERICH line to 0.67 in SAKLAWI I. The inbreeding coefficient for the entire Arabian populations was rather low: FIS = −0.109, fluctuating from −0.204 in SHABAB to −0.041 in SAKLAWI I. The mean genetic differentiation, FST, was 0.096, demonstrating that nearly 90% of the total genetic variation was due to genetic differentiation within each population. STRUCTURE analysis indicated a genetic similarity between SHABAB and LATIF, between IBRAHIM and KUHAILAN AFAS, as well as between SAKLAWI I, SEANDERICH, and BAIRACTAR. This study of the genetic diversity of Arabian sire lines in Bulgaria can assist in developing a national strategy for the exclusion of non-purebred animals from breeding programs in order to preserve the genetic profile of the original Arabian lines.

Self-presentation of grey-haired influencers on TikTok: active ageing in China

ABSTRACT As the ageing of global societies continues to accelerate, China is actively responding to population ageing through its national strategy, and the rise of new media has provided more opportunities for the realization of this strategy. With the support of new media platforms such as TikTok, elderly people have started an active ageing trend on the Internet. This research conducts a qualitative content analysis of the videos of the top 10 ‘grey-haired influencers’ on the TikTok platform based on the theory of self-presentation, with a focus on their self-presentation in the new media era. Technological empowerment has facilitated the main narrative of grey-haired influencers, and they have transformed from being ‘presented by others’ to ‘creating self-images’. The self-presentation strategies of grey-haired influencers encompass both adherence to and deviations from Goffman’s theory. These strategies elicit diverse feedback from the audience, which prompts the grey-haired influencers to make further adjustments to their strategies and self-presentation. Ultimately, these influencers strive to create a meaningful space for older individuals, promote the development of a new grey-haired identity, and facilitate the dissemination of narratives about ageing among different age groups, thus fostering the practice of active ageing.

Integrated Supervision Center of Huaihua International Inland Port: The Feasibility and Essentiality

Building an integrated supervision center in Huaihua is feasible and essential because Huaihua City is at the center of the border regions of Hunan, Hubei, Chongqing, Guizhou, and Guangxi. In addition, it is a national transportation hub in China because of its distinctive geographic location, abundant resources and labor force. Due to the development of Huaihua International Inland Port, Huaihua has an excellent opportunity to be a logistics and trade center for inland areas in Central China. Given considerations in national strategies, food security, economic development and other factors, an integrated supervision center can be built in Huaihua, as it can promote the connectivity of the Wuling Mountain area and the neighboring provinces, contribute to regional economic development, and enhance China’s national security and supervisory capacity. The development of Huaihua as an integrated supervision center facilitates the processing, bonded warehousing and logistics distribution of high-quality imported commodities from neighboring countries, especially ASEAN countries.

Governing Corporations in National and Transnational Spaces: Cross‐Level Governmental Orchestration of Corporate Social Responsibility in South Korea

AbstractThe loose spatial and temporal coordination of national and transnational governmental corporate social responsibility (CSR) strategies enables multinational corporations (MNCs) to externalize irresponsible behaviours. Political CSR (PCSR) and ‘government and CSR’ studies show how governmental authority shapes CSR at the domestic and transnational levels but provide only limited insights into how to govern MNCs across levels and over time. Combining the concept of orchestration with insights from power transition theory, we theorize cross‐level governmental orchestration as power‐imbued, dynamic, and involving multiple modes of orchestration. Through an analysis of how the South Korean state has deployed CSR domestic and transnational strategies over 30 years, we induce three configurations of cross‐level governmental orchestration, blending coercive, directive, delegative and facilitative modes of orchestration, and identify the mechanisms behind Korea's transition from one configuration to another. Our results: (1) contribute to PCSR and ‘government and CSR’ studies by conceptualizing a systemic and dynamic view of cross‐level orchestration of governmental CSR strategies; (2) advance transnational governance studies by consolidating orchestration theories and considering coercive power, and (3) add to power transition theory by explaining how regulatory capacity‐building enables shifts of cross‐level orchestration configurations.

The impact of the proportion of renewable energy consumption on geopolitical risks in the United States and the United Kingdom

Renewable energy serves as an effective alternative to traditional fossil fuels, reducing reliance on energy imports from specific countries, thereby alleviating geopolitical risks and ensuring national energy security. The development and utilization of renewable energy have profound implications for the global energy consumption structure and geopolitical landscape. This paper utilizes time-series and panel data from 1990 to 2020 to examine the causal relationship between renewable energy consumption and geopolitical risks. Focusing primarily on the United States and the United Kingdom, a multivariate regression model was developed for empirical analysis, with a comparative analysis conducted against other Group of Seven (G7) member countries. Subsequent robustness checks were performed to further validate the model's robustness. Additionally, this study explores the role of military strength as a moderating variable in the relationship between renewable energy and geopolitics. Lastly, a vector autoregression model was constructed to analyze the dynamic relationships between renewable energy and related variables. The findings reveal that (1) consumption of clean renewable energies, such as solar, wind, and tidal energy, significantly reduces geopolitical risks in the United States and the United Kingdom, with differing empirical results for France, Canada, and Japan, interpreted according to their developmental contexts and (2) increased defense expenditure in the US and the UK significantly enhances the positive impact of renewable energy consumption on mitigating geopolitical risks. Utilizing renewable energy not only diversifies national energy options but also reduces reliance on fossil fuels and fosters international cooperation, thereby easing geopolitical tensions. This research enriches the literature on the relationship between renewable energy consumption and national energy security in key global nations and offers theoretical insights for the formulation and implementation of national energy development strategies in the new world development paradigm.

The impact of the English national health inequalities strategy on inequalities in mortality at age 65: a time-trend analysis.

During the 1997-2010 Labour government, several policies were implemented to narrow health inequalities as part of a national health inequalities strategy. Many of these policies are likely to have had a disproportionately large impact on people aged 65 and over. We aimed to understand the association between the health inequalities strategy period and inequalities in mortality at age 65-69. We use population at risk and mortality data covering 1991-2019 to calculate mortality rate at age 65-69 at the Local Authority level. We use the 2019 Index of Multiple Deprivation to examine geographical inequalities. We employ segmented linear regression models with marginal spline terms for the strategy period and interact these with an indicator of deprivation to understand how inequalities changed before, during and after the strategy. The reporting of this study adheres to STROBE guidelines. Mortality rates in each deprivation quintile improved continuously throughout the period of study. Prior to the programme (1991-9) there was no significant change in absolute inequalities. However, during the strategy (2000-10) there was a significant decrease in absolute inequalities of -9.66 (-17.48 to -1.84). The period following the strategy (2011-19) was associated with a significant increase in absolute inequalities of 12.84 (6.60 to 19.08). Our results were robust to a range of sensitivity tests. The English health inequalities strategy was associated with a significant reduction in absolute inequality in mortality age 65-69. Future strategies to address inequalities in ageing populations may benefit from adopting a similar approach.

Sustainable-Driven Renovation of Existing Residential Buildings in China: A Systematic Exploration Based on Review and Solution Approaches

Under the backdrop of China’s national strategy to achieve carbon neutrality by 2060, efforts are underway across governmental, corporate, societal, and individual sectors to actively explore energy-saving renovations in existing buildings. Given that residential buildings constitute a significant proportion of the total energy consumption throughout the lifecycle of buildings in China, sustainable renovation of residential structures can contribute significantly to implementing China’s carbon emission reduction policies. While there exists a plethora of technological means in the market aimed at improving the energy performance of residential buildings, there still needs to be a more systematic discussion on the framework for sustainable renovation of existing Chinese residential buildings, with knowledge dissemination still needing to be more cohesive. In this context, this paper provides a comprehensive review of the field, utilizing bibliometric methods. Through a systematic review of selected peer-reviewed literature from the Web of Science and Scopus databases, the study focuses on the sustainable renovation of existing Chinese residential buildings, categorizing the process into three main stages: sustainable renovation, building performance simulation and suitability assessment. The paper also reviews the research methods adopted by previous researchers in the renovation, simulation and assessment stages, considering various optimization algorithms, variables, objectives, and software tools. Subsequently, the paper synthesizes a research framework comprising these three stages combined for different research objectives, aiming to assist policymakers, designers, and researchers in gaining a comprehensive understanding of the implementation status of sustainable renovation in existing Chinese residential buildings, identifying barriers to implementation, and formulating more efficient renovation policies and strategies for the future.

Artisanal and small-scale gold mining and biodiversity: a global literature review.

Artisanal and small-scale gold mining (ASGM) is crucial to the livelihoods of close to 20 million people in over 80 countries, including 4-5 million women, mainly in rural areas with limited alternative economic prospects, particularly in developing countries. ASGM is largely informal, which can add to the challenge of addressing negative social and environmental effects including impacts on biodiversity. However, with proper guidance, ASGM can operate in a responsible manner, using cleaner production methods that minimize impacts on human health and the environment. This study presents and analyzes the interactions between ASGM and biodiversity based on new findings from 27 ASGM National Action Plans (NAPs) developed within the framework of Article 7 and Annex C of the Minamata Convention on Mercury, as well as a global literature review of more than 100 publications. In terms of key findings according to the literature reviewed, alongside other human occupation such as agriculture and industrial activities, ASGM also has an impact on the environment and biodiversity. The interrelationship between ASGM and biodiversity, including protected areas, is pervasive at every stage of ASGM operations, from extraction to mine closure, and generates significant impacts on the surrounding ecosystems. These impacts include, in descending order of most reported impacts: deforestation, soil degradation, chemical contamination of aquatic and terrestrial systems, and changes to the turbidity of watercourses. Tropical regions and key species such as amphibians and freshwater fish are among the most affected. Singly or combined, these environmental stressors lead to loss or deterioration of habitat and, by extension, indigenous biodiversity and ecosystem services. In addition, legal, institutional, and regulatory frameworks and related measures, inadequate or non-existent in some cases, may not necessarily support sustainable practices, often resulting in exploited sites abandoned without remediation, reclamation, rehabilitation, or restoration measures. To mitigate such impacts a key recommendation arising from the literature review is to strengthen the integration of the interrelationship between ASGM and biodiversity in the implementation of existing relevant national strategies, including those developed under the NAPs. The global literature review also highlights the importance of a multi-stakeholder, systemic approach combining the use of geospatial analysis, scientific and local knowledge, as well as the adaptation of the relevant frameworks, capacity building, and awareness raising. This approach can inform decision making with a view to developing sustainable initiatives that prevent and reduce the impacts of artisanal and small-scale gold mining on ecosystems, and that preserve biodiversity.

The Future is Now: Educators’ Vision for Tomorrow

Education is never far from the news. It is intimately tied to the past, the present and the future. Some say that the past is where education has remained in terms of vision and practice. The more optimistic see education as taking stock of the past to create a present and a future. We are on the threshold of several important national milestones. The National Strategy for Education is up for review in the next two years as well as the National Curriculum. Then there is the collective agreement for educators, which is up for review in 2023. The future of educators hinges on the present and the future. This research, therefore, invited educators to reflect on the future of education and educators themselves. Nine focus groups were conducted, with 45 participants in total. Five key themes emerged from the data as influencing the future of education and educators, namely teaching and learning, leadership and climate, the education system itself, policy, and a changing society. The insights may serve as the basis for reflection and as a springboard for the generation of policy and practice on a national level.

Hybrid warfare and the challenge to international law

This article explores the complex landscape of hybrid warfare, a multifaceted conflict strategy blending conventional military tactics with cyberattacks, information warfare, and economic coercion. It examines the challenges hybrid warfare poses to international law, the difficulties in establishing legal definitions, and the strategic responses by major powers including Russia, the United States, and China. The discussion extends to the adaptation of national and international strategies to address the gray zones of conflict that hybrid warfare exploits. Emphasizing the need for innovative legal frameworks and international cooperation, the article highlights hybrid warfare’s impact on global security dynamics and the evolving nature of warfare in the digital age.

Baltic States’ EU membership: discursive search for (and failure to obtain) farewell from Russia

ABSTRACT The article assesses the EU membership of Estonia, Latvia and Lithuania with a special focus on their attempts, already as EU members to change their relations with Russia, which remains their ‘significant Other’. We employ the discourse-historical analysis and focus on the evolution of the Baltic strategic discourse towards three themes, particularly contested by Russia, including the domestic interethnic issues, politics of memory and the elements of the constitutional identities of three Baltic States. First, with references to the EU context, we introduce several landmark cases of the Baltic confrontation with Russia which occurred prior to 2014 (‘pre-Crimea’). Then we analyze the corpus of official documents from three Baltic states (2011 - December 2023), including their government programs, national security strategies, Constitutions and programs of their EU Council Presidencies (2013 Lithuania, 2015 Latvia and 2017 Estonia). Discourse analysis reveals how cautionary attitudes from the Baltic States are linked with their historical experiences of the Soviet occupation and with their prudent assessment of the EU as a security guarantee. We conclude that 20 years after the Baltic EU accession, their relations went through the full circle and since ‘post-Crimea’ downgraded from pragmatic partnership to animosity which makes Baltic-Russian reconciliation ontologically impossible.

Insecticide resistance in Anopheles gambiae sensu lato (Diptera: Culicidae) across different agroecosystems in Niamey, Niger

Malaria vector control in Niger is currently based on the distribution of insecticide treated nets. However, vectors resistance to insecticides represents a major threat to the current national strategy against malaria. This study aims to characterize the impact of agroecosystems on insecticide resistance in Anopheles gambiae s.l. at Niamey. Larvae collected were reared until emergence. Adults aged 2-5 days were used to assess susceptibility to insecticides (pyrethroids, DDT and bendiocarb) after pre-exposure to piperonyl butoxide (PBO) synergist according to WHO protocols. PCRs were performed to identify the sibling species of An. gambiae complex and characterization resistance mutations (Kdr and ace-1). Overall, An. gambiae s.l. was resistance to pyrethroids and DDT (mortality rates from 1% to 55%) and susceptible to bendiocarb at most sites. Pre-exposure to the PBO synergist resulted in partial restoration of pyrethroid susceptibility. Two species of An. gambiae complex were found: An. arabiensis and An. coluzzii. The presence of An. coluzzii was strongly correlated with agricultural practices (99% in rice cultivation sites). Kdr mutations were found at all sites with kdr-w ranging from 45% to 70% in mosquitoes collected in unirrigated and rice field, respectively, and kdr-e found at 37% to 47% at each type of site, respectively. The ace-1 mutation was detected at low frequency (1%) and only from two rice cultivation sites. The high levels of pyrethroid and DDT resistance detected in Niamey had a strong link with rice cultivation, shown that agriculture is a driver of resistance that can compromise control malaria efforts. Keywords: Anopheles gambiae sensu lato, insecticide, resistance, agroecosystem, vector control, Niamey, Niger..

Medical Interpreting Services for Refugees in Canada: Current State of Practice and Considerations in Promoting this Essential Human Right for All

Language barriers, specifically among refugees, pose significant challenges to delivering quality healthcare in Canada. While the COVID-19 pandemic accelerated the emergence and development of innovative alternatives such as telephone-based and video-conferencing medical interpreting services and AI tools, access remains uneven across Canada. This comprehensive analysis highlights the absence of a cohesive national strategy, reflected in diverse funding models employed across provinces and territories, with gaps and disparities in access to medical interpreting services. Advocating for medical interpreting, both as a moral imperative and a prudent investment, this article draws from human rights principles and ethical considerations, justified in national and international guidelines, charters, codes and regulations. Substantiated by a cost-benefit analysis, it emphasizes that medical interpreting enhances healthcare quality and preserves patient autonomy. Additionally, this article illuminates decision-making processes for utilizing interpreting services; recognizing the pivotal roles of clinicians, interpreters, patients and caregivers within the care circle; appreciating intersectional considerations such as gender, culture and age, underscoring the importance of a collaborative approach. Finally, it provides recommendations at provider, organizational and system levels to ensure equitable access to this right and to promote the health and well-being of refugees and other individuals facing language barriers within Canada’s healthcare system.