Canada First Nations Strengths in Community-Based Primary Healthcare
First Nation (FN) peoples and communities in Canada are still grappling with the effects of colonization. Health and social inequities result in higher disease burden and significant disparities in healthcare access and responsiveness. For resilience, survival, and self-determination, FN are looking...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-10, Vol.19 (20), p.13532 |
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| creator | Kyoon Achan, Grace Eni, Rachel Phillips-Beck, Wanda Lavoie, Josée G Kinew, Kathi Avery Katz, Alan |
| description | First Nation (FN) peoples and communities in Canada are still grappling with the effects of colonization. Health and social inequities result in higher disease burden and significant disparities in healthcare access and responsiveness. For resilience, survival, and self-determination, FN are looking inwards for strengths. This paper reports on the cultural, community, and family strengths that have supported FN communities in developing community-based primary healthcare (CBPHC) strategies to support health and wellbeing.
The study was a partnership between university-based researchers; The First Nations Health and Social Secretariat of Manitoba; and eight First Nation communities in Manitoba. Community-based participatory research methods were used to engage the participating communities. One hundred and eighty-three in-depth, semi-structured key informant interviews were completed between 2014 and 2016 with key members of the First Nation communities, i.e., community-based health providers and users of primary healthcare services, representing all age and genders. Data-collection and analysis were conducted following iterative grounded theory analysis.
Community-based healthcare models based on local strengths support easier access and shorter wait times for care and compassionate care delivery. Resources such as homecare and medical transportation are helpful. Community cooperation, youth power, responsive leadership, and economic development as well as a strong cultural and spiritual base are key strengths supporting health and social wellbeing.
Locally led, self-determined care adds strength in FN communities, and is poised to create long-lasting primary healthcare transformation. |
| doi_str_mv | 10.3390/ijerph192013532 |
| format | Article |
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The study was a partnership between university-based researchers; The First Nations Health and Social Secretariat of Manitoba; and eight First Nation communities in Manitoba. Community-based participatory research methods were used to engage the participating communities. One hundred and eighty-three in-depth, semi-structured key informant interviews were completed between 2014 and 2016 with key members of the First Nation communities, i.e., community-based health providers and users of primary healthcare services, representing all age and genders. Data-collection and analysis were conducted following iterative grounded theory analysis.
Community-based healthcare models based on local strengths support easier access and shorter wait times for care and compassionate care delivery. Resources such as homecare and medical transportation are helpful. Community cooperation, youth power, responsive leadership, and economic development as well as a strong cultural and spiritual base are key strengths supporting health and social wellbeing.
Locally led, self-determined care adds strength in FN communities, and is poised to create long-lasting primary healthcare transformation.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph192013532</identifier><identifier>PMID: 36294110</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Activities of daily living ; Adolescent ; Canada ; Colonialism ; Colonization ; Community Health Services ; Community involvement ; Community participation ; Data collection ; Economic development ; Female ; Grounded theory ; Health care ; Health services ; Health Services, Indigenous ; Humans ; Indians, North American ; Leadership ; Male ; Native North Americans ; Participation ; Participatory research ; Primary Health Care ; Research methods ; Violence</subject><ispartof>International journal of environmental research and public health, 2022-10, Vol.19 (20), p.13532</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c375t-51e2e2dcee281decc92fdf3dc37efe69696df4740ae8cb2061659d1accc111693</cites><orcidid>0000-0001-8280-7024 ; 0000-0002-8118-6606</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9602454/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9602454/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36294110$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kyoon Achan, Grace</creatorcontrib><creatorcontrib>Eni, Rachel</creatorcontrib><creatorcontrib>Phillips-Beck, Wanda</creatorcontrib><creatorcontrib>Lavoie, Josée G</creatorcontrib><creatorcontrib>Kinew, Kathi Avery</creatorcontrib><creatorcontrib>Katz, Alan</creatorcontrib><title>Canada First Nations Strengths in Community-Based Primary Healthcare</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>First Nation (FN) peoples and communities in Canada are still grappling with the effects of colonization. Health and social inequities result in higher disease burden and significant disparities in healthcare access and responsiveness. For resilience, survival, and self-determination, FN are looking inwards for strengths. This paper reports on the cultural, community, and family strengths that have supported FN communities in developing community-based primary healthcare (CBPHC) strategies to support health and wellbeing.
The study was a partnership between university-based researchers; The First Nations Health and Social Secretariat of Manitoba; and eight First Nation communities in Manitoba. Community-based participatory research methods were used to engage the participating communities. One hundred and eighty-three in-depth, semi-structured key informant interviews were completed between 2014 and 2016 with key members of the First Nation communities, i.e., community-based health providers and users of primary healthcare services, representing all age and genders. Data-collection and analysis were conducted following iterative grounded theory analysis.
Community-based healthcare models based on local strengths support easier access and shorter wait times for care and compassionate care delivery. Resources such as homecare and medical transportation are helpful. Community cooperation, youth power, responsive leadership, and economic development as well as a strong cultural and spiritual base are key strengths supporting health and social wellbeing.
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Health and social inequities result in higher disease burden and significant disparities in healthcare access and responsiveness. For resilience, survival, and self-determination, FN are looking inwards for strengths. This paper reports on the cultural, community, and family strengths that have supported FN communities in developing community-based primary healthcare (CBPHC) strategies to support health and wellbeing.
The study was a partnership between university-based researchers; The First Nations Health and Social Secretariat of Manitoba; and eight First Nation communities in Manitoba. Community-based participatory research methods were used to engage the participating communities. One hundred and eighty-three in-depth, semi-structured key informant interviews were completed between 2014 and 2016 with key members of the First Nation communities, i.e., community-based health providers and users of primary healthcare services, representing all age and genders. Data-collection and analysis were conducted following iterative grounded theory analysis.
Community-based healthcare models based on local strengths support easier access and shorter wait times for care and compassionate care delivery. Resources such as homecare and medical transportation are helpful. Community cooperation, youth power, responsive leadership, and economic development as well as a strong cultural and spiritual base are key strengths supporting health and social wellbeing.
Locally led, self-determined care adds strength in FN communities, and is poised to create long-lasting primary healthcare transformation.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36294110</pmid><doi>10.3390/ijerph192013532</doi><orcidid>https://orcid.org/0000-0001-8280-7024</orcidid><orcidid>https://orcid.org/0000-0002-8118-6606</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of daily living Adolescent Canada Colonialism Colonization Community Health Services Community involvement Community participation Data collection Economic development Female Grounded theory Health care Health services Health Services, Indigenous Humans Indians, North American Leadership Male Native North Americans Participation Participatory research Primary Health Care Research methods Violence |
| title | Canada First Nations Strengths in Community-Based Primary Healthcare |
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