Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta
Objectives This study aims to identify and critically examine the components of health complexity, and explore the factors that allow it to exist, among urban Indigenous peoples in Canada. Design Qualitative exploration with relational conversations. Setting Calgary, Alberta, Canada. Participants A...
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crjcrbmj:10.1136/bmjopen-2023-073184 2024-05-19T07:40:26+00:00 Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta Sehgal, Anika Scott, Sara Murry, Adam Henderson, Rita Barnabe, Cheryl Crowshoe, Lynden (Lindsay) Canadian Institutes of Health Research 2023 http://dx.doi.org/10.1136/bmjopen-2023-073184 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2023-073184 en eng BMJ http://creativecommons.org/licenses/by-nc/4.0/ BMJ Open volume 13, issue 10, page e073184 ISSN 2044-6055 2044-6055 journal-article 2023 crjcrbmj https://doi.org/10.1136/bmjopen-2023-073184 2024-05-02T09:26:51Z Objectives This study aims to identify and critically examine the components of health complexity, and explore the factors that allow it to exist, among urban Indigenous peoples in Canada. Design Qualitative exploration with relational conversations. Setting Calgary, Alberta, Canada. Participants A total of nine urban Indigenous patients were recruited from a multidisciplinary primary healthcare clinic that serves First Nations, Métis and Inuit peoples. Recruitment and data collection took place between September and November 2021. Results Thematic analysis revealed three main themes, namely: sources of health complexity, psychological responses to adversity, and resilience, strengths, and protective factors. Key sources of health complexity arose from material resource disparities and adverse interpersonal interactions within the healthcare environment, which manifest into psychological distress while strengths and resilience emerged as protective factors. Conclusion The healthcare system remains inapt to address complexity among urban Indigenous peoples in Canada. Healthcare violence experienced by Indigenous peoples only further perpetuates health complexity. Future clinical tools to collect information about health complexity among urban Indigenous patients should include questions about the factors defined in this study. Article in Journal/Newspaper First Nations inuit The BMJ BMJ Open 13 10 e073184 |
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English |
description |
Objectives This study aims to identify and critically examine the components of health complexity, and explore the factors that allow it to exist, among urban Indigenous peoples in Canada. Design Qualitative exploration with relational conversations. Setting Calgary, Alberta, Canada. Participants A total of nine urban Indigenous patients were recruited from a multidisciplinary primary healthcare clinic that serves First Nations, Métis and Inuit peoples. Recruitment and data collection took place between September and November 2021. Results Thematic analysis revealed three main themes, namely: sources of health complexity, psychological responses to adversity, and resilience, strengths, and protective factors. Key sources of health complexity arose from material resource disparities and adverse interpersonal interactions within the healthcare environment, which manifest into psychological distress while strengths and resilience emerged as protective factors. Conclusion The healthcare system remains inapt to address complexity among urban Indigenous peoples in Canada. Healthcare violence experienced by Indigenous peoples only further perpetuates health complexity. Future clinical tools to collect information about health complexity among urban Indigenous patients should include questions about the factors defined in this study. |
author2 |
Canadian Institutes of Health Research |
format |
Article in Journal/Newspaper |
author |
Sehgal, Anika Scott, Sara Murry, Adam Henderson, Rita Barnabe, Cheryl Crowshoe, Lynden (Lindsay) |
spellingShingle |
Sehgal, Anika Scott, Sara Murry, Adam Henderson, Rita Barnabe, Cheryl Crowshoe, Lynden (Lindsay) Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
author_facet |
Sehgal, Anika Scott, Sara Murry, Adam Henderson, Rita Barnabe, Cheryl Crowshoe, Lynden (Lindsay) |
author_sort |
Sehgal, Anika |
title |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_short |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_full |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_fullStr |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_full_unstemmed |
Critically examining health complexity experienced by urban Indigenous peoples in Canada by exploring the factors that allow health complexity to persist: a qualitative study of Indigenous patients in Calgary, Alberta |
title_sort |
critically examining health complexity experienced by urban indigenous peoples in canada by exploring the factors that allow health complexity to persist: a qualitative study of indigenous patients in calgary, alberta |
publisher |
BMJ |
publishDate |
2023 |
url |
http://dx.doi.org/10.1136/bmjopen-2023-073184 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2023-073184 |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
BMJ Open volume 13, issue 10, page e073184 ISSN 2044-6055 2044-6055 |
op_rights |
http://creativecommons.org/licenses/by-nc/4.0/ |
op_doi |
https://doi.org/10.1136/bmjopen-2023-073184 |
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BMJ Open |
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13 |
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10 |
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e073184 |
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1799479994415579136 |