Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada
Abstract Background Aboriginal peoples globally, and First Nations peoples in Canada particularly, suffer from high rates of type 2 diabetes and related complications compared with the general population. Research into the unique barriers faced by healthcare providers working in on-reserve First Nat...
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ftdoajarticles:oai:doaj.org/article:2b91eb4ea39a4b74a13e3ebf43a3a862 2023-05-15T16:14:52+02:00 Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada Macaulay Ann C Toth Ellen Esler James Estey Elizabeth A Naqshbandi Mariam Rasooly Irit R Bhattacharyya Onil K Harris Stewart B 2011-10-01T00:00:00Z https://doi.org/10.1186/1472-6963-11-283 https://doaj.org/article/2b91eb4ea39a4b74a13e3ebf43a3a862 EN eng BMC http://www.biomedcentral.com/1472-6963/11/283 https://doaj.org/toc/1472-6963 doi:10.1186/1472-6963-11-283 1472-6963 https://doaj.org/article/2b91eb4ea39a4b74a13e3ebf43a3a862 BMC Health Services Research, Vol 11, Iss 1, p 283 (2011) Public aspects of medicine RA1-1270 article 2011 ftdoajarticles https://doi.org/10.1186/1472-6963-11-283 2022-12-31T11:46:17Z Abstract Background Aboriginal peoples globally, and First Nations peoples in Canada particularly, suffer from high rates of type 2 diabetes and related complications compared with the general population. Research into the unique barriers faced by healthcare providers working in on-reserve First Nations communities is essential for developing effective quality improvement strategies. Methods In Phase I of this two-phased study, semi-structured interviews and focus groups were held with 24 healthcare providers in the Sioux Lookout Zone in north-western Ontario. A follow-up survey was conducted in Phase II as part of a larger project, the Canadian First Nations Diabetes Clinical Management and Epidemiologic (CIRCLE) study. The survey was completed with 244 healthcare providers in 19 First Nations communities in 7 Canadian provinces, representing three isolation levels (isolated, semi-isolated, non-isolated). Interviews, focus groups and survey questions all related to barriers to providing optimal diabetes care in First Nations communities. Results the key factors emerging from interviews and focus group discussions were at the patient, provider, and systemic level. Survey results indicated that, across three isolation levels, healthcare providers' perceived patient factors as having the largest impact on diabetes care. However, physicians and nurses were more likely to rank patient factors as having a large impact on care than community health representatives (CHRs) and physicians were significantly less likely to rank patient-provider communication as having a large impact than CHRs. Conclusions Addressing patient factors was considered the highest impact strategy for improving diabetes care. While this may reflect "patient blaming," it also suggests that self-management strategies may be well-suited for this context. Program planning should focus on training programs for CHRs, who provide a unique link between patients and clinical services. Research incorporating patient perspectives is needed to complete this ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada Lookout ENVELOPE(77.955,77.955,-68.605,-68.605) BMC Health Services Research 11 1 |
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Directory of Open Access Journals: DOAJ Articles |
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Public aspects of medicine RA1-1270 |
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Public aspects of medicine RA1-1270 Macaulay Ann C Toth Ellen Esler James Estey Elizabeth A Naqshbandi Mariam Rasooly Irit R Bhattacharyya Onil K Harris Stewart B Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada |
topic_facet |
Public aspects of medicine RA1-1270 |
description |
Abstract Background Aboriginal peoples globally, and First Nations peoples in Canada particularly, suffer from high rates of type 2 diabetes and related complications compared with the general population. Research into the unique barriers faced by healthcare providers working in on-reserve First Nations communities is essential for developing effective quality improvement strategies. Methods In Phase I of this two-phased study, semi-structured interviews and focus groups were held with 24 healthcare providers in the Sioux Lookout Zone in north-western Ontario. A follow-up survey was conducted in Phase II as part of a larger project, the Canadian First Nations Diabetes Clinical Management and Epidemiologic (CIRCLE) study. The survey was completed with 244 healthcare providers in 19 First Nations communities in 7 Canadian provinces, representing three isolation levels (isolated, semi-isolated, non-isolated). Interviews, focus groups and survey questions all related to barriers to providing optimal diabetes care in First Nations communities. Results the key factors emerging from interviews and focus group discussions were at the patient, provider, and systemic level. Survey results indicated that, across three isolation levels, healthcare providers' perceived patient factors as having the largest impact on diabetes care. However, physicians and nurses were more likely to rank patient factors as having a large impact on care than community health representatives (CHRs) and physicians were significantly less likely to rank patient-provider communication as having a large impact than CHRs. Conclusions Addressing patient factors was considered the highest impact strategy for improving diabetes care. While this may reflect "patient blaming," it also suggests that self-management strategies may be well-suited for this context. Program planning should focus on training programs for CHRs, who provide a unique link between patients and clinical services. Research incorporating patient perspectives is needed to complete this ... |
format |
Article in Journal/Newspaper |
author |
Macaulay Ann C Toth Ellen Esler James Estey Elizabeth A Naqshbandi Mariam Rasooly Irit R Bhattacharyya Onil K Harris Stewart B |
author_facet |
Macaulay Ann C Toth Ellen Esler James Estey Elizabeth A Naqshbandi Mariam Rasooly Irit R Bhattacharyya Onil K Harris Stewart B |
author_sort |
Macaulay Ann C |
title |
Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada |
title_short |
Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada |
title_full |
Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada |
title_fullStr |
Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada |
title_full_unstemmed |
Challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in Canada |
title_sort |
challenges to the provision of diabetes care in first nations communities: results from a national survey of healthcare providers in canada |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1472-6963-11-283 https://doaj.org/article/2b91eb4ea39a4b74a13e3ebf43a3a862 |
long_lat |
ENVELOPE(77.955,77.955,-68.605,-68.605) |
geographic |
Canada Lookout |
geographic_facet |
Canada Lookout |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMC Health Services Research, Vol 11, Iss 1, p 283 (2011) |
op_relation |
http://www.biomedcentral.com/1472-6963/11/283 https://doaj.org/toc/1472-6963 doi:10.1186/1472-6963-11-283 1472-6963 https://doaj.org/article/2b91eb4ea39a4b74a13e3ebf43a3a862 |
op_doi |
https://doi.org/10.1186/1472-6963-11-283 |
container_title |
BMC Health Services Research |
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11 |
container_issue |
1 |
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1766000609142505472 |