Effective health and wellness systems for rural and remote Indigenous communities: a rapid review
AbstractBackground: The Canadian healthcare system bares a long legacy of colonisation and assimilation of Indigenous values and approaches to health and wellness. This system often perpetuates social and health inequities through systemic racism, underfunding, lack of culturally appropriate care an...
Published in: | International Journal of Circumpolar Health |
---|---|
Main Authors: | , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Taylor & Francis Group
2023
|
Subjects: | |
Online Access: | https://doi.org/10.1080/22423982.2023.2215553 https://doaj.org/article/44f3e20f68ba4cfc979ee719b88601c6 |
id |
ftdoajarticles:oai:doaj.org/article:44f3e20f68ba4cfc979ee719b88601c6 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:44f3e20f68ba4cfc979ee719b88601c6 2024-01-21T10:04:03+01:00 Effective health and wellness systems for rural and remote Indigenous communities: a rapid review Brianna Marie Stefanon Kathy Tsetso Kristen Tanche Melody E. Morton Ninomiya 2023-12-01T00:00:00Z https://doi.org/10.1080/22423982.2023.2215553 https://doaj.org/article/44f3e20f68ba4cfc979ee719b88601c6 EN eng Taylor & Francis Group https://www.tandfonline.com/doi/10.1080/22423982.2023.2215553 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2023.2215553 2242-3982 https://doaj.org/article/44f3e20f68ba4cfc979ee719b88601c6 International Journal of Circumpolar Health, Vol 82, Iss 1 (2023) Indigenous health healthcare partnerships policy self-determination Arctic medicine. Tropical medicine RC955-962 article 2023 ftdoajarticles https://doi.org/10.1080/22423982.2023.2215553 2023-12-24T01:42:47Z AbstractBackground: The Canadian healthcare system bares a long legacy of colonisation and assimilation of Indigenous values and approaches to health and wellness. This system often perpetuates social and health inequities through systemic racism, underfunding, lack of culturally appropriate care and barriers to access care. Current funding legislation policies enacted across federal, provincialand territorial governments do not necessarily uphold Indigenous Peoples’ rights to self-determination, health and wellness. We summarise literature on promising Indigenous health systems and practices that prioritise and/or improve rural Indigenous Peoples’ health and wellness. Objective: The impetus for this review was to provide information on promising health systems, while Dehcho First Nations developed a health and wellness vision. Methods: Documents were gathered from indexed and non-indexed databases to obtain literature from peer-reviewed and non-peer reviewed sources. Two reviewers independently 1) screened titles, abstracts and full texts to ensure they met the inclusion criteria, 2) gathered relevant data from all included documents and 3) identified major themes and sub-themes. Reviewers then discussed and reached consensus on the themes. Results: Thematic analysis revealed six themes for effective health systems for rural and remote Indigenous communities: 1) access to primary care, 2) multi-directional knowledge exchange, 3) culturally appropriate care, 4) training and building community capacity, 5) integrated care and 6) health system funding. Conclusion: Effective health and wellness systems must support Indigenous ways of knowing and doing in healthcare models based on collaborative partnerships with community members, health providers and government agencies. Article in Journal/Newspaper Arctic Circumpolar Health First Nations International Journal of Circumpolar Health Directory of Open Access Journals: DOAJ Articles Arctic International Journal of Circumpolar Health 82 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Indigenous health healthcare partnerships policy self-determination Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Indigenous health healthcare partnerships policy self-determination Arctic medicine. Tropical medicine RC955-962 Brianna Marie Stefanon Kathy Tsetso Kristen Tanche Melody E. Morton Ninomiya Effective health and wellness systems for rural and remote Indigenous communities: a rapid review |
topic_facet |
Indigenous health healthcare partnerships policy self-determination Arctic medicine. Tropical medicine RC955-962 |
description |
AbstractBackground: The Canadian healthcare system bares a long legacy of colonisation and assimilation of Indigenous values and approaches to health and wellness. This system often perpetuates social and health inequities through systemic racism, underfunding, lack of culturally appropriate care and barriers to access care. Current funding legislation policies enacted across federal, provincialand territorial governments do not necessarily uphold Indigenous Peoples’ rights to self-determination, health and wellness. We summarise literature on promising Indigenous health systems and practices that prioritise and/or improve rural Indigenous Peoples’ health and wellness. Objective: The impetus for this review was to provide information on promising health systems, while Dehcho First Nations developed a health and wellness vision. Methods: Documents were gathered from indexed and non-indexed databases to obtain literature from peer-reviewed and non-peer reviewed sources. Two reviewers independently 1) screened titles, abstracts and full texts to ensure they met the inclusion criteria, 2) gathered relevant data from all included documents and 3) identified major themes and sub-themes. Reviewers then discussed and reached consensus on the themes. Results: Thematic analysis revealed six themes for effective health systems for rural and remote Indigenous communities: 1) access to primary care, 2) multi-directional knowledge exchange, 3) culturally appropriate care, 4) training and building community capacity, 5) integrated care and 6) health system funding. Conclusion: Effective health and wellness systems must support Indigenous ways of knowing and doing in healthcare models based on collaborative partnerships with community members, health providers and government agencies. |
format |
Article in Journal/Newspaper |
author |
Brianna Marie Stefanon Kathy Tsetso Kristen Tanche Melody E. Morton Ninomiya |
author_facet |
Brianna Marie Stefanon Kathy Tsetso Kristen Tanche Melody E. Morton Ninomiya |
author_sort |
Brianna Marie Stefanon |
title |
Effective health and wellness systems for rural and remote Indigenous communities: a rapid review |
title_short |
Effective health and wellness systems for rural and remote Indigenous communities: a rapid review |
title_full |
Effective health and wellness systems for rural and remote Indigenous communities: a rapid review |
title_fullStr |
Effective health and wellness systems for rural and remote Indigenous communities: a rapid review |
title_full_unstemmed |
Effective health and wellness systems for rural and remote Indigenous communities: a rapid review |
title_sort |
effective health and wellness systems for rural and remote indigenous communities: a rapid review |
publisher |
Taylor & Francis Group |
publishDate |
2023 |
url |
https://doi.org/10.1080/22423982.2023.2215553 https://doaj.org/article/44f3e20f68ba4cfc979ee719b88601c6 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic Circumpolar Health First Nations International Journal of Circumpolar Health |
genre_facet |
Arctic Circumpolar Health First Nations International Journal of Circumpolar Health |
op_source |
International Journal of Circumpolar Health, Vol 82, Iss 1 (2023) |
op_relation |
https://www.tandfonline.com/doi/10.1080/22423982.2023.2215553 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2023.2215553 2242-3982 https://doaj.org/article/44f3e20f68ba4cfc979ee719b88601c6 |
op_doi |
https://doi.org/10.1080/22423982.2023.2215553 |
container_title |
International Journal of Circumpolar Health |
container_volume |
82 |
container_issue |
1 |
_version_ |
1788694468990337024 |